The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
Dameron Hospital Association
Org ID: 10152
525 West Acacia Street
Stockton, CA  95203
(209)944-5550
www.dameronhospital.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 8/23/2013 8/22/2013   9/30/2013  
Laboratory Accreditation Program
Accredited 8/23/2014 8/22/2014   8/22/2014  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Pathology and Clinical Laboratory
Hospital





Special Quality Awards


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  Symbol Key
This organization achieved the best possible results
This organization’s performance is above the target range/value.
This organization’s performance is similar to the target range/value.
This organization’s performance is below the target range/value.
This measure is not applicable for this organization.
Not displayed
  Footnote Key
1. The measure or measure set was not reported.
2. The measure set does not have an overall result.
3. The number is not enough for comparison purposes.
4. The measure meets the Privacy Disclosure Threshold rule.
5. The organization scored above 90% but was below most other organizations.
6. The measure results are not statistically valid.
7. The measure results are based on a sample of patients.
8. The number of months with measure data is below the reporting requirement.
9. The measure results are temporarily suppressed pending resubmission of updated data.
10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
11. There were no eligible patients that met the denominator criteria.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Hospital
2013 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
National Quality Improvement Goals:    
Reporting Period:
Jan  2013 -
Dec  2013
Heart Attack Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Heart Failure Care See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
Pneumonia Care See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
Surgical Care Improvement Project (SCIP)    
SCIP - Cardiac See Detail
   
SCIP - Infection Prevention
For All Reported Procedures:
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Blood Vessel Surgery
See Detail
Not displayed.
3
Not displayed.
3
  • Colon/Large Intestine Surgery
See Detail
Not displayed.
3
Not displayed.
3
  • Coronary Artery Bypass Graft
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hip Joint Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Hysterectomy
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Knee Replacement
See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
  • Open Heart Surgery
See Detail
Not displayed.
3
Not displayed.
3
SCIP – Venous Thromboembolism (VTE) See Detail
   
Laboratory Accreditation Program
2014 National Patient Safety Goals See Detail
This organization’s performance is similar to the target range/value.
This Goal is not applicable for this organization.
*
 
National Quality Forum The Joint Commission only reports measures endorsed by the National Quality Forum.
 
* State results are not calculated for the National Patient Safety Goals.

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Sites and Services
* Primary Location

An organization may provide services not listed here. For more information refer to the Quality Report User Guide .

Locations of Care Available Services
Alex & Faye Spanos Surgical Pavilion
445 West Acacia Street
Stockton, CA  95203-2484
    Services:
    • Administration of High Risk Medications (Outpatient)
    • Ambulatory Surgery Center (Outpatient)
    • Anesthesia (Outpatient)
    • General Laboratory Tests
    • Perform Invasive Procedure (Outpatient)
    Dameron Hospital Association  *
    525 West Acacia Street
    Stockton, CA  95203-2484
      Services:
      • Brachytherapy (Imaging/Diagnostic Services)
      • Cardiac Catheterization Lab (Surgical Services)
      • Cardiac Surgery (Surgical Services)
      • Cardiothoracic Surgery (Surgical Services)
      • Cardiovascular Unit (Inpatient)
      • Coronary Care Unit (Inpatient)
      • CT Scanner (Imaging/Diagnostic Services)
      • Ear/Nose/Throat Surgery (Surgical Services)
      • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
      • Gastroenterology (Surgical Services)
      • General Laboratory Tests
      • GI or Endoscopy Lab (Imaging/Diagnostic Services)
      • Gynecological Surgery (Surgical Services)
      • Gynecology (Inpatient)
      • Inpatient Unit (Inpatient)
      • Interventional Radiology (Inpatient, Outpatient, Imaging/Diagnostic Services)
      • Labor & Delivery (Inpatient)
      • Medical /Surgical Unit (Inpatient)
      • Medical ICU (Intensive Care Unit)
      • Normal Newborn Nursery (Inpatient)
      • Nuclear Medicine (Imaging/Diagnostic Services)
      • Ophthalmology (Surgical Services)
      • Orthopedic Surgery (Surgical Services)
      • Orthopedic/Spine Unit (Inpatient)
      • Outpatient Clinics (Outpatient)
      • Pediatric General Surgery (Inpatient - Child/Youth)
      • Pediatric Otolaryngology (Inpatient - Child/Youth)
        (Outpatient - Child/Youth)
      • Pediatric Unit (Inpatient)
      • Plastic Surgery (Surgical Services)
      • Post Anesthesia Care Unit (PACU) (Inpatient)
      • Surgical ICU (Intensive Care Unit)
      • Surgical Unit (Inpatient)
      • Teleradiology (Imaging/Diagnostic Services)
      • Thoracic Surgery (Surgical Services)
      • Toxicology
      • Ultrasound (Imaging/Diagnostic Services)
      • Urology (Surgical Services)
      • Vascular Surgery (Surgical Services)
      Dameron Hospital Association Ambulatory Clinics
      530 West Acacia Street
      Stockton, CA  95203
      Other Clinics/Practices located at this site:
      • Dameron Hospital Association Ambulatory Care Center
      • Dameron Hospital Association Sweet Success Clinic
      Services:
      • Outpatient Clinics (Outpatient)
      Dameron Hospital Association Ambulatory Clinics
      420 West Acacia Street
      Stockton, CA  95203
      Other Clinics/Practices located at this site:
      • Dameron Hospital Association High-Risk Infant Clinic
      • Dameron Hospital Association Occupational Health Services
      • Dameron Hospital Association Rehabilitation Services
      Services:
      • Outpatient Clinics (Outpatient)
      Dameron Hospital Association Core Laboratory
      530 West Acacia Street
      Stockton, CA  95203-2484
        Services:
        • General Laboratory Tests
        • Toxicology
        Dameron Hospital Occupational Health Services
        420 West Acacia Street Suite 2, 19 and 20
        Stockton, CA  95203-2484
          Services:
          • General Laboratory Tests

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