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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 Decision: Accredited
Decision Effective Date: November 17, 2007
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Home Care 11/16/2007 11/16/2007  
Hospital 11/16/2007 11/13/2008  
Pathology and Clinical Laboratory 4/24/2008 4/24/2008  


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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 of patients 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.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Home Care
2007 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.
*
Hospital
2008 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  2009 -
Dec  2009
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 similar to the target range/value.
This organization’s performance is similar to 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
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Coronary Artery Bypass Graft
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to 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 similar to the target range/value.
This organization’s performance is similar to 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
   
  30 Day Risk Adjusted Mortality Rates (see details)
  30 Day Hospital Readmission Rates (see details)
  Survey of Patients' Hospital Experiences (see details)
Pathology and Clinical Laboratory
2008 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.
*
 
Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
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
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
  • Breast Cancer (Outpatient)
  • General Laboratory Tests
  • Infertility (Outpatient)
  • Low Back Pain (Outpatient)
  • Pathology (Outpatient)
  • Pediatric Orthopedics (Outpatient - Child/Youth)
  • Pediatric Radiology (Outpatient - Child/Youth)
  • Pediatric Urology (Outpatient - Child/Youth)
  • Pelvic Inflammatory Disease (Outpatient)
  • Sports Medicine (Outpatient)
Dameron Hospital Association  *
525 West Acacia Street
Stockton, CA  95203-2484
  • Abdominal Aortic Aneurysm (Inpatient)
  • Acute Coronary Syndrome (Inpatient, Outpatient)
  • Acute Myocardial Infarction (Inpatient)
  • Amyotrophic Lateral Sclerosis (Inpatient)
  • Arthritis (Inpatient)
  • Asthma (Inpatient)
  • Asthma, Pediatrics (Inpatient)
  • Atrial Fibrillation (Inpatient, Outpatient)
  • Audiology (Inpatient, Outpatient)
  • Benign prostatic hyperplasia (BPH) (Inpatient)
  • Breast Cancer (Inpatient)
  • Cancer Center/Oncology (Inpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient)
  • Cellulitis (Inpatient)
  • Chronic Kidney Disease (Inpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient)
  • Coagulopathy Treatment (Inpatient)
  • Colon/Rectal Cancer (Inpatient)
  • Coronary Artery Disease (Inpatient)
  • Crohn's Disease (Inpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dermatology (Inpatient)
  • Developmental Pediatrics (Inpatient, Outpatient)
  • Diabetes Mellitus (Inpatient, Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient)
  • End Stage Renal Disease (Inpatient)
  • Endocrinology (Inpatient)
  • Epilepsy (Inpatient)
  • Esophageal Cancer (Inpatient)
  • Family Practice (Inpatient)
  • Finger Joint Replacement (Inpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • Gastroesophageal Reflux Disease (Inpatient)
  • General Laboratory Tests
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Heart Failure (Inpatient)
  • Hematology/Blood Treatment (Inpatient)
  • Hemophilia (Outpatient)
  • Hepatitis B/C (Inpatient)
  • Hip Joint Replacement (Inpatient)
  • HIV/AIDS (Inpatient)
  • Hodgkin's disease (Inpatient)
  • Hyperbilirubinemia (Inpatient)
  • Hyperlipidemia (Inpatient)
  • Hypertension (Inpatient)
  • Hyperthyroidism/Hypothyroidism (Inpatient)
  • Imaging/Radiology (Inpatient)
  • Infectious Diseases (Inpatient)
  • Infertility (Inpatient, Outpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Inpatient Diabetes (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient)
  • Interventional Cardiac Catheterization (Inpatient)
  • Interventional Radiology (Inpatient, Outpatient)
  • Irritable Bowel Syndrome (Inpatient)
  • Ischemic Heart Disease (Inpatient)
  • Joint Replacement - Knee (Inpatient)
  • Labor & Delivery (Inpatient)
  • Laminectomy (Inpatient)
  • Lead Exposure (Inpatient)
  • Leukemia (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
  • Liver Diseases (Inpatient)
  • Low Back Pain (Inpatient)
  • Lung Cancer (Inpatient)
  • Microdiscectomy (Inpatient)
  • Migraine Headache (Inpatient)
  • Multiple Sclerosis (Inpatient)
  • Necrotizing Enteral Colitis (Inpatient)
  • Neonatal Intensive Care (Inpatient)
  • Neonatology (Inpatient)
  • Nephrology (Inpatient)
  • Neurology (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Nutrition Programs (Outpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Osteopathic Care (Inpatient)
  • Osteoporosis (Inpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pancreatic Cancer (Inpatient)
  • Pancreatitis (Inpatient)
  • Parkinsons Disease (Inpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Care (Inpatient)
  • Pediatric General Surgery (Inpatient - Child/Youth)
  • Pediatric Orthopedics (Inpatient - Child/Youth)
  • Pediatric Otolaryngology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pelvic Inflammatory Disease (Inpatient, Outpatient)
  • Peripheral Vascular Disease (Inpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Pneumonia (Inpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Prematurity (Inpatient)
  • Prostate Cancer (Inpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient)
  • Self Injury (Inpatient)
  • Sexually Transmitted Disease (Inpatient)
  • Sickle Cell Disease (Inpatient)
  • Spine Care (Inpatient, Outpatient)
  • Systemic Lupus Erythematosis (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Trauma (Inpatient)
  • Tuberculosis (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient)
  • Wound Care (Inpatient)
Dameron Hospital Association Core Laboratory
530 West Acacia Street
Stockton, CA  95203-2484
  • General Laboratory Tests
  • Toxicology
Dameron Hospital Home Care Services
420 West Acacia Street, Suite 14
Stockton, CA  95203-2484
  • Diagnostic Care
  • General Laboratory Tests
  • Home Health, Non-Hospice Services
  • Occupational Therapy
  • Physical Therapy
  • Social Work
  • Speech Therapy
  • Wound Care
Dameron Hospital Occupational Health Services
420 West Acacia Street Suite 2 and 19
Stockton, CA  95203-2484
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)

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