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Quality Report

Summary of Quality Information
OSF St. Joseph Medical Center
Org ID: 7248
2200 East Washington Street
Bloomington, IL  61701
(309)662-3311
www.osfstjoseph.org

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Hospital
Accredited 4/12/2008 4/11/2008 4/11/2008  
Pathology and Clinical Laboratory
Accredited 10/16/2009 10/15/2009 10/15/2009  

Advanced Certification
Programs		 Certification
Decision		 Effective
Date		 Last Full
Review Date		 Last On-Site
Review Date
Primary Stroke Center
Certification 4/10/2009  4/9/2009  4/9/2009 


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 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
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 below the target range/value.
This organization’s performance is below the target range/value.
  • Blood Vessel 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.
  • 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 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 below the target range/value.
This organization’s performance is below 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 similar to the target range/value.
This organization’s performance is similar to the target range/value.
  • Open Heart Surgery
 See Detail
This organization’s performance is similar to the target range/value.
This organization’s performance is above the target range/value.
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
2009 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
OSF Center for Health:Ft Jesse:PromptCare,Wound; Pain;Rehab
2200 Fort Jesse Road
Normal, IL  61761
  • Anesthesia (Outpatient)
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
OSF Clinton Family Medicine
1231 Kleeman Drive
Clinton, IL  61727
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
OSF College Ave. Radiology & Rehabilitation
1701 College Ave.
Bloomington, IL  61704
  • General Outpatient Services (Outpatient)
OSF Community Pre-Natal Clinic
502 South Morris Avenue, Suite B
Bloomington, IL  61701
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
OSF Heyworth Family Medicine
801 Fox Run
Heyworth, IL  61745
  • General Outpatient Services (Outpatient)
OSF Medical Group - Family Medicine Eastland Drive
1405 Eastland Drive
Bloomington, IL  61701
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
OSF Medical Group: Family Medicine Fort Jesse
2200 Fort Jesse Road
Normal, IL  61761
  • General Outpatient Services (Outpatient)
OSF Medical Group: Internal Medicine 302 St Joseph Dr.
302 St Joseph Dr.
Bloomington, IL  61701
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
OSF Medical Group: Family Medicine 308 St. Joseph Drive
308 St. Joseph Drive
Bloomington, IL  61701
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
OSF PromptCare at the Center for Health at Nord Farms
1001 Mitsubishi Motorway
Bloomington, IL  61704
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)
OSF St. Joseph Medical Center  *
2200 East Washington Street
Bloomington, IL  61701
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
Services:
  • Abdominal Aortic Aneurysm (Inpatient)
  • Acute Coronary Syndrome (Inpatient)
  • Acute Myocardial Infarction (Inpatient, Outpatient)
  • Adolescent medicine (Inpatient)
  • Alzheimers Disease (Inpatient, Outpatient)
  • Arthritis (Inpatient, Outpatient)
  • Asthma (Inpatient, Outpatient)
  • Asthma, Pediatrics (Inpatient, Outpatient)
  • Atrial Fibrillation (Inpatient, Outpatient)
  • Audiology (Outpatient)
  • Benign prostatic hyperplasia (BPH) (Inpatient, Outpatient)
  • Breast Cancer (Inpatient, Outpatient)
  • Cancer Center/Oncology (Inpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • Cellulitis (Inpatient, Outpatient)
  • Cerebral Bleeding (Inpatient)
  • Chronic Kidney Disease (Inpatient, Outpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient, Outpatient)
  • Colon/Rectal Cancer (Inpatient, Outpatient)
  • Coronary Artery Disease (Inpatient, Outpatient)
  • Crohn's Disease (Inpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Depression (Outpatient)
  • Diabetes Mellitus (Inpatient, Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient, Outpatient)
  • End Stage Renal Disease (Inpatient, Outpatient)
  • Esophageal Cancer (Inpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient)
  • Gastroesophageal Reflux Disease (Inpatient, Outpatient)
  • General Laboratory Tests
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient)
  • Head Injury (Inpatient)
  • Health and Wellness (Outpatient)
  • Health Social Work (Inpatient)
  • Heart Failure (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient)
  • Hip Joint Replacement (Inpatient, Outpatient)
  • HIV/AIDS (Inpatient)
  • Hodgkin's disease (Inpatient)
  • Hyperbilirubinemia (Inpatient, Outpatient)
  • Hyperlipidemia (Inpatient, Outpatient)
  • Hypertension (Inpatient, Outpatient)
  • Hyperthyroidism/Hypothyroidism (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Inpatient Diabetes (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient)
  • Interventional Cardiac Catheterization (Inpatient, Outpatient)
  • Interventional Radiology (Inpatient, Outpatient)
  • Intraventricular hemorrhage (Inpatient)
  • Irritable Bowel Syndrome (Inpatient)
  • Ischemic Heart Disease (Inpatient, Outpatient)
  • Joint Replacement - Knee (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Laminectomy (Inpatient)
  • Leukemia (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Inpatient)
  • Liver Diseases (Inpatient)
  • Long Term Care
  • Low Back Pain (Inpatient, Outpatient)
  • Lung Cancer (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Microdiscectomy (Inpatient)
  • Migraine Headache (Inpatient, Outpatient)
  • Nephrology (Inpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Nutrition Programs (Outpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient)
  • Oral Maxillofacial Surgery (Inpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Osgood-Schlatter (Outpatient)
  • Osteoporosis (Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Palliative Care
  • Pancreatic Cancer (Inpatient)
  • Pancreatitis (Inpatient, Outpatient)
  • Parkinsons Disease (Outpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Care (Inpatient)
  • Pediatric Emergency Department (Outpatient - Child/Youth)
  • Pediatric Emergency Medicine (Outpatient - Child/Youth)
  • Pediatric General Surgery (Inpatient - Child/Youth)
  • Pediatric Radiology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Peripheral Vascular Disease (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Rehabilitation Services
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Sexually Transmitted Disease (Outpatient)
  • Skilled Nursing Care
  • Skilled Nursing Facility (Inpatient)
  • Sleep Center (Outpatient)
  • Spine Care (Inpatient, Outpatient)
  • Stroke (Primary Stroke Center) (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Toxicology
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient)
  • Vascular Surgery (Inpatient)
  • Women's Health (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)

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