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Quality Report

Summary of Quality Information
OSF Saint Francis Medical Center
Org ID: 7410
530 NE Glen Oak Avenue
Peoria, IL  61637
(309)655-2323
www.osfhealthcare.org

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Hospital
Accredited 4/26/2008 4/25/2008 4/25/2008  

Advanced Certification
Programs		 Certification
Decision		 Effective
Date		 Last Full
Review Date		 Last On-Site
Review Date
Primary Stroke Center
Certification 8/11/2010  8/10/2010  8/10/2010 
Ventricular Assist Device
Certification 8/31/2009  7/14/2009  7/14/2009 


Certified
Programs		 Certification
Decision		 Effective
Date		 Last Full
Review Date		 Last On-Site
Review Date
Acute Myocardial Infarction
Certification 8/12/2010  8/11/2010  8/11/2010 
Heart Failure
Certification 8/12/2010  8/11/2010  8/11/2010 



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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 above the target range/value.
This organization’s performance is above 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 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
This organization’s performance is similar to the target range/value.
This organization’s performance is similar to 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)
 
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
Ambulatory Diagnostics Heartland
100 Garden Street
Peoria, IL  61607
  • General Outpatient Services (Outpatient)
Bradley Student Health Center
819 North Glenwood Ave, Room 101
Peoria, IL  61625
  • General Outpatient Services (Outpatient)
Cardiac Rehab at the RiverPlex
600 Water Street
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
Center for Health Internal Medicine/Clinical Research Center
8600 North State North Route 91
Peoria, IL  61615
  • Multi Specialty Group Practice (Outpatient)
Centralized Call Center
1420 Pioneer Parkway
Peoria, IL  61614
  • General Outpatient Services (Outpatient)
Cystic Fibrosis Clinic
320 East Armstrong
Peoria, IL  61603
  • Single Specialty Group Practice (Outpatient)
Glen Avenue Outpatient Center
4911 Executive Drive
Peoria, IL  61614
  • General Outpatient Services (Outpatient)
Health Fitness at the RiverPlex
600 Water Street
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
INI Audiology
530 NE Glen Oak
Peoria, IL  61637
  • Single Specialty Group Practice (Outpatient)
INI Comprehensive Epilepsy Program
530 NE Glen Oak
Peoria, IL  61637
  • Single Specialty Group Practice (Outpatient)
INI Comprehensive Stroke Clinic
530 NE Glen Oak
Peoria, IL  61637
  • Single Specialty Group Practice (Outpatient)
INI EEG Services
530 NE Glen Oak
Peoria, IL  61637
  • Single Specialty Group Practice (Outpatient)
INI Eye Center
530 NE Glen Oak
Peoria, IL  61607
  • Single Specialty Group Practice (Outpatient)
INI Neurology
100 NE Randolph Ave.
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
  • Multi Specialty Group Practice (Outpatient)
INI Sleep Disorders Glen Oak
530 NE Glen Oak
Peoria, IL  61637
  • Single Specialty Group Practice (Outpatient)
INI Sleep Disorders Morton
435 Maxine Drive
Morton, IL  61550
  • Single Specialty Group Practice (Outpatient)
Joslin Diabetes Center & Endocrinology
5101 Glen Park Place
Peoria, IL  61614
  • Single Specialty Group Practice (Outpatient)
Maternal Fetal Diagnostic Center
4911 Executive Drive
Peoria, IL  61614
  • Single Specialty Group Practice (Outpatient)
Medical Psychology
530 NE Glen Oak
Peoria, IL  61637
  • Single Specialty Group Practice (Outpatient)
Occupational Health Glen Oak
723 NE Glen Oak Ave
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
OSF Children's Medical Group Office
420 NE Glen Oak, Suite #201
Peoria, IL  61637
  • Single Specialty Group Practice (Outpatient)
OSF Heartcare Midwest Cardiology Services
5401 North Knoxville
Peoria, IL  61603
  • Multi Specialty Group Practice (Outpatient)
OSF Heartcare Midwest Pekin
610 Parks Ave
Pekin, IL  61554
  • Single Specialty Group Practice (Outpatient)
OSF Infectious Diseases
723 N.E. Glen Oak Avenue
Peoria, IL  61603
  • Single Specialty Group Practice (Outpatient)
OSF Infusion Services
530 NE Glen Oak Ave
Peoria, IL  61637
  • General Outpatient Services (Outpatient)
OSF Medical Group Gastroenterology
2805 N.Knoxville Ave,
Peoria, IL  61603
  • Single Specialty Group Practice (Outpatient)
OSF Saint Francis Morton Health Center & OSF Sleep Lab
435 Maxine Drive
Morton, IL  61550
  • General Outpatient Services (Outpatient)
  • Multi Specialty Group Practice (Outpatient)
OSF Sisters Community HealthCare Center
320 E Armstrong
Peoria, IL  61603
  • Behavioral Health (Day Programs - Adult)
  • General Outpatient Services (Outpatient)
OSFMG Chillicothe
319 Fourth Street
Chillicothe, IL  61523
  • Single Specialty Practitioner (Outpatient)
OSFMG East Peoria
2513 North Main Street
East Peoria, IL  61611
  • General Outpatient Services (Outpatient)
  • Single Specialty Practitioner (Outpatient)
OSFMG Executive Drive-Peds
5101 North Executive Drive
Peoria, IL  61614
  • Single Specialty Group Practice (Outpatient)
OSFMG Glen Park Internal Medicine
5114 Glen Park Place
Peoria, IL  61614
  • Single Specialty Group Practice (Outpatient)
OSFMG Glen Park Place Family Medicine & Adult After Hours
5111 North Glen Park Place
Peoria, IL  61614
  • Single Specialty Group Practice (Outpatient)
OSFMG Hopedale
143 Ford Avenue
Hopedale, IL  61747
  • Single Specialty Group Practice (Outpatient)
OSFMG Internal Medicine/Pediatrics/Diagnostics
435 Maxine Drive
Morton, IL  61550
  • General Outpatient Services (Outpatient)
  • Multi Specialty Group Practice (Outpatient)
OSFMG Knoxville Avenue Pediatrics
2900 North Knoxville Avenue
Peoria, IL  61603
  • Single Specialty Group Practice (Outpatient)
OSFMG Nursing Home Services
5114 North Glen Park Place
Peoria, IL  61614
  • Single Specialty Practitioner (Outpatient)
OSFMG Pediatric After Hours
530 NE Glen Oak
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
  • Single Specialty Group Practice (Outpatient)
OSFMG Psychiatry and Behavioral Health
7317 Willow Lake Court,
Peoria, IL  61615
  • Behavioral Health (Non 24 Hour Care - Adult)
OSFMG Rheumatology
200 E. Pennsylvania #209
Peoria, IL  61603
  • Single Specialty Group Practice (Outpatient)
OSFMG Roanoke
401 North Main Street
Roanoke, IL  61561
  • Single Specialty Group Practice (Outpatient)
OSFMG Urology
200 East Pennsylvnia Ave
Peoria, IL  61603
  • Single Specialty Group Practice (Outpatient)
OSFMG Washington
10 Saint Clare Court #100
Washington, IL  61571
  • General Outpatient Services (Outpatient)
  • Multi Specialty Group Practice (Outpatient)
Outpatient Radiation Oncology at Pekin
603 Thirteenth Street
Pekin, IL  61554
  • General Outpatient Services (Outpatient)
Outpatient Rehabilitation at Center for Industrial Rehab
520 Highpoint Lane
East Peoria, IL  61611
  • General Outpatient Services (Outpatient)
Outpatient Rehabilitation at Riverplex
600 Water Street
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
Pediatric Allergy Penn Ave
200 East Pennsylvania Ave
Peoria, IL  61603
  • Single Specialty Group Practice (Outpatient)
Pediatric Diabetes Resource Center at Easter Seals
507 East Armstrong
Peoria, IL  61603
  • Single Specialty Group Practice (Outpatient)
Radiation Oncology North
8948 North Wood Sage Road
Peoria, IL  61615
  • General Outpatient Services (Outpatient)
Randolph Outpatient Center
100 N. E. Randolph Street
Peoria, IL  61606
  • Multi Specialty Group Practice (Outpatient)
Saint Francis Center For Health
8600 N Route 91
Peoria, IL  61615
  • Convenient Care Center (Outpatient)
  • General Outpatient Services (Outpatient)
  • Multi Specialty Group Practice (Outpatient)
Saint Francis Medical Center  *
530 NE Glen Oak Avenue
Peoria, IL  61637
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
  • Ventricular Assist Device
Joint Commission Certified Programs:
  • Acute Myocardial Infarction
  • Heart Failure
Services:
  • Abdominal Aortic Aneurysm (Inpatient)
  • Acquired Brain Injury (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Acute Coronary Syndrome (Inpatient)
  • Acute Myocardial Infarction (Inpatient)
  • Adolescent medicine (Inpatient)
  • Advanced Fetal Care (Inpatient, Outpatient)
  • Allergy (Outpatient)
  • Alzheimers Disease (Outpatient)
  • Amyotrophic Lateral Sclerosis (Inpatient, Outpatient)
  • Anxiety/panic disorders (Outpatient)
  • Arthritis (Outpatient)
  • Asthma (Inpatient, Outpatient)
  • Asthma, Pediatrics (Inpatient, Outpatient)
  • Atrial Fibrillation (Inpatient)
  • Attention Deficit Disorder (Outpatient)
  • Audiology (Inpatient, Outpatient)
  • Bariatric Surgery (Inpatient, Outpatient)
  • Benign prostatic hyperplasia (BPH) (Inpatient)
  • Bipolar disorder (Outpatient)
  • Bone Marrow Transplant (Inpatient)
  • Brain Injury Rehabilitation (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Breast Cancer (Inpatient, Outpatient)
  • Cancer Center/Oncology (Inpatient)
  • Cardiac Catheterization Lab (Inpatient)
  • Cardiac Rehabilitation (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient)
  • Carotid Stenosis (Inpatient)
  • Cellulitis (Inpatient, Outpatient)
  • Cerebral Bleeding (Inpatient)
  • Cervical Spine Treatment (Inpatient, Outpatient)
  • Chronic Kidney Disease (Inpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient)
  • Coagulopathy Treatment (Inpatient, Outpatient)
  • Colon/Rectal Cancer (Inpatient)
  • Congenital Anomalies (Inpatient)
  • Coronary Artery Bypass Graft (Inpatient)
  • Coronary Artery Disease (Inpatient)
  • Crohn's Disease (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Cystic Fibrosis (Inpatient, Outpatient)
  • Depression (Outpatient)
  • Developmental Pediatrics (Inpatient, Outpatient)
  • Diabetes Mellitus (Inpatient, Outpatient)
  • Dialysis (Inpatient)
  • Eating Disorders (Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient)
  • End Stage Renal Disease (Inpatient)
  • Endocrinology (Outpatient)
  • Epilepsy (Inpatient, Outpatient)
  • Esophageal Cancer (Inpatient)
  • Extracorporeal Membrane Oxygenation (Inpatient)
  • Family Practice (Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • Gastroesophageal Reflux Disease (Inpatient, Outpatient)
  • General Medical Services (Inpatient)
  • General Surgery (Inpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Head Injury (Inpatient, Outpatient)
  • Health and Wellness (Outpatient)
  • Health Social Work (Inpatient, Outpatient)
  • Heart Failure (Inpatient)
  • Hematology/Blood Treatment (Inpatient)
  • Hemophilia (Inpatient)
  • Hepatitis B/C (Inpatient)
  • High Risk Neonatal (Inpatient)
  • High Risk Obstetrics (Inpatient)
  • Hip Joint Replacement (Inpatient)
  • HIV/AIDS (Inpatient)
  • Hodgkin's disease (Inpatient)
  • Hyperbilirubinemia (Inpatient)
  • Hyperlipidemia (Inpatient)
  • Hypertension (Inpatient, Outpatient)
  • Hyperthyroidism/Hypothyroidism (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Inpatient Diabetes (Inpatient)
  • Inpatient Intake (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient)
  • Interventional Cardiac Catheterization (Inpatient, Outpatient)
  • Interventional Radiology (Inpatient, Outpatient)
  • Intraventricular hemorrhage (Inpatient)
  • Irritable Bowel Syndrome (Inpatient, Outpatient)
  • Ischemic Heart Disease (Inpatient)
  • Joint Replacement - Knee (Inpatient)
  • Labor & Delivery (Inpatient)
  • Laminectomy (Inpatient)
  • Leukemia (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Outpatient)
  • Liver Diseases (Inpatient)
  • Low Back Pain (Inpatient, Outpatient)
  • Lumbar Spine Treatment (Inpatient, Outpatient)
  • Lung Cancer (Inpatient)
  • Lung Volume Reduction Surgery (Inpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Maternal Child (Inpatient)
  • Mental Health (Outpatient)
  • Microdiscectomy (Inpatient)
  • Migraine Headache (Inpatient, Outpatient)
  • Morbid Obesity (Inpatient, Outpatient)
  • Multiple Sclerosis (Inpatient, Outpatient)
  • Necrotizing Enteral Colitis (Inpatient)
  • Neonatal Intensive Care (Inpatient)
  • Neonatology (Inpatient)
  • Nephrology (Inpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Nutrition Programs (Inpatient, Outpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient)
  • Oral Maxillofacial Surgery (Inpatient)
  • Organ Transplant - Kidney (Inpatient)
  • Organ Transplant - Kidney/Pancreas (Inpatient)
  • Organ Transplant - Pancreas (Inpatient)
  • Orthopedic Surgery (Inpatient)
  • Osgood-Schlatter (Inpatient)
  • Osteoporosis (Inpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Outpatient)
  • Pancreatic Cancer (Inpatient)
  • Pancreatitis (Inpatient)
  • Parkinsons Disease (Inpatient, Outpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Allergy/Immunology (Outpatient - Child/Youth)
  • Pediatric Cardiac Catheterization (Inpatient - Child/Youth)
  • Pediatric Cardiology (Inpatient - Child/Youth)
  • Pediatric Cardiothoracic Surgery (Inpatient - Child/Youth)
  • Pediatric Care (Inpatient, Outpatient)
  • Pediatric Dentistry (Inpatient - Child/Youth)
  • Pediatric Emergency Department (Outpatient - Child/Youth)
  • Pediatric Emergency Medicine (Inpatient - Child/Youth)
  • Pediatric Endocrinology (Inpatient - Child/Youth)
  • Pediatric Gastroenterology (Inpatient - Child/Youth)
  • Pediatric General Surgery (Inpatient - Child/Youth)
  • Pediatric Hematology/Oncology (Inpatient - Child/Youth)
  • Pediatric Intensivists (Inpatient - Child/Youth)
  • Pediatric Nephrology (Inpatient - Child/Youth)
  • Pediatric Neurology (Inpatient - Child/Youth)
  • Pediatric Neurosurgery (Inpatient - Child/Youth)
  • Pediatric Ophthalmology (Inpatient - Child/Youth)
  • Pediatric Oral/Maxofacial Surgery (Inpatient - Child/Youth)
  • Pediatric Orthopedics (Inpatient - Child/Youth)
  • Pediatric Otolaryngology (Inpatient - Child/Youth)
  • Pediatric Pathology (Inpatient - Child/Youth)
  • Pediatric Plastic Surgery (Inpatient - Child/Youth)
  • Pediatric Pulmonology (Inpatient - Child/Youth)
  • Pediatric Radiology (Inpatient - Child/Youth)
  • Pediatric Urology (Inpatient - Child/Youth)
  • Pelvic Inflammatory Disease (Inpatient)
  • Perimenopause (Outpatient)
  • Peripheral Vascular Disease (Inpatient)
  • Plastic Surgery (Inpatient)
  • Pneumonia (Inpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient)
  • Prematurity (Inpatient)
  • Prostate Cancer (Inpatient)
  • Pulmonary Function Lab (Inpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient)
  • Rheumatology (Outpatient)
  • Self Injury (Outpatient)
  • Sexually Transmitted Disease (Inpatient)
  • Sickle Cell Disease (Inpatient, Outpatient)
  • Sleep Center (Outpatient)
  • Sleeping Disorder (Outpatient)
  • Spinal Fusion (Inpatient, Outpatient)
  • Spine Care (Inpatient, Outpatient)
  • Stroke Rehabilitation (Inpatient, Outpatient)
  • Stroke (Primary Stroke Center) (Inpatient, Outpatient)
  • Systemic Lupus Erythematosis (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Spine (Inpatient, Outpatient)
  • Thoracic Surgery (Inpatient)
  • Trauma (Inpatient)
  • Trauma/Burn Unit (Inpatient)
  • Traumatic Brain Injury (Inpatient)
  • Tuberculosis (Inpatient)
  • Ulcerative Colitis (Inpatient, Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Disease (Inpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Ventricular Assist Device (Inpatient)
  • Weight Loss (Outpatient)
  • Women's Health (Outpatient)
  • Wound Care (Inpatient, Outpatient)
Transplant Services
200 East Pennsylvania Ave
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
Wellness at the RiverPlex
600 NE Water Street
Peoria, IL  61603
  • General Outpatient Services (Outpatient)

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