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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 7/15/2008  7/14/2008  7/14/2008 
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 7/12/2008  7/11/2008  7/11/2008 
Heart Failure
Certification 7/12/2008  7/11/2008  7/11/2008 



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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
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:
Jul  2008 -
Jun  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 similar to the target range/value.
This organization’s performance is similar to 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 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 similar to the target range/value.
This organization’s performance is similar to 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
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)
Centralized Call Center
2265 West Altorfer Drive
Peoria, IL  61615
  • General Outpatient Services (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)
OSF Allergy and Immunology
5111 N. Glen Park Place
Peoria, IL  61637
  • Single Specialty Group Practice (Outpatient)
OSF Children's Medical Group Office
420 NE Glen Oak, Suite #201
Peoria, IL  61637
  • Single Specialty Group Practice (Outpatient)
OSF Infectious Diseases
723 N.E. Glen Oak Avenue
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
OSF Medical Group Endocrinology & Gastroenterology
2805 N.Knoxville Ave,
Peoria, IL  61603
  • Multi Specialty Group Practice (Outpatient)
OSF Saint Francis Morton Health Center & OSF Sleep Lab
435 Maxine Drive
Morton, IL  61550
  • General Outpatient Services (Outpatient)
OSF Sisters Community HealthCare Center
320 E Armstrong
Peoria, IL  61603
  • Behavioral Health (Day Programs - Adult)
  • General Outpatient Services (Outpatient)
OSFMG Behavioral Health
2900 N. Knoxville Ave
Peoria, IL  61614
  • Behavioral Health (Non 24 Hour Care - Child/Youth)
OSFMG Chillicothe
319 Fourth Street
Chillicothe, IL  61523
  • General Outpatient Services (Outpatient)
OSFMG Executive Drive-Peds
5101 North Executive Drive
Peoria, IL  61614
  • General Outpatient Services (Outpatient)
OSFMG Glen Park
5114 Glen Park Place
Peoria, IL  61614
  • General Outpatient Services (Outpatient)
OSFMG Hopedale
143 Ford Avenue
Hopedale, IL  61747
  • General Outpatient Services (Outpatient)
OSFMG Knoxville Avenue
2900 North Knoxville Avenue
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
OSFMG Neurology
100 NE Randolph Ave.
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
OSFMG Pediatric After Hours
530 NE Glen Oak
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
OSFMG Penn Ave-Internal Med
200 E Pennsylvania Ave Suite 102
Peoria, IL  61603
  • General Outpatient Services (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
  • General Outpatient Services (Outpatient)
OSFMG Roanoke
401 North Main Street
Roanoke, IL  61561
  • General Outpatient Services (Outpatient)
OSFMG Washington
10 Saint Clare Court #100
Washington, IL  61571
  • General Outpatient Services (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 Diabetes Resource Center at Easter Seals
507 East Armstrong
Peoria, IL  61603
  • General Outpatient Services (Outpatient)
Randolph Outpatient Center
100 N. E. Randolph Street
Peoria, IL  61606
  • General Outpatient Services (Outpatient)
Saint Francis Center For Health
8600 N Route 91
Peoria, IL  61615
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
  • General Outpatient Services (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, Outpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient)
  • Coagulopathy Treatment (Inpatient)
  • 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, Outpatient)
  • Eating Disorders (Outpatient)
  • EEG/EKG/EMG Lab (Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient)
  • End Stage Renal Disease (Inpatient, Outpatient)
  • Epilepsy (Inpatient, Outpatient)
  • Esophageal Cancer (Inpatient)
  • Family Practice (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)
  • Heart Failure (Inpatient, Outpatient)
  • 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 (Outpatient)
  • Infusion Services (Inpatient, Outpatient)
  • Inpatient Diabetes (Inpatient)
  • Inpatient Intake (Inpatient)
  • Intensive Care Unit (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)
  • 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)
  • Occupational Health (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Organ Transplant - Kidney (Inpatient)
  • Organ Transplant - Kidney/Pancreas (Inpatient)
  • Organ Transplant - Pancreas (Inpatient)
  • Orthopedic Surgery (Inpatient)
  • Osgood-Schlatter (Inpatient)
  • Osteoporosis (Inpatient)
  • Outpatient Surgery (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 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)
  • Peripheral Vascular Disease (Inpatient)
  • Pneumonia (Inpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient)
  • Prematurity (Inpatient)
  • Prostate Cancer (Inpatient)
  • Pulmonary Function Lab (Inpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient)
  • Rheumatology (Outpatient)
  • Self Injury (Outpatient)
  • Sexually Transmitted Disease (Inpatient)
  • Sickle Cell Disease (Inpatient)
  • Sleep Center (Outpatient)
  • Sleeping Disorder (Outpatient)
  • Spinal Fusion (Inpatient)
  • Spine Care (Inpatient, Outpatient)
  • Stroke Rehabilitation (Inpatient, Outpatient)
  • Stroke (Primary Stroke Center) (Inpatient, Outpatient)
  • Subacute Care (Inpatient)
  • 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)
  • Vascular Disease (Inpatient)
  • Vascular Surgery (Inpatient, Outpatient)
  • Ventricular Assist Device (Inpatient)
  • Weight Loss (Outpatient)
  • Women's Health (Outpatient)
  • Wound Care (Inpatient)
The Cancer Center - Radiation Oncology
8948 North Wood Sage Road
Peoria, IL  61615
  • General Outpatient Services (Outpatient)
Wellness at the RiverPlex
600 NE Water Street
Peoria, IL  61603
  • General Outpatient Services (Outpatient)

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