The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
OSF Saint James-John W. Albrecht Medical Center
Org ID: 7412
2500 W. Reynolds Street
Pontiac, IL  61764
(815)842-2828
www.osfsaintjames.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date  
Hospital
Accredited 2/9/2008 2/8/2008 2/8/2008  
Pathology and Clinical Laboratory
Accredited 5/12/2010 5/11/2010 5/11/2010  


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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
Not displayed.
3
Not displayed.
3
Heart Failure Care See Detail
Not displayed.
3
Not displayed.
3
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.
Pregnancy Care See Detail
Not displayed.
2
Not displayed.
2
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 similar to the target range/value.
  • Colon/Large Intestine Surgery
See Detail
Not displayed.
3
Not displayed.
3
  • 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 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)
Pathology and Clinical Laboratory
2010 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 Medical Group - Chatsworth
416 E. Locust
Chatsworth, IL  60921
  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient)
OSF Medical Group Chenoa
918 E. Lincoln
Chenoa, IL  61726
  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient)
OSF Medical Group Cullom
105 Hack Street
Cullom, IL  60929
  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient)
OSF Medical Group Dwight
105 John Street
Dwight, IL  60420
  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient)
OSF Medical Group Fairbury
106 S. First
Fairbury, IL  61739
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
OSF Medical Group Family Medicine
2500 W. Reynolds, Suite 205-206
Pontiac, IL  61764
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
OSF Medical Group Flanagan
103 W. South
Flanagan, IL  61740
  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient)
OSF Medical Group General Surgery
2500 W. Reynolds, Suite 107
Pontiac, IL  61764
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
OSF Medical Group Internal Medicine
2500 W. Reynolds, Suite 203
Pontiac, IL  61764
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
OSF Medical Group Minonk
120 E. Seventh
Minonk, IL  61760
  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient)
OSF Medical Group Obstetrics & Gynecology
2500 W. Reynolds, Suite 212
Pontiac, IL  61764
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
OSF Medical Group Orthopedics
2500 W. Reynolds St. Suite 101
Pontiac, IL  61764
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
OSF Medical Group Pediatrics
2500 W. Reynolds, Suite 210
Pontiac, IL  61764
  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient)
OSF Medical Group Water Street
222 E. Water St
Pontiac, IL  61764
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
OSF Saint James-John W. Albrecht Medical Center  *
2500 W. Reynolds
Pontiac, IL  61764
  • Audiology (Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Laboratory Tests
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respite Care (Inpatient)
  • Telemetry (Inpatient)
  • Toxicology
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Wound Care (Inpatient, Outpatient)
Prompt Care
2500 West Reynolds Street, Suite 105
Pontiac, IL  61764
  • General Laboratory Tests
  • General Outpatient Services (Outpatient)

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