The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
St. John Hospital and Medical Center
Org ID: 7498
22101 Moross Road
Detroit, MI  48236-2172
(313)343-4000
stjohn.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date  
Hospital
Accredited 6/11/2009 4/25/2008 6/10/2009  

Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Primary Stroke Center
Certification 9/23/2009  9/22/2009  9/22/2009 



- Top -
  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
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.
*
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 below the target range/value.
This organization’s performance is below 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 above the target range/value.
This organization’s performance is above 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.

- Top -
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
Great Lakes Cancer Management
11885 12 Mile, Suite 100A
Warren, MI  48093
  • General Outpatient Services (Outpatient)
Great Lakes Cancer Management Specialists
19229 Mack, Suite 24
Grosse Pointe, MI  48236
    Internal Medicine Associates
    7815 E. Jefferson, Suite 2A
    Detroit, MI  48214
    • Multi Specialty Group Practice (Outpatient)
    Internal Medicine-Dr. Hadesman
    7633 E. Jefferson, Suite 290
    Detroit, MI  48214
    • Single Specialty Practitioner (Outpatient)
    Motor City Internists
    7633 E. Jefferson, Suite 260
    Detroit, MI  48214
    • Single Specialty Group Practice (Outpatient)
    Riverview OB/Gyn
    7815 E. Jefferson, Suite 3A
    Detroit, MI  48214
    • General Outpatient Services (Outpatient)
    St. John Center for Internal Medicine
    19251 Mack, Suite 333
    Grosse Pointe, MI  48236
    • General Outpatient Services (Outpatient)
    St. John Family Medical Center
    24911 Little Mack
    Saint Clair Shores, MI  48080
    • General Outpatient Services (Outpatient)
    St. John Hospital and Medical Center  *
    22101 Moross Road
    Detroit, MI  48236-2172
    Joint Commission Advanced Certification Programs:
    • Primary Stroke Center
    Services:
    • Allergy (Outpatient)
    • Audiology (Inpatient, Outpatient)
    • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
    • Cancer Center/Oncology (Inpatient, Outpatient)
    • Cardiac Catheterization Lab (Inpatient, Outpatient)
    • Cardiac Surgery (Inpatient)
    • Cardiac Unit/Cardiology (Inpatient)
    • CT Scanner (Inpatient, Outpatient)
    • Dermatology (Inpatient)
    • Dialysis (Inpatient)
    • EEG/EKG/EMG Lab (Inpatient, Outpatient)
    • Electroconvulsive Therapy (Inpatient, Outpatient)
    • Emergency Room (Outpatient)
    • Endocrinology (Inpatient, Outpatient)
    • Family Practice (Inpatient, Outpatient)
    • Gastroenterology (Inpatient, Outpatient)
    • General Medical Services (Inpatient)
    • General Surgery (Inpatient, Outpatient)
    • GI or Endoscopy Lab (Inpatient, Outpatient)
    • Gynecology (Inpatient, Outpatient)
    • Hematology/Blood Treatment (Inpatient, Outpatient)
    • Imaging/Radiology (Inpatient, Outpatient)
    • Infectious Diseases (Inpatient, Outpatient)
    • Infusion Services (Inpatient, Outpatient)
    • Inpatient Intake (Inpatient)
    • Intensive Care Unit (Inpatient)
    • Internal Medicine (Inpatient, Outpatient)
    • Labor & Delivery (Inpatient)
    • Lithotripsy/Kidney Stone Treatment (Inpatient, Outpatient)
    • Magnetic Resonance Imaging (Inpatient, Outpatient)
    • Medical Detoxification (Inpatient)
    • Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
    • Neonatal Intensive Care (Inpatient)
    • Nephrology (Inpatient, Outpatient)
    • Neurology (Inpatient, Outpatient)
    • Neurosurgery (Inpatient)
    • Nuclear Medicine (Inpatient, Outpatient)
    • Nursery (Inpatient)
    • Obstetrics (Inpatient, Outpatient)
    • Occupational Health (Outpatient)
    • Operating Room (Inpatient, Outpatient)
    • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
    • Oral Maxillofacial Surgery (Inpatient, Outpatient)
    • Orthopedic Surgery (Inpatient, Outpatient)
    • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
    • Outpatient Surgery (Outpatient)
    • Pain Management (Inpatient, Outpatient)
    • Pediatric Care (Inpatient, Outpatient)
    • Plastic Surgery (Inpatient, Outpatient)
    • Podiatry (Inpatient, Outpatient)
    • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
    • Pulmonary Function Lab (Inpatient, Outpatient)
    • Radiation Oncology (Inpatient, Outpatient)
    • Recovery/Infirmary (Outpatient)
    • Rehabilitation (Inpatient, Outpatient)
    • Respiratory Care (Ventilator) (Inpatient)
    • Rheumatology (Inpatient, Outpatient)
    • Telemetry (Inpatient)
    • Thoracic Surgery (Inpatient)
    • Ultrasound (Inpatient, Outpatient)
    • Urgent Care/Emergency Medicine (Outpatient)
    • Urology (Inpatient, Outpatient)
    • Vascular Surgery (Inpatient, Outpatient)
    • Wound Care (Inpatient)
    St. John Medical Center - Macomb Township
    17700 23 Mile Road
    Macomb, MI  48044
    • General Outpatient Services (Outpatient)
    St. John Medical Center Romeo Plank PT Satellite
    46591 Romeo Plank Road, Suite 115
    Macomb, MI  48044
    • General Outpatient Services (Outpatient)
    St. John North Shores Hospital
    26755 Ballard Road
    Harrison Township, MI  48045-2458
    • EEG/EKG/EMG Lab (Inpatient)
    • Emergency Room (Outpatient)
    • General Medical Services (Inpatient)
    • Imaging/Radiology (Inpatient)
    • Nuclear Medicine (Inpatient)
    • Rehabilitation (Inpatient)
    • Urgent Care/Emergency Medicine (Outpatient)
    St. John Surgery Center/East Side Pediatrics Center
    21000 12 Mile Road
    St Clair Shores, MI  48081
    • Anesthesia (Outpatient)
    • General Outpatient Services (Outpatient)
    Twelve Mile Road PT Satellite
    20952 Twelve Mile Road Suite 110
    Saint Clair Shores, MI  48081
    • General Outpatient Services (Outpatient)

    - Top -
    The Joint Commission obtains information about accredited/certified organizations not only through direct observations by its employees …Read more.
    Search | About Quality Check | Take Our Survey | Advanced Search | Certified Organizations | Quality Data Download | Contact Us | Help | Privacy Policy
    © 2010 The Joint Commission, All Rights Reserved
    HONcode We subscribe to the HONcode principles of the Health On the Net Foundation