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Quality Report

Summary of Accreditation Quality Information
Queen of Peace Hospital
Org ID: 8166
301 Second Street NE
New Prague, MN  56071
(952)758-8101
www.queenofpeacehospital.com
Accreditation Decision: Accredited
Decision Effective Date: December 10, 2008
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Critical Access Hospital 12/9/2008 12/9/2008  
Home Care 12/9/2008 12/9/2008  


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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
Critical Access 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.
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.
  • 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 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)
Home Care
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.
*
 
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
Queen of Peace Hospital  *
301 Second Street NE
New Prague, MN  56071
  • Acute Care
  • Allergy (Outpatient)
  • Audiology (Outpatient)
  • Cancer Center/Oncology (Outpatient)
  • Cardiac Unit/Cardiology (Inpatient)
  • CT Scanner (Outpatient)
  • Dentistry (Outpatient)
  • EEG/EKG/EMG Lab (Outpatient)
  • Emergency Room (Outpatient)
  • Family Practice (Inpatient)
  • Gastroenterology (Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Home Health, Non-Hospice Services
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infusion Therapy (Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Magnetic Resonance Imaging (Outpatient)
  • Neurology (Outpatient)
  • Nuclear Medicine (Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient)
  • Ophthalmology/Eye Surgery (Outpatient)
  • Oral Maxillofacial Surgery (Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Sleep Center (Outpatient)
  • Telemetry (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Outpatient)
Queen of Peace Hospital Outpatient Rehab Fitness Cntr
502 6th Avenue NW
New Prague, MN  56071
  • Acute Myocardial Infarction (Inpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient)
  • Colon/Rectal Cancer (Inpatient)
  • Emphysema (Inpatient)
  • General Outpatient Services (Outpatient)
  • Heart Failure (Inpatient)
  • Hip Joint Replacement (Inpatient)
  • Infertility (Outpatient)
  • Joint Replacement - Knee (Inpatient)
  • Pneumonia (Inpatient)
  • Women's Health (Outpatient)

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