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Quality Report
Summary of Quality Information |
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Accreditation
Programs
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Accreditation
Decision
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Effective
Date
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Last Full Survey Date |
Last On-Site Survey Date |
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Accredited
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12/17/2011 |
12/16/2011
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12/16/2011
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Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
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| Hospital |
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Certified
Programs
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Certification
Decision
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Effective
Date
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Last Full
Review Date
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Last On-Site
Review Date
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Heart Failure |
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Certification |
2/7/2013
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2/6/2013
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2/6/2013
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Symbol Key |
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This organization
achieved the best possible results
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This organization’s performance is above the target range/value. |
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This organization’s performance is similar to the target range/value. |
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This organization’s performance is below the target range/value. |
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This measure is not applicable for this organization.
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Not displayed |
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Footnote Key |
| 1. |
The measure or measure set was not reported. |
| 2. |
The measure set does not have
an overall result.
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| 3. |
The number is not
enough for comparison
purposes.
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| 4. |
The measure meets the Privacy Disclosure Threshold
rule.
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| 5. |
The organization scored above
90% but was below most other
organizations.
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| 6. |
The measure results are not
statistically valid.
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| 7. |
The measure results are based
on a sample of patients.
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| 8. |
The number of months with
measure data is below the reporting requirement.
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| 9. |
The measure results are temporarily suppressed pending resubmission of updated data. |
| 10. |
Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement. |
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| National Patient Safety Goals and National Quality Improvement Goals |
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Compared to
other Joint Commission Accredited Organizations
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Nationwide
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Statewide
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| Hospital |
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*
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National Quality Improvement Goals: |
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Reporting Period:
Oct
2011
-
Sep
2012 |
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3
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3
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3
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3
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| Surgical Care Improvement Project (SCIP) |
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| SCIP - Infection Prevention For All Reported Procedures:
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See Detail
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3
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3
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Survey of Patients' Hospital Experiences (see details)
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Hospitals voluntarily participate in the Survey of Patients' Hospital Experiences(HCAHPS).
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Pediatric and psychiatric hospitals are not eligible to participate in the HCAHPS survey based on their patient population.
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The Joint Commission only reports measures endorsed by the National Quality Forum.
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| * |
State results are not calculated for the National Patient Safety Goals. |
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* Primary Location
An organization may provide services not listed here. For more information refer to the
Quality Report User Guide
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| Locations of Care |
Available Services |
St. Francis Capable Kids Pediatric Therapy Center
1661 Park Ridge Drive
Chaska, MN 55318
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Services:
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- Outpatient Clinics (Outpatient)
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St. Francis Capable Kids Pediatric Therapy Center
6350 West 143rd Street
Savage, MN 55378
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Services:
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- Outpatient Clinics (Outpatient)
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St. Francis Health Services in Chaska (Diagnostic Services)
111 Hundertmark Road
Chaska, MN 55318
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Services:
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- Outpatient Clinics (Outpatient)
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St. Francis Health Services in Jordan
265 Creek Lane South
Jordan, MN 55352
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Services:
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- Perform Invasive Procedure (Outpatient)
- Single Specialty Practitioner (Outpatient)
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St. Francis Health Services in Savage (Diagnostic Services)
6350 West 143rd Street
Savage, MN 55378
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Services:
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- Outpatient Clinics (Outpatient)
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St. Francis Regional Medical Center *
1455 St. Francis Ave.
Shakopee, MN 55379
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Joint Commission Certified Programs:
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Services:
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- Coronary Care Unit (Inpatient)
- CT Scanner (Imaging/Diagnostic Services)
- Ear/Nose/Throat Surgery (Surgical Services)
- EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
- Gastroenterology (Surgical Services)
- GI or Endoscopy Lab (Imaging/Diagnostic Services)
- Gynecological Surgery (Surgical Services)
- Gynecology (Inpatient)
- Interventional Radiology (Imaging/Diagnostic Services)
- Labor & Delivery (Inpatient)
- Magnetic Resonance Imaging (Imaging/Diagnostic Services)
- Medical /Surgical Unit (Inpatient)
- Medical ICU (Intensive Care Unit)
- Normal Newborn Nursery (Inpatient)
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- Nuclear Medicine (Imaging/Diagnostic Services)
- Orthopedic Surgery (Surgical Services)
- Pediatric Unit (Inpatient)
- Plastic Surgery (Surgical Services)
- Positron Emission Tomography (PET) (Imaging/Diagnostic Services)
- Post Anesthesia Care Unit (PACU) (Inpatient)
- Sleep Laboratory (Sleep Laboratory)
- Surgical ICU (Intensive Care Unit)
- Surgical Unit (Inpatient)
- Teleradiology (Imaging/Diagnostic Services)
- Thoracic Surgery (Surgical Services)
- Ultrasound (Imaging/Diagnostic Services)
- Urology (Surgical Services)
- Vascular Surgery (Surgical Services)
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St. Francis Rehab and Sports Medicine at ACCUA
8690 Eagle Creek Parkway
Savage, MN 55378
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Services:
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- Outpatient Clinics (Outpatient)
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St. Francis Rehabilitation & Sports Medicine
6350 West 143rd Street
Savage, MN 55378
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Services:
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- Outpatient Clinics (Outpatient)
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St. Francis Rehabilitation and Sports Medicine
1661 Park Ridge Drive, Suite 100
Chaska, MN 55318
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Services:
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- Outpatient Clinics (Outpatient)
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St. Francis Rehabilitation and Sports Medicine
1601 St. Francis Ave., Suite 200
Shakopee, MN 55379
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Services:
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- Outpatient Clinics (Outpatient)
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St. Francis Sleep Diagnostics Center
500 South Marshall Road, Suite 220
Shakopee, MN 55379
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Services:
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- Outpatient Clinics (Outpatient)
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