The Joint Commission
Quality Check
Quality Report

Summary of Accreditation Quality Information
St. Catherine Hospital
Org ID: 8553
401 East Spruce
Garden City, KS  67846-5672
(620)272-2560

Accreditation Decision: Accredited
Decision Effective Date: July 19, 2008
This organization is in full compliance with all applicable standards.  


Accredited Programs Last Full Survey Date Last On-Site Survey Date  
Home Care 7/18/2008 7/18/2008  
Hospital 7/18/2008 7/18/2008  


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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
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.
*
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
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 above the target range/value.
This organization’s performance is above 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 below the target range/value.
This organization’s performance is below the target range/value.
  • Blood Vessel Surgery
See Detail
Not displayed.
3
Not displayed.
3
  • 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.
  • Hip Joint Replacement
See Detail
This organization’s performance is below the target range/value.
This organization’s performance is below 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 below the target range/value.
This organization’s performance is below 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
Siena Medical Clinic
311 E. Spruce
Garden City, KS  67846
  • Acute Coronary Syndrome (Outpatient)
  • Acute Myocardial Infarction (Outpatient)
  • Adolescent medicine (Outpatient)
  • Alzheimers Disease (Outpatient)
  • Arthritis (Outpatient)
  • Asthma (Outpatient)
  • Asthma, Pediatrics (Outpatient)
  • Atrial Fibrillation (Outpatient)
  • Benign prostatic hyperplasia (BPH) (Outpatient)
  • Breast Cancer (Outpatient)
  • Cellulitis (Outpatient)
  • Chronic Kidney Disease (Outpatient)
  • Chronic Obstructive Pulmonary Disease (Outpatient)
  • Colon/Rectal Cancer (Outpatient)
  • Coronary Artery Disease (Outpatient)
  • Crohn's Disease (Outpatient)
  • Cystic Fibrosis (Outpatient)
  • Developmental Pediatrics (Outpatient)
  • Diabetes Mellitus (Outpatient)
  • Emphysema (Outpatient)
  • End Stage Renal Disease (Outpatient)
  • Epilepsy (Outpatient)
  • Esophageal Cancer (Outpatient)
  • Gastroesophageal Reflux Disease (Outpatient)
  • General Outpatient Services (Outpatient)
  • Health and Wellness (Outpatient)
  • Heart Failure (Outpatient)
  • Hepatitis B/C (Outpatient)
  • Hodgkin's disease (Outpatient)
  • Hyperbilirubinemia (Outpatient)
  • Hyperlipidemia (Outpatient)
  • Hypertension (Outpatient)
  • Hyperthyroidism/Hypothyroidism (Outpatient)
  • Irritable Bowel Syndrome (Outpatient)
  • Ischemic Heart Disease (Outpatient)
  • Leukemia (Outpatient)
  • Liver Diseases (Outpatient)
  • Low Back Pain (Outpatient)
  • Lung Cancer (Outpatient)
  • Migraine Headache (Outpatient)
  • Morbid Obesity (Outpatient)
  • Multi Specialty Group Practice (Outpatient)
  • Multiple Sclerosis (Outpatient)
  • Nutrition Programs (Outpatient)
  • Osteopathic Care (Outpatient)
  • Osteoporosis (Outpatient)
  • Pancreatic Cancer (Outpatient)
  • Pancreatitis (Outpatient)
  • Parkinsons Disease (Outpatient)
  • Pediatric Orthopedics (Outpatient - Child/Youth)
  • Pediatric Radiology (Outpatient - Child/Youth)
  • Pneumonia (Outpatient)
  • Prostate Cancer (Outpatient)
  • Respiratory Failure (Outpatient)
  • Sexually Transmitted Disease (Outpatient)
  • Sickle Cell Disease (Outpatient)
  • Sleeping Disorder (Outpatient)
  • Spine Care (Outpatient)
  • Systemic Lupus Erythematosis (Outpatient)
  • Tobacco Treatment / Cessation (Outpatient)
  • Tuberculosis (Outpatient)
  • Ulcerative Colitis (Outpatient)
  • Women's Health (Outpatient)
St. Catherine Home Care Services
601 N. 6th Street
Garden City, KS  67846
  • Bereavement Care – Community
  • Bereavement Care – Family of Patients
  • Diagnostic Care
  • Hospice Care
  • Palliative Care
  • Physical Therapy
  • Social Work
St. Catherine Home Care Services - Branch Office
809 S. 14th Avenue
Dodge City, KS  67801
  • Bereavement Care – Community
  • Bereavement Care – Family of Patients
  • Diagnostic Care
  • Hospice Care
  • Palliative Care
  • Physical Therapy
  • Social Work
  • Wound Care
St. Catherine Hospital  *
401 East Spruce
Garden City, KS  67846-5672
  • Acute Coronary Syndrome (Inpatient)
  • Acute Myocardial Infarction (Inpatient, Outpatient)
  • Advanced Fetal Care (Inpatient)
  • Anxiety/panic disorders (Inpatient)
  • Arthritis (Inpatient, Outpatient)
  • Asthma (Inpatient, Outpatient)
  • Asthma, Pediatrics (Inpatient, Outpatient)
  • Atrial Fibrillation (Inpatient, Outpatient)
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
  • Benign prostatic hyperplasia (BPH) (Inpatient, Outpatient)
  • Bereavement Care – Family of Patients
  • Bipolar disorder (Inpatient)
  • Breast Cancer (Inpatient)
  • Cancer Center/Oncology (Outpatient)
  • Cellulitis (Inpatient, Outpatient)
  • Chronic Kidney Disease (Inpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient, Outpatient)
  • Coagulopathy Treatment (Inpatient)
  • Colon/Rectal Cancer (Inpatient)
  • Coronary Artery Disease (Inpatient, Outpatient)
  • Crohn's Disease (Inpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Cystic Fibrosis (Inpatient)
  • Depression (Inpatient)
  • Diabetes Mellitus (Inpatient, Outpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient, Outpatient)
  • End Stage Renal Disease (Inpatient)
  • Epilepsy (Inpatient)
  • Esophageal Cancer (Inpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroesophageal Reflux Disease (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Heart Failure (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Hemophilia (Inpatient)
  • Hepatitis B/C (Inpatient)
  • Hip Joint Replacement (Inpatient)
  • Hodgkin's disease (Inpatient)
  • Hospice Care
  • Hyperbilirubinemia (Inpatient, Outpatient)
  • Hyperlipidemia (Inpatient)
  • Hypertension (Inpatient, Outpatient)
  • Hyperthyroidism/Hypothyroidism (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Inpatient Diabetes (Inpatient)
  • Inpatient Intake (Inpatient)
  • Inpatient Symptom Relief
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Interventional Cardiac Catheterization (Inpatient)
  • Interventional Radiology (Inpatient, Outpatient)
  • Irritable Bowel Syndrome (Inpatient, Outpatient)
  • Ischemic Heart Disease (Inpatient, Outpatient)
  • Joint Replacement - Knee (Inpatient)
  • Labor & Delivery (Inpatient)
  • Leukemia (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Outpatient)
  • Liver Diseases (Inpatient)
  • Low Back Pain (Inpatient, Outpatient)
  • Lung Cancer (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Migraine Headache (Inpatient, Outpatient)
  • Multiple Sclerosis (Inpatient, Outpatient)
  • Neonatal Intensive Care (Inpatient)
  • Neonatology (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Nutrition Programs (Inpatient, Outpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Osteopathic Care (Inpatient, Outpatient)
  • Osteoporosis (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Outpatient)
  • Palliative Care
  • Pancreatic Cancer (Inpatient, Outpatient)
  • Pancreatitis (Inpatient, Outpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Pediatric Emergency Medicine (Outpatient - Child/Youth)
  • Pediatric Orthopedics (Inpatient - Child/Youth)
  • Pediatric Radiology (Inpatient - Child/Youth)
    (Outpatient - Child/Youth)
  • Pelvic Inflammatory Disease (Inpatient, Outpatient)
  • Perimenopause (Inpatient, Outpatient)
  • Plastic Surgery (Outpatient)
  • Pneumonia (Inpatient, Outpatient)
  • Podiatry (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Prematurity (Inpatient)
  • Prostate Cancer (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient, Outpatient)
  • Schizophrenia (Inpatient)
  • Self Injury (Inpatient)
  • Sexually Transmitted Disease (Inpatient, Outpatient)
  • Sleep Center (Outpatient)
  • Sleeping Disorder (Outpatient)
  • Systemic Lupus Erythematosis (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Tobacco Treatment / Cessation (Inpatient)
  • Trauma (Inpatient, Outpatient)
  • Tuberculosis (Inpatient)
  • Ulcerative Colitis (Inpatient, Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient)
  • Wound Care (Inpatient, Outpatient)
St. Catherine Hospital Ambulatory Surgery Center
710 N. 6th
Garden City, KS  67846
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
  • Breast Cancer (Outpatient)
  • Colon/Rectal Cancer (Outpatient)
  • Osteopathic Care (Outpatient)
  • Pathology (Outpatient)
  • Pediatric General Surgery (Outpatient - Child/Youth)
  • Pediatric Orthopedics (Outpatient - Child/Youth)

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