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Quality Report

Summary of Accreditation Quality Information
Louisiana State University Health Sciences Center-Shreveport
Org ID: 8796
1501 Kings Highway
Shreveport, LA  71103
(318)675-5000
www.sh.lsuhsc.edu

Accreditation
Programs 		Accreditation
Decision 		Effective
Date 		Last Full Survey Date Last On-Site Survey Date
Hospital
Accredited 5/29/2010 5/10/2013   5/10/2013  


Accreditation programs recognized by the Centers for Medicare and Medicaid Services (CMS)
Hospital





Other Accredited Programs / Services
Hospital  -  Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

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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 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.
10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
National Patient Safety Goals and National Quality Improvement Goals
    Compared to other Joint Commission Accredited Organizations
    Nationwide Statewide
Hospital
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.
*
National Quality Improvement Goals:    
Reporting Period:
Oct  2011 -
Sep  2012
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 similar to the target range/value.
This organization’s performance is similar to 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 below the target range/value.
This organization’s performance is below the target range/value.
  • Coronary Artery Bypass Graft
 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 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.
  • Open Heart Surgery
 See Detail
This organization’s performance is above the target range/value.
This organization’s performance is above the target range/value.
SCIP – Venous Thromboembolism (VTE) See Detail
   
  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
Ambulatory Care Building
1606 Kings Highway
Shreveport, LA  71130
    Services:
    • Administration of Blood Product (Outpatient)
    • Administration of High Risk Medications (Outpatient)
    • Anesthesia (Outpatient)
    • Outpatient Clinics (Outpatient)
    • Pediatric General Surgery (Outpatient - Child/Youth)
    • Pediatric Otolaryngology (Outpatient - Child/Youth)
    • Pediatric Urology (Outpatient - Child/Youth)
    • Perform Invasive Procedure (Outpatient)
    Feist-Weiller Cancer Center
    1405 Kings Highway
    Shreveport, LA  71103-4226
      Services:
      • Administration of Blood Product (Outpatient)
      • Administration of High Risk Medications (Outpatient)
      • Anesthesia (Outpatient)
      • General Laboratory Tests
      • Outpatient Clinics (Outpatient)
      • Perform Invasive Procedure (Outpatient)
      Louisiana State University Eye Center
      1420 Kings Highway
      Shreveport, LA  71130
        Services:
        • Pediatric Ophthalmology (Outpatient - Child/Youth)
        • Perform Invasive Procedure (Outpatient)
        • Single Specialty Practitioner (Outpatient)
        Louisiana State University Health Sciences Center-Shreveport  *
        1501 Kings Highway
        Shreveport, LA  71103
          Services:
          • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult)
          • Brachytherapy (Imaging/Diagnostic Services)
          • Burn Unit (Inpatient)
          • Cardiac Catheterization Lab (Surgical Services)
          • Cardiac Surgery (Surgical Services)
          • Cardiothoracic Surgery (Surgical Services)
          • CT Scanner (Imaging/Diagnostic Services)
          • Dialysis Unit (Inpatient)
          • Ear/Nose/Throat Surgery (Surgical Services)
          • EEG/EKG/EMG Lab (Imaging/Diagnostic Services)
          • Gastroenterology (Surgical Services)
          • General Laboratory Tests
          • GI or Endoscopy Lab (Imaging/Diagnostic Services)
          • Gynecological Surgery (Surgical Services)
          • Gynecology (Inpatient)
          • Hematology/Oncology Unit (Inpatient)
          • In-vitro Fertilization
          • Interventional Radiology (Inpatient, Outpatient, Imaging/Diagnostic Services)
          • Labor & Delivery (Inpatient)
          • Magnetic Resonance Imaging (Imaging/Diagnostic Services)
          • Medical /Surgical Unit (Inpatient)
          • Medical ICU (Intensive Care Unit)
          • Neuro/Spine ICU (Intensive Care Unit)
          • Neuro/Spine Unit (Inpatient)
          • Neurosurgery (Surgical Services)
          • Normal Newborn Nursery (Inpatient)
          • Nuclear Medicine (Imaging/Diagnostic Services)
          • Orthopedic Surgery (Surgical Services)
          • Orthopedic/Spine Unit (Inpatient)
          • Pediatric Cardiac Catheterization (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Cardiology (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Cardiothoracic Surgery (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Dentistry (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Dermatology (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Emergency Medicine (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Endocrinology (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Gastroenterology (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric General Surgery (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Nephrology (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Neurology (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Neurosurgery (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Ophthalmology (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Oral/Maxofacial Surgery (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Otolaryngology (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Plastic Surgery (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Pediatric Unit (Inpatient)
          • Pediatric Urology (Inpatient - Child/Youth)
            (Outpatient - Child/Youth)
          • Peer Support (Non 24 Hour Care)
          • Plastic Surgery (Surgical Services)
          • Post Anesthesia Care Unit (PACU) (Inpatient)
          • Radiation Oncology (Imaging/Diagnostic Services)
          • Sleep Laboratory (Sleep Laboratory)
          • Surgical ICU (Intensive Care Unit)
          • Surgical Unit (Inpatient)
          • Thoracic Surgery (Surgical Services)
          • Ultrasound (Imaging/Diagnostic Services)
          • Urology (Surgical Services)
          • Vascular Surgery (Surgical Services)
          LSU Viral Disease Clinic
          6670 St. Vincent Ave.
          Shreveport, LA  71106
            Services:
            • Single Specialty Practitioner (Outpatient)
            LSU Women's and Children's Clinic
            1602 Kings Highway
            Shreveport, LA  71130
              Services:
              • Outpatient Clinics (Outpatient)
              • Pediatric Endocrinology (Outpatient - Child/Youth)
              • Pediatric Nephrology (Outpatient - Child/Youth)
              • Pediatric Oral/Maxofacial Surgery (Outpatient - Child/Youth)
              LSUSHC-S Child and Adolescent Psychiatric Clinic
              820 Jordan Street, Suite 104
              Shreveport, LA  71101
                Services:
                • Behavioral Health (Non 24 Hour Care - Child/Youth)
                • Community Integration (Non 24 Hour Care)
                • Peer Support (Non 24 Hour Care)
                University Family Medicine Clinic
                1023 Provenance Place Blvd
                Shreveport, LA  71106
                  Services:
                  • Single Specialty Practitioner (Outpatient)

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