The Joint Commission
Quality Check
Quality Report

Summary of Quality Information
Saint Alphonsus Regional Medical Center
Org ID: 9313
1055 North Curtis Road
Boise, ID  83706
(208)367-2121
www.saintalphonsus.org


Accreditation
Programs
Accreditation
Decision
Effective
Date
Last Full Survey Date Last On-Site Survey Date  
Hospital
Accredited 6/14/2008 6/13/2008 6/13/2008  

Advanced Certification
Programs
Certification
Decision
Effective
Date
Last Full
Review Date
Last On-Site
Review Date
Primary Stroke Center
Certification 10/20/2009  10/19/2009  10/19/2009 



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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
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:
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 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 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 similar to 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 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 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.

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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
Perinatology Clinic,,Breast Care Ctr, Family Ctr.Clinic,
900 N. Liberty, Suite 208
Boise, ID  83706
  • Advanced Fetal Care (Outpatient)
  • Breast Cancer (Outpatient)
  • General Outpatient Services (Outpatient)
  • Maternal Child (Outpatient)
  • Prematurity (Outpatient)
  • Sexually Transmitted Disease (Outpatient)
  • Single Specialty Practitioner (Outpatient)
  • Women's Health (Outpatient)
Saint Alphonsus Addiction Recovery Center
6138 Emerald Suite B
Boise, ID  83706
  • Behavioral Health (Non 24 Hour Care - Adult)
  • Chemical Dependency (Non 24 Hour Care - Adult/Child/Youth)
Saint Alphonsus Anticoagulation Clnic & Rheumatology Clinic
1000 N.Curtis, Suite 100 & Suite 305
Boise, ID  83706
  • Coagulopathy Treatment (Outpatient)
  • General Outpatient Services (Outpatient)
Saint Alphonsus Behavioral Health
131 North Allumbaugh
Boise, ID  83704
  • Anxiety/panic disorders (Inpatient, Outpatient)
  • Attention Deficit Disorder (Inpatient, Outpatient)
  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
    (24-hour Acute Care/Crisis Stabilization - Adult/Child/Youth)
  • Bipolar disorder (Inpatient, Outpatient)
  • Chemical Dependency (Non 24 Hour Care - Adult)
  • Depression (Inpatient, Outpatient)
  • Eating Disorders (Inpatient, Outpatient)
  • Health Social Work (Inpatient, Outpatient)
  • Mental Health (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Schizophrenia (Inpatient, Outpatient)
  • Self Injury (Inpatient, Outpatient)
Saint Alphonsus Caldwell Cancer Care Center
3123 Medical Drive
Caldwell, ID  83605
  • Breast Cancer (Outpatient)
  • Colon/Rectal Cancer (Outpatient)
  • Esophageal Cancer (Outpatient)
  • General Outpatient Services (Outpatient)
  • Health Social Work (Outpatient)
  • Hodgkin's disease (Outpatient)
  • Interventional Radiology (Outpatient)
  • Leukemia (Outpatient)
  • Lung Cancer (Outpatient)
  • Pancreatic Cancer (Outpatient)
  • Pediatric Hematology/Oncology (Outpatient - Child/Youth)
  • Prostate Cancer (Outpatient)
Saint Alphonsus Employee Assistance Program
6140 Emerald
Boise, ID  83706
  • Behavioral Health (Non 24 Hour Care - Adult/Child/Youth)
Saint Alphonsus Medical Group Internal Medicine Clinic
6140 Curtisian Rd., Suite 300
Boise, ID  83706
  • Arthritis (Outpatient)
  • Asthma (Outpatient)
  • Asthma, Pediatrics (Outpatient)
  • Atrial Fibrillation (Outpatient)
  • Attention Deficit Disorder (Outpatient)
  • Cellulitis (Outpatient)
  • Coronary Artery Disease (Outpatient)
  • Crohn's Disease (Outpatient)
  • Depression (Outpatient)
  • Diabetes Mellitus (Outpatient)
  • Eating Disorders (Outpatient)
  • Emphysema (Outpatient)
  • Epilepsy (Outpatient)
  • Gastroesophageal Reflux Disease (Outpatient)
  • Health and Wellness (Outpatient)
  • Hepatitis B/C (Outpatient)
  • Hyperlipidemia (Outpatient)
  • Hypertension (Outpatient)
  • Hyperthyroidism/Hypothyroidism (Outpatient)
  • Irritable Bowel Syndrome (Outpatient)
  • Low Back Pain (Outpatient)
  • Migraine Headache (Outpatient)
  • Osteoporosis (Outpatient)
  • Parkinsons Disease (Outpatient)
  • Pelvic Inflammatory Disease (Outpatient)
  • Perimenopause (Outpatient)
  • Pneumonia (Outpatient)
  • Sexually Transmitted Disease (Outpatient)
  • Single Specialty Group Practice (Outpatient)
  • Ulcerative Colitis (Outpatient)
  • Vascular Disease (Outpatient)
  • Women's Health (Outpatient)
Saint Alphonsus Meridian Health Plaza & Anticoagulation Clin
3025 W. Cherry Lane
Meridian, ID  83642
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
  • Atrial Fibrillation (Outpatient)
  • Brain Injury Rehabilitation (Outpatient)
  • Coagulopathy Treatment (Outpatient)
  • Colon/Rectal Cancer (Outpatient)
  • Crohn's Disease (Outpatient)
  • Gastroesophageal Reflux Disease (Outpatient)
  • General Outpatient Services (Outpatient)
  • Heart Failure (Outpatient)
  • Hyperlipidemia (Outpatient)
  • Hypertension (Outpatient)
  • Irritable Bowel Syndrome (Outpatient)
  • Pediatric Oral/Maxofacial Surgery (Outpatient - Child/Youth)
  • Sports Medicine (Outpatient)
  • Stroke Rehabilitation (Outpatient)
  • Ulcerative Colitis (Outpatient)
  • Women's Health (Outpatient)
Saint Alphonsus Regional Medical Center  *
1055 North Curtis Road
Boise, ID  83706
Joint Commission Advanced Certification Programs:
  • Primary Stroke Center
Services:
  • Abdominal Aortic Aneurysm (Inpatient)
  • Acquired Brain Injury (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Acute Coronary Syndrome (Inpatient)
  • Acute Myocardial Infarction (Inpatient)
  • Adolescent medicine (Inpatient, Outpatient)
  • Advanced Fetal Care (Inpatient)
  • Alzheimers Disease (Inpatient)
  • Amyotrophic Lateral Sclerosis (Inpatient)
  • Arthritis (Inpatient, Outpatient)
  • Asthma (Inpatient, Outpatient)
  • Asthma, Pediatrics (Inpatient, Outpatient)
  • Atrial Fibrillation (Inpatient, Outpatient)
  • Attention Deficit Disorder (Outpatient)
  • Bariatric Surgery (Inpatient)
  • Benign prostatic hyperplasia (BPH) (Inpatient)
  • Brain Injury Rehabilitation (Inpatient, 24-hour Acute Care/Crisis Stabilization)
  • Breast Cancer (Inpatient, Outpatient)
  • Burn Treatment (Inpatient)
  • Cancer Center/Oncology (Inpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Rehabilitation (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • Carotid Stenosis (Inpatient)
  • Cellulitis (Inpatient)
  • Cerebral Bleeding (Inpatient)
  • Cervical Spine Treatment (Inpatient, Outpatient)
  • Chronic Kidney Disease (Inpatient)
  • Chronic Obstructive Pulmonary Disease (Inpatient, Outpatient)
  • Coagulopathy Treatment (Inpatient, Outpatient)
  • Colon/Rectal Cancer (Inpatient, Outpatient)
  • Congenital Anomalies (Inpatient)
  • Coronary Artery Bypass Graft (Inpatient)
  • Coronary Artery Disease (Inpatient, Outpatient)
  • Crohn's Disease (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Cystic Fibrosis (Inpatient)
  • Depression (Inpatient, Outpatient)
  • Developmental Pediatrics (Outpatient)
  • Diabetes Mellitus (Inpatient, Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Emphysema (Inpatient, Outpatient)
  • End Stage Renal Disease (Inpatient)
  • Endocrinology (Inpatient)
  • Epilepsy (Inpatient)
  • Esophageal Cancer (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Finger Joint Replacement (Inpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • Gastroesophageal Reflux Disease (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Head Injury (Inpatient, Outpatient)
  • Health and Wellness (Outpatient)
  • Health Social Work (Inpatient)
  • Heart Failure (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient)
  • Hemophilia (Inpatient)
  • Hepatitis B/C (Inpatient)
  • High Risk Neonatal (Inpatient)
  • High Risk Obstetrics (Inpatient)
  • Hip Joint Replacement (Inpatient)
  • HIV/AIDS (Inpatient)
  • Hodgkin's disease (Inpatient, Outpatient)
  • Hyperbilirubinemia (Inpatient)
  • Hyperlipidemia (Inpatient)
  • Hypertension (Inpatient, Outpatient)
  • Hyperthyroidism/Hypothyroidism (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Services (Inpatient, Outpatient)
  • Inpatient Diabetes (Inpatient)
  • Inpatient Intake (Inpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Interventional Cardiac Catheterization (Inpatient, Outpatient)
  • Interventional Radiology (Inpatient, Outpatient)
  • Intraventricular hemorrhage (Inpatient)
  • Irritable Bowel Syndrome (Inpatient, Outpatient)
  • Ischemic Heart Disease (Inpatient, Outpatient)
  • Joint Replacement - Ankle (Inpatient)
  • Joint Replacement - Knee (Inpatient)
  • Labor & Delivery (Inpatient)
  • Laminectomy (Inpatient)
  • Leukemia (Inpatient, Outpatient)
  • Liver Diseases (Inpatient)
  • Low Back Pain (Inpatient, Outpatient)
  • Lumbar Spine Treatment (Inpatient, Outpatient)
  • Lung Cancer (Inpatient, Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Maternal Child (Inpatient, Outpatient)
  • Medical Detoxification (Inpatient)
  • Mental Health (Inpatient, Outpatient, 24-hour Acute Care/Crisis Stabilization)
  • Microdiscectomy (Inpatient)
  • Migraine Headache (Inpatient, Outpatient)
  • Morbid Obesity (Inpatient)
  • Multiple Sclerosis (Inpatient, Outpatient)
  • Necrotizing Enteral Colitis (Inpatient)
  • Neonatal Intensive Care (Inpatient)
  • Neonatology (Inpatient, Outpatient)
  • Nephrology (Inpatient)
  • Neurology (Inpatient, Outpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Nutrition Programs (Outpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Inpatient, Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Organ Transplant - Heart (Inpatient)
  • Organ Transplant - Kidney (Inpatient)
  • Organ Transplant - Liver (Inpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Osteoporosis (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pancreatic Cancer (Inpatient, Outpatient)
  • Pancreatitis (Inpatient)
  • Parkinsons Disease (Inpatient, Outpatient)
  • Pathology (Inpatient, Outpatient)
  • Pediatric Care (Inpatient)
  • Pediatric Emergency Department (Outpatient - Child/Youth)
  • Pediatric Emergency Medicine (Inpatient - Child/Youth)
  • Pediatric General Surgery (Inpatient - Child/Youth)
  • Pediatric Orthopedics (Inpatient - Child/Youth)
  • Pediatric Pathology (Inpatient - Child/Youth)
  • Pediatric Physical Medicine and Rehab (Inpatient - Child/Youth)
  • Pediatric Pulmonology (Inpatient - Child/Youth)
  • Pediatric Radiology (Inpatient - Child/Youth)
  • Pediatric Urology (Inpatient - Child/Youth)
  • Pelvic Inflammatory Disease (Inpatient, Outpatient)
  • Peripheral Vascular Disease (Inpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Pneumonia (Inpatient, Outpatient)
  • Podiatry (Inpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Prematurity (Inpatient)
  • Prostate Cancer (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation (Inpatient, Outpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Respiratory Failure (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Sexually Transmitted Disease (Outpatient)
  • Sickle Cell Disease (Inpatient)
  • Skilled Nursing Facility (Inpatient)
  • Sleep Center (Outpatient)
  • Sleeping Disorder (Outpatient)
  • Spinal Fusion (Inpatient)
  • Spine Care (Inpatient, Outpatient)
  • Stroke Rehabilitation (Inpatient, Outpatient)
  • Stroke (Primary Stroke Center) (Inpatient)
  • Subacute Care (Inpatient)
  • Systemic Lupus Erythematosis (Inpatient)
  • Telemetry (Inpatient)
  • Thoracic Spine (Inpatient, Outpatient)
  • Thoracic Surgery (Inpatient)
  • Tobacco Treatment / Cessation (Inpatient, Outpatient)
  • Trauma (Inpatient, Outpatient)
  • Trauma/Burn Unit (Inpatient)
  • Traumatic Brain Injury (Inpatient)
  • Tuberculosis (Inpatient)
  • Ulcerative Colitis (Inpatient, Outpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient)
  • Vascular Disease (Inpatient)
  • Vascular Surgery (Inpatient)
  • Weight Loss (Inpatient)
  • Women's Health (Outpatient)
  • Wound Care (Inpatient, Outpatient)
Saint Alphonsus Rehabilitation Services - Liberty Site
717 North Liberty
Boise, ID  83706
  • Brain Injury Rehabilitation (Outpatient)
  • General Outpatient Services (Outpatient)
  • Head Injury (Outpatient)
  • Stroke Rehabilitation (Outpatient)
Saint Alphonsus Rehabilitation Services - Downtown YMCA
1050 W. State Street
Boise, ID  83702
  • Cervical Spine Treatment (Outpatient)
  • General Outpatient Services (Outpatient)
  • Low Back Pain (Outpatient)
  • Spine Care (Outpatient)
  • Sports Medicine (Outpatient)
Saint Alphonsus Rehabilitation Services - Nampa
2707 Garrity Avenue #3
Nampa, ID  83687
  • General Outpatient Services (Outpatient)
  • Low Back Pain (Outpatient)
  • Sports Medicine (Outpatient)
Saint Alphonsus Rehabilitation Services Jumpstart
179 SW 5th Avenue
Meridian, ID  83642
  • General Outpatient Services (Outpatient)
  • Pediatric Physical Medicine and Rehab (Outpatient - Child/Youth)
Saint Alphonsus Rehabilitation Services West YMCA
5959 N. Discovery Plaza
Boise, ID  83713
  • Cervical Spine Treatment (Outpatient)
  • General Outpatient Services (Outpatient)
  • Low Back Pain (Outpatient)
  • Lumbar Spine Treatment (Outpatient)
  • Sports Medicine (Outpatient)
  • Thoracic Spine (Outpatient)
Saint Alphonsus Sleep Disorders Facility
2347 E.Gala Street
Meridian, ID  83642
  • General Outpatient Services (Outpatient)
  • Sleeping Disorder (Outpatient)
SAMG Federal Way
1880 W..Judith Lane
Boise, ID  83702
  • Single Specialty Group Practice (Outpatient)
SAMG Shoreline Clinic
1673 W.Shoreline, Suite 120
Boise, ID  83702
  • Single Specialty Group Practice (Outpatient)
The Family Justice Center for Victims of Abuse (FACES)
417 S.6th St.
Boise, ID  83706
  • General Outpatient Services (Outpatient)
  • Health Social Work (Outpatient)
The Idaho Neurological Institute Saint Alphonsus
1075 N.Curtis Rd.
Boise, ID  83702
  • Cervical Spine Treatment (Outpatient)
  • General Outpatient Services (Outpatient)
  • Low Back Pain (Outpatient)
  • Lumbar Spine Treatment (Outpatient)
  • Spine Care (Outpatient)
  • Thoracic Spine (Outpatient)
The Saint Alphonsus Anticoagulation Clinic
1717 Arlington Ave.
Caldwell, ID  83605
  • Coagulopathy Treatment (Outpatient)
  • General Outpatient Services (Outpatient)
The Saint Alphonsus Eagle Health Plaza (ED,STARS Rehab,)
323 E.Riverside Drive
Eagle, ID  83616
  • Acute Coronary Syndrome (Outpatient)
  • Acute Myocardial Infarction (Outpatient)
  • Anxiety/panic disorders (Outpatient)
  • Asthma (Outpatient)
  • Asthma, Pediatrics (Outpatient)
  • Atrial Fibrillation (Outpatient)
  • Burn Treatment (Outpatient)
  • Cellulitis (Outpatient)
  • Cerebral Bleeding (Outpatient)
  • Chronic Obstructive Pulmonary Disease (Outpatient)
  • Coronary Artery Disease (Outpatient)
  • Depression (Outpatient)
  • Diabetes Mellitus (Outpatient)
  • Emphysema (Outpatient)
  • End Stage Renal Disease (Outpatient)
  • Gastroesophageal Reflux Disease (Outpatient)
  • General Outpatient Services (Outpatient)
  • Head Injury (Outpatient)
  • Health Social Work (Outpatient)
  • Heart Failure (Outpatient)
  • Hypertension (Outpatient)
  • Hyperthyroidism/Hypothyroidism (Outpatient)
  • Intraventricular hemorrhage (Outpatient)
  • Irritable Bowel Syndrome (Outpatient)
  • Ischemic Heart Disease (Outpatient)
  • Low Back Pain (Outpatient)
  • Migraine Headache (Outpatient)
  • Pancreatitis (Outpatient)
  • Pediatric Emergency Medicine (Outpatient - Child/Youth)
  • Pneumonia (Outpatient)
  • Respiratory Failure (Outpatient)
  • Self Injury (Outpatient)
  • Sports Medicine (Outpatient)
  • Trauma (Outpatient)
  • Ulcerative Colitis (Outpatient)
  • Vascular Disease (Outpatient)

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