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Accreditation Quality Report
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 > Organization's Commentary
Quality Report

Summary of Accreditation Quality Information
St. Luke's Regional Medical Center
Org ID: 9314
190 East Bannock Street
Boise, ID  83712
(208)381-1830
www.SLRMC.org

Accreditation
Programs		 Accreditation
Decision		 Effective
Date		 Last Full Survey Date Last On-Site Survey Date  
Home Care
Accredited 11/8/2008 11/7/2008 11/7/2008  
Hospital
Accredited 11/8/2008 11/7/2008 3/5/2010  
Pathology and Clinical Laboratory
Accredited 7/17/2008 7/9/2010 7/9/2010  


Other Accredited Programs / Services
Hospital  -  Accredited by American College of Radiology (Radiation Oncology)


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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
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:
Jan  2009 -
Dec  2009
Children's Asthma 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.
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.
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 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 above the target range/value.
  • 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 above the target range/value.
This organization’s performance is above 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
   
  30 Day Risk Adjusted Mortality Rates (see details)
  30 Day Hospital Readmission Rates (see details)
  Survey of Patients' Hospital Experiences (see details)
Pathology and Clinical Laboratory
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.
*
 
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
St. Luke's Anticoagulation Clinic, Meridian
520 South Eagle Road Suite 2108
Meridian, ID  83642
  • General Laboratory Tests
St. Luke's Anticoagulation Clinic, Park Center
701 E Park Center
Boise, ID  83706
  • General Laboratory Tests
St. Luke's Breast Cancer Detection Center, Boise
247 Washington Street
Boise, ID  83702
  • General Outpatient Services (Outpatient)
St. Luke's Breast Cancer Detection Center, Caldwell
229 E Logan
Caldwell, ID  83605
  • General Outpatient Services (Outpatient)
St. Luke's Breast Cancer Detection Center, Meadowlake
3525 E Louise Dr Suite 320
Meridian, ID  83642
  • General Outpatient Services (Outpatient)
St. Luke's Breast Cancer Detection Center, Meridian
520 S. Eagle Road
Meridian, ID  83642
  • General Outpatient Services (Outpatient)
St. Luke's Breast Cancer Detection Center, Mountain Home
Elmore Medical Center
Mountain Home, ID  83647
  • General Outpatient Services (Outpatient)
St. Luke's Breast Cancer Detection Center, Rifleman
8050 Rifleman, Suite 300
Boise, ID  83704
  • General Outpatient Services (Outpatient)
St. Luke's Breast Care Diagnostic Services
100 E. Bannock
Boise, ID  83712
  • General Outpatient Services (Outpatient)
St. Luke's CARES Program
417 S. 6th St.
Boise, ID  83702
  • General Outpatient Services (Outpatient)
St. Luke's Children's Specialty Center
100 E. Idaho
Boise, ID  83712
  • Multi Specialty Group Practice (Outpatient)
St. Luke's Clinic- Ada Medical Associates
520 South Eagle Road, Suite 1241
Meridian, ID  83642
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Bariatrics and General Surgery, Boise
222 North 2nd Street, Suite 111
Boise, ID  83712
  • Single Specialty Practitioner (Outpatient)
St. Luke's Clinic- Bariatrics and General Surgery, Meridian
520 S Eagle Road, Suite 1237
Meridian, ID  83642
  • Single Specialty Practitioner (Outpatient)
St. Luke's Clinic- Boise Heart
287 W Jefferson
Boise, ID  83712
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Family Medicine, Eagle
3101 East State Street
Eagle, ID  83616
  • Single Specialty Practitioner (Outpatient)
St. Luke's Clinic- Family Medicine, Meridian
520 South Eagle Road, Suite 1222
Meridian, ID  83642
  • Single Specialty Practitioner (Outpatient)
St. Luke's Clinic- Family Medicine, Park Center
701 East Parkcenter Blvd.
Boise, ID  83706
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Fruitland
1210 North East 16th Street
Fruitland, ID  83619
  • General Outpatient Services (Outpatient)
St. Luke's Clinic- General Surgery
125 E Idaho Suite 202
Boise, ID  83712
  • Single Specialty Practitioner (Outpatient)
St. Luke's Clinic- Hewlett Packard
1311 Chinden Blvd
Boise, ID  83714
  • General Outpatient Services (Outpatient)
St. Luke's Clinic- Idaho Cardiology Associates, Caldwell
315 E. Elm, Suite 350
Caldwell, ID  83605
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Idaho Cardiology Associates, Jefferson
300 E. Jefferson, Suite 301
Boise, ID  83712
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Idaho Cardiology Associates, Meridian
520 S. Eagle Rd., Suite 3104
Meridian, ID  83642
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Idaho Cardiology Associates, Nampa
215 E. Hawaii Ave
Nampa, ID  83686
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Idaho Family Physicians
130 E. Boise Ave
Boise, ID  83712
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Idaho Pulmonary Associates
2347 East Gala
Meridian, ID  83642
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Metabolic and Bariatric Surgery
333 North 1st Street
Boise, ID  83702
  • Single Specialty Practitioner (Outpatient)
St. Luke's Clinic- Mountain States Urology, Boise
510 N 2nd Street, Suite 103
Boise, ID  83702
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Mountain States Urology, Meridian
520 South Eagle Road, Suite 3112
Meridian, ID  83642
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Mountain States Urology, Park Center
701 E Parkcenter
Boise, ID  83706
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Mountain View Medical
3301 North Sawgrass Way
Boise, ID  83712
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Neurology
125 East Idaho, Suite 300
Boise, ID  83712
  • Single Specialty Group Practice (Outpatient)
St. Luke's Clinic- Neurosurgery
125 East Idaho Street, Suite102
Boise, ID  83712
  • Single Specialty Practitioner (Outpatient)
St. Luke's Clinic- Occupational Health, Americana
703 Americana, Suite 130
Boise, ID  83702
  • General Outpatient Services (Outpatient)
St. Luke's Clinic- Occupational Health, Meridian
520 S. Eagle Road, Suite 2213
Meridian, ID  83642
  • General Outpatient Services (Outpatient)
St. Luke's Clinic- Orthopedic
125 East Idaho Street , Suite 102
Boise, ID  83712
  • Single Specialty Practitioner (Outpatient)
St. Luke's Clinic- Syringa Family Medicine
610 West Hays Street
Boise, ID  83712
  • Single Specialty Group Practice (Outpatient)
St. Luke's Eagle Medical Plaza
3101 East State Street
Eagle, ID  83616
  • General Outpatient Services (Outpatient)
St. Luke's Home Care/ Hospice
325 W. Idaho St.
Boise, ID  83702
  • Home Health, Non-Hospice Services
  • Hospice Care
  • Personal Care/Support Non-Hospice
St. Luke's Home Care/Hospice
1000 State Street
McCall, ID  83638
  • Home Health, Non-Hospice Services
  • Hospice Care
  • Personal Care/Support Non-Hospice
St. Luke's Idaho Pulmonary Associates
2347 E Gala St
Meridian, ID  83642
  • Single Specialty Group Practice (Outpatient)
St. Luke's Imaging Center, Americana
703 Americana Boulevard, Suite 100
Boise, ID  83712
  • General Outpatient Services (Outpatient)
St. Luke's Internal Medicine, Cloverdale
4840 N. Cloverdale Road
Boise, ID  83713
  • Single Specialty Group Practice (Outpatient)
St. Luke's Internal Medicine, Jefferson
300 East Jefferson
Boise, ID  83712
  • Single Specialty Group Practice (Outpatient)
St. Luke's Internal Medicine, Meridian
520 S. Eagle Road
Meridian, ID  83642
  • Single Specialty Group Practice (Outpatient)
St. Luke's Internal Medicine, Park Center
701 East Parkcenter
Boise, ID  83706
  • Single Specialty Group Practice (Outpatient)
St. Luke's Maternal Fetal Medicine, Boise
333 N. 1st
Boise, ID  83712
  • Infertility (Outpatient)
  • Single Specialty Group Practice (Outpatient)
St. Luke's Maternal Fetal Medicine, Meridian
3525 E. Louise St, Suite 220
Meridian, ID  83642
  • General Outpatient Services (Outpatient)
St. Luke's Meridian Medical Center
520 South Eagle Road
Meridian, ID  83642
  • Allergy (Outpatient)
  • Cancer Center/Oncology (Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Medical Detoxification (Inpatient)
  • Neonatal Intensive Care (Inpatient)
  • Nephrology (Inpatient)
  • Neurology (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient, Outpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient, Outpatient)
  • Rehabilitation and Physical Medicine (Inpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Sleep Center (Outpatient)
  • Telemetry (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Wound Care (Inpatient)
St. Luke's Mountain States Tumor Institute, Boise
100 E. Idaho
Boise, ID  83712
  • General Outpatient Services (Outpatient)
St. Luke's Mountain States Tumor Institute, Fruitland
1118 NW 16th Street
Fruitland, ID  83619
  • General Outpatient Services (Outpatient)
St. Luke's Mountain States Tumor Institute, Meridian
520 S. Eagle Road
Meridian, ID  83642
  • General Outpatient Services (Outpatient)
St. Luke's Mountain States Tumor Institute, Nampa
308 South Hawaii
Nampa, ID  83686
  • Anesthesia (Outpatient)
  • General Outpatient Services (Outpatient)
St. Luke's Mountain States Tumor Institute, Twin Falls
540 Addison Avenue West
Twin Falls, ID  83303
  • General Outpatient Services (Outpatient)
St. Luke's Orthopedic Surgery Center
1425 W. River St
Boise, ID  83702
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
St. Luke's Orthopedic Surgery Center at the Elk's
600 N. Robins Road, Suite 400
Boise, ID  83712
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)
St. Luke's Regional Medical Center  *
190 East Bannock St.
Boise, ID  83712
  • Allergy (Outpatient)
  • Bone Marrow Transplant (Inpatient)
  • Cancer Center/Oncology (Inpatient, Outpatient)
  • Cardiac Catheterization Lab (Inpatient, Outpatient)
  • Cardiac Surgery (Inpatient)
  • Cardiac Unit/Cardiology (Inpatient, Outpatient)
  • CT Scanner (Inpatient, Outpatient)
  • Dentistry (Outpatient)
  • Dermatology (Inpatient, Outpatient)
  • Developmental Disabilities - Hospital (Outpatient)
  • Dialysis (Inpatient)
  • EEG/EKG/EMG Lab (Inpatient, Outpatient)
  • Emergency Room (Outpatient)
  • Endocrinology (Inpatient, Outpatient)
  • Family Practice (Inpatient, Outpatient)
  • Gastroenterology (Inpatient, Outpatient)
  • General Medical Services (Inpatient, Outpatient)
  • General Surgery (Inpatient, Outpatient)
  • GI or Endoscopy Lab (Inpatient, Outpatient)
  • Gynecology (Inpatient, Outpatient)
  • Hematology/Blood Treatment (Inpatient, Outpatient)
  • Imaging/Radiology (Inpatient, Outpatient)
  • Infectious Diseases (Inpatient, Outpatient)
  • Infusion Therapy (Inpatient, Outpatient)
  • Intensive Care Unit (Inpatient)
  • Internal Medicine (Inpatient, Outpatient)
  • Labor & Delivery (Inpatient)
  • Lithotripsy/Kidney Stone Treatment (Outpatient)
  • Magnetic Resonance Imaging (Inpatient, Outpatient)
  • Medical Detoxification (Inpatient)
  • Neonatal Intensive Care (Inpatient)
  • Nephrology (Inpatient)
  • Neurology (Inpatient)
  • Neurosurgery (Inpatient)
  • Nuclear Medicine (Inpatient, Outpatient)
  • Nursery (Inpatient)
  • Obstetrics (Inpatient, Outpatient)
  • Occupational Health (Outpatient)
  • Operating Room (Inpatient, Outpatient)
  • Ophthalmology/Eye Surgery (Inpatient)
  • Oral Maxillofacial Surgery (Inpatient, Outpatient)
  • Orthopedic Surgery (Inpatient, Outpatient)
  • Otolaryngology/Ear, Nose, and Throat (Inpatient, Outpatient)
  • Outpatient Surgery (Outpatient)
  • Pain Management (Inpatient, Outpatient)
  • Pediatric Care (Inpatient, Outpatient)
  • Plastic Surgery (Inpatient, Outpatient)
  • Post Anesthesia Care Unit (PACU) (Inpatient, Outpatient)
  • Pulmonary Function Lab (Inpatient, Outpatient)
  • Radiation Oncology (Inpatient)
  • Rehabilitation and Physical Medicine (Inpatient)
  • Respiratory Care (Ventilator) (Inpatient)
  • Rheumatology (Inpatient, Outpatient)
  • Sleep Center (Outpatient)
  • Telemetry (Inpatient)
  • Thoracic Surgery (Inpatient)
  • Ultrasound (Inpatient, Outpatient)
  • Urgent Care/Emergency Medicine (Outpatient)
  • Urology (Inpatient, Outpatient)
  • Vascular Surgery (Inpatient)
  • Wound Care (Inpatient, Outpatient)
St. Luke's Surgery Center
333 North First
Boise, ID  83712
  • Ambulatory Surgery Center (Outpatient)
  • Anesthesia (Outpatient)

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