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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 11/7/2008  
Pathology and Clinical Laboratory
Accredited 7/17/2008 7/16/2008 6/25/2009  


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
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
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 above 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 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 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
2009 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
Breast Cancer Detection Center, Central
8050 Rifleman, Suite 300
Boise, ID  83704
  • General Outpatient Services (Outpatient)
Eagle Medical Plaza
3101 East State Street
Eagle, ID  83616
  • General Outpatient Services (Outpatient)
Hewlett Packard Occupational Health Services
1311 Chinden Blvd
Boise, ID  83714
  • General Outpatient Services (Outpatient)
St Luke's Mountain States Urology Group
520 South Eagle Road, Suite 3112
Meridian, ID  83642
  • Single Specialty Group Practice (Outpatient)
St Luke's Mountain States Urology Group
510 N 2nd Street, Suite 103
Boise, ID  83702
  • Single Specialty Group Practice (Outpatient)
St. Luke's Ada Medical Associates
520 South Eagle Road, Suite 1241
Meridian, ID  83642
  • Single Specialty Practitioner (Outpatient)
St. Luke's Anderson Plaza
222 North Second Street
Boise, ID  83712
  • General Outpatient Services (Outpatient)
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 Bariatric and General Surgery
222 North 2nd Street, Suite 111
Boise, ID  83712
  • General Outpatient Services (Outpatient)
St. Luke's Bariatric Surgery
333 North 1st Street
Boise, ID  83702
  • General Outpatient Services (Outpatient)
St. Luke's Boise 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 Services (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 (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 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
  • Single Specialty Practitioner (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 Diagnostic Services - Meridian
520 S. Eagle Road
Meridian, ID  83642
  • 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
  • General Outpatient Services (Outpatient)
St. Luke's Clinic- Family Medicine Eagle
197 West State Street
Eagle, ID  83616
  • General Outpatient Services (Outpatient)
St. Luke's Comprehensive Epilepsy Center
190 E. Bannock
Boise, ID  83712
  • Single Specialty Practitioner (Outpatient)
St. Luke's Family Medicine
520 South Eagle Road, Suite 3201
Meridian, ID  83642
  • Single Specialty Practitioner (Outpatient)
St. Luke's General Surgery Clinic
125 E Idaho Suite 202
Boise, ID  83712
  • Single Specialty Practitioner (Outpatient)
St. Luke's Home Care/ Hospice
325 W. Idaho St.
Boise, ID  83702
  • Home Health Services
  • Home Personal Care and/or Support Services
  • Hospice Care
St. Luke's Home Care/Hospice - McCall
1000 State Street
McCall, ID  83638
  • Home Health Services
  • Home Personal Care and/or Support Services
  • Hospice Care
St. Luke's Idaho Cardiology Associates Nampa
215 E. Hawaii Ave
Nampa, ID  83686
  • Single Specialty Group Practice (Outpatient)
St. Luke's Idaho Cardiology Associates-Caldwell Clinic
315 E. Elm, Suite 350
Caldwell, ID  83605
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
St. Luke's Idaho Cardiology Associates-Jefferson Clinic
300 E. Jefferson, Suite 301
Boise, ID  83712
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
St. Luke's Idaho Cardiology Associates-Meridian Clinic
520 S. Eagle Rd., Suite 3104
Meridian, ID  83642
  • General Laboratory Tests
  • Single Specialty Group Practice (Outpatient)
St. Luke's Idaho Family Physicians
130 E. Boise Ave
Boise, ID  83712
  • Multi Specialty Group Practice (Outpatient)
St. Luke's Imaging Center - Boise
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
  • General Outpatient Services (Outpatient)
St. Luke's Internal Medicine - Jefferson
300 East Jefferson
Boise, ID  83712
  • General Outpatient Services (Outpatient)
St. Luke's Internal Medicine - Parkcenter
701 East Parkcenter
Boise, ID  83706
  • General Outpatient Services (Outpatient)
St. Luke's Internal Medicine-Meridian
520 S. Eagle Road
Meridian, ID  83642
  • Multi Specialty Group Practice (Outpatient)
St. Luke's Maternal Fetal Medicine - Boise
333 N. 1st
Boise, ID  83712
  • Infertility (Outpatient)
  • Single Specialty Practitioner (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 Services (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 (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 - Nampa
308 South Hawaii
Nampa, ID  83686
  • 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 Mountain States Tumor Institute-Meridian
520 S. Eagle Road
Meridian, ID  83642
  • Single Specialty Practitioner (Outpatient)
St. Luke's Mountain View Medical Center
3301 North Sawgrass Way
Boise, ID  83712
  • General Outpatient Services (Outpatient)
St. Luke's Neurology Clinic
300 Main Street, Suite 100
Boise, ID  83712
  • Single Specialty Group Practice (Outpatient)
St. Luke's Neurosurgery
125 East Idaho Street, Suite102
Boise, ID  83712
    St. Luke's Occupation Health Services - Americana
    703 Americana, Suite 130
    Boise, ID  83702
    • General Outpatient Services (Outpatient)
    St. Luke's Occupational Health Services-Meridian
    520 S. Eagle Road, Suite 2213
    Meridian, ID  83642
    • Single Specialty Practitioner (Outpatient)
    St. Luke's Orthopaedic Clinic
    125 East Idaho Street , Suite 102
    Boise, ID  83712
      St. Luke's Orthopedic Surgery Center of Idaho
      1425 W. River St
      Boise, ID  83702
      • Ambulatory Surgery Center (Outpatient)
      St. Luke's Parkcenter Family Medicine
      701 East Parkcenter Blvd.
      Boise, ID  83706
      • Single Specialty Group Practice (Outpatient)
      St. Luke's Pediatric Surgery of Idaho
      100 E. Idaho, Suite 300
      Boise, ID  83712
      • Single Specialty Group Practice (Outpatient)
      St. Luke's Surgery Center (Medical Office Plaza) - Boise
      333 North First
      Boise, ID  83712
      • Ambulatory Surgery Center (Outpatient)
      • Anesthesia (Outpatient)
      • General Outpatient Services (Outpatient)
      St. Luke's Syringa Family Medicine
      610 West Hays Street
      Boise, ID  83712
      • Single Specialty Practitioner (Outpatient)

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