Quality Report


Quality Report

Bon Secours St. Francis Medical Center
HCO ID: 417829
13710 St. Francis Boulevard
Midlothian, VA, 23114
(804) 594-7400
www.bonsecours.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
7/22/2023
Last Full Survey Date
7/21/2023
Last On-Site Survey Date
7/21/2023

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Palliative Care
Certification Decision
Effective Date
4/15/2023
Last Full Survey Date
4/14/2023
Last On-Site Survey Date
4/14/2023
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
3/31/2023
Last Full Survey Date
3/30/2023
Last On-Site Survey Date
3/30/2023

Sites

Bon Secours St Francis Emergency Center, Inc.
DBA: Bon Secours Chester Emergency Center
12021 Route 1, Suite 100
Chester, VA, 23831

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Bon Secours St Francis Medical Center , Inc.
DBA: Bon Secours Powhatan Medical Associates
3452 Anderson Highway, Suite D
Powhatan, VA, 23139

Available Services

  • Outpatient Clinics (Outpatient )

Bon Secours St Francis Medical Center, Inc.
DBA: Bon Secours Wound Care Center at St Francis Medical Center
611 Watkins Center Parkway Suite 150
Midlothian, VA, 23114

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Bon Secours St Francis Medical Center, Inc.
DBA: Bon Secours Physical Therapy at Westchester, a Dept of SFMC
611 Watkins Centre Parkway, Suite 300
Midlothian, VA, 23114

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Bon Secours St Francis Medical Center, Inc.
DBA: Bon Secours Ironbridge Family Practice
11601 Ironbridge Road, Suite 117
Chester, VA, 23831

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Bon Secours St Francis Medical Center, Inc.
DBA: Bon Secours Internal Medicine of Chesterfield
611 Watkins Centre Parkway, Suite 250
Midlothian, VA, 23114

Available Services

  • Outpatient Clinics (Outpatient )

Bon Secours St Francis Medical Center, Inc.
DBA: Bon Secours Westchester Emergency, Ambulatory
601 Watkins Centre Parkway, Suite 100
Midlothian, VA, 23114

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Westchester Imaging, Suite 150

Bon Secours St. Francis Medical Center, Inc.
DBA: Bon Secours St. Francis Medical Center
13710 St. Francis Boulevard
Midlothian, VA, 23114

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical Unit (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Palliative Care
  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Ambulatory Surgery
  • Cardiopulmonary Rehab
  • St. Francis Medical Management Clinic
  • St. Francis Perinatal Center

Bon Secours St. Francis Medical Center, Inc.
DBA: Bon Secours St. Francis Family Medicine Center
13540 Hull Street Road
Midlothian, VA, 23112

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • St Francis Family Medicine Residency

Bon Secours St. Francis Medical Center, Inc.
DBA: Bon Secours Lymphedema at SFMC, a part of SFMC
14051 St. Francis Blvd. Suite 2202
Midlothian, VA, 23114

Available Services

  • Single Specialty Practitioner (Outpatient )

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures 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.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.