Quality Report


Quality Report

OSF HealthCare Saint Francis Medical Center
HCO ID: 7410
530 NE Glen Oak Avenue
Peoria, IL, 61637
(309) 655-2000
www.osfhealthcare.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
10/14/2023
Last Full Survey Date
4/21/2023
Last On-Site Survey Date
2/1/2024

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
10/25/2023
Last Full Survey Date
10/24/2023
Last On-Site Survey Date
10/24/2023

Sites

Faith Community Nursing
304 E Illinois St
Peoria, IL, 61603

Available Services

  • Outpatient Clinics (Outpatient )

Greater Peoria Family YMCA - Medical Exercise
7000 North Fleming Lane
Peoria, IL, 61614

Available Services

  • Outpatient Clinics (Outpatient )

Hillcrest Medical Plaza
420 N.E. Glen Oak Ave
Peoria, IL, 61603

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Heart and VAD Transplant Services
  • Pancreatic and Kidney Transplant Services
  • Pediatric Subspecialty Clinics

Illinois Cancer Center - Radiation Oncology North
8948 North Wood Sage Road
Peoria, IL, 61615

Available Services

  • Outpatient Clinics (Outpatient )

Irving Annex-Behavioral Health
617 NE Glendale Avenue
Peoria, IL, 61603

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Eating Disorders (Day Programs - Adult )
  • Eating Disorders (Day Programs - Child/Youth )
  • Eating Disorders (Non 24 Hour Care - Adult )
  • Eating Disorders (Non 24 Hour Care - Child/Youth )
  • Eating Disorders (Partial Hospitalization - Adult )
  • Eating Disorders (Partial Hospitalization - Child/Youth )
  • Family Support (Non 24 Hour Care )
  • Peer Support (Non 24 Hour Care )

Other Clinics/Practices Located at This Site:

  • Behavioral Health Adult
  • Behavioral Health Child and Adolescent
  • Eating Disorder Care
  • Pediatric Neuropsychology

Kumpf Building
719 North Wm Kumpf Blvd, Suite 300 & 400
Peoria, IL, 61605

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Outpatient Rehab

OSF Center for Health - Glen Park
5114 Glen Park Place
Peoria, IL, 61614

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Breastfeeding Resource Center
  • Orthopedic Outpatient Education (Joint Clinic)
  • Outpatient Diagnostic Radiology
  • Outpatient Laboratory Services/EKG
  • Outpatient MRI
  • Outpatient Ultrasound

OSF Center for Health - Knoxville
1800 N. Knoxville Ave
Peoria, IL, 61603

Available Services

  • Laboratory Draw Station (Outpatient )

Other Clinics/Practices Located at This Site:

  • Heartland Laboratory Services

OSF Center for Health - Morton
435 Maxine Drive
Morton, IL, 61550

Available Services

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

Other Clinics/Practices Located at This Site:

  • Center for Breast Health - Mammography
  • OSF Outpatient Rehab
  • Outpatient CT/MRI
  • Outpatient Diagnostic Radiology
  • Outpatient Laboratory Services/EKG
  • Outpatient Ultrasound

OSF Center For Health - Route 91
8600 N Route 91
Peoria, IL, 61615

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • OSF Center for Breast Health - Mammography
  • OSF Pain Clinic
  • OSF Voice and Swallow Clinic
  • OSF Wound and Hyperbaric Clinic
  • Outpaient Vascular Ultrasound
  • Outpatient CT/MRI
  • Outpatient Diagnostic Radiology
  • Outpatient Lab Services
  • Outpatient Rehab
  • Outpatient Ultrasound

OSF Center for Health Diagnostics-Pekin
3422 A Court Street
Pekin, IL, 61554

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Outpatient Diagnostic Radiology
  • Outpatient Laboratory Services/EKG
  • Outpatient Stress Testing
  • Outpatient Vascular Ultrasound

OSF CHOI Pediatric Ophthalmology
4927 N Glen Park Place
Peoria, IL, 61614

Available Services

  • Outpatient Clinics (Outpatient )

OSF CHOI Pediatric Rehab
2806 Knoxville Ave
Peoria, IL, 61604

Available Services

  • Outpatient Clinics (Outpatient )

OSF HealthCare Cancer Institute
1310 N Missouri Ave
Peoria, IL, 61603

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • High Risk Sterile Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Adult Infusion Services
  • Cancer Services
  • CT/CTPET
  • High Dose Radiation
  • Laboratory Services
  • MRI
  • Outpatient Rehab
  • Proton Therapy
  • Pulmonary Function
  • Ultrasound
  • X-Ray

OSF HealthCare Cardiovascular Institute
5401 N. Knoxville
Peoria, IL, 61603

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • High Risk Sterile Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • ECHO
  • Non-Invasive Cardiology/Pulmonary Lab
  • Sleep Lab
  • Vascular Ultrasound

OSF HealthCare Saint Francis Medical Center
530 NE Glen Oak Avenue
Peoria, IL, 61637

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Coronary Care Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • Eating Disorders
  • Eating Disorders (Outpatient )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Outpatient )
  • Interventional Radiology (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 )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pediatric Cardiac Catheterization (Inpatient - Child/Youth )
  • Pediatric Cardiology (Inpatient - Child/Youth )
  • Pediatric Cardiothoracic Surgery (Inpatient - Child/Youth )
  • Pediatric Dentistry (Inpatient - Child/Youth )
  • Pediatric Emergency Medicine (Inpatient - Child/Youth )
  • Pediatric Endocrinology (Inpatient - Child/Youth )
  • Pediatric Gastroenterology (Inpatient - Child/Youth )
  • Pediatric General Surgery (Inpatient - Child/Youth )
  • Pediatric Nephrology (Inpatient - Child/Youth )
  • Pediatric Neurosurgery (Inpatient - Child/Youth )
  • Pediatric Ophthalmology (Inpatient - Child/Youth )
  • Pediatric Oral/Maxofacial Surgery (Inpatient - Child/Youth )
  • Pediatric Otolaryngology (Inpatient - Child/Youth )
  • Pediatric Plastic Surgery (Inpatient - Child/Youth )
  • Pediatric Unit (Inpatient )
  • Pediatric Urology (Inpatient - Child/Youth )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sleep Laboratory (Sleep Laboratory )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Transplant Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Advanced Comprehensive Stroke Center

Other Clinics/Practices Located at This Site:

  • Adult Sickle Cell Clinic
  • Center for Breast Health
  • CHOI Congenital Heart Services
  • CHOI Pulmonary Clinic
  • CT/MRI
  • Cystic Fibrosis Clinic - Adult & Pediatrics
  • Electrocardiology
  • Laboratory Services
  • Nuclear Medicine
  • OSF Heart Failure Transitional Care Clinic
  • OSF Maternal Fetal Diagnostics
  • OSF Outpatient Diagnostic Radiology
  • OSF Outpatient EEG
  • OSF Outpatient Nutrition Services
  • OSF Outpatient Pediatric Infusion Services
  • OSF Outpatient Radiation Oncology
  • OSF Outpatient Rehab
  • OSF Pediatric Diabetic Resource Center
  • OSF Pediatric Sedation and PICC Team
  • OSF Psychiatric Consult Services
  • Sisters' Dental Clinic
  • St. Jude
  • Ultrasound

OSF Heartland Carver - Laboratory Services
711 W. John Gwynn Jr. Avenue
Peoria, IL, 61605

Available Services

  • Laboratory Draw Station (Outpatient )

OSF Heartland Garden - Laboratory Services
1701 W. Garden Street
Peoria, IL, 61605

Available Services

  • Laboratory Draw Station (Outpatient )

OSF Heartland Olt Pekin - Laboratory Services
10 Olt
Pekin, IL, 61554

Available Services

  • Laboratory Draw Station (Outpatient )

OSF Heartland Wisconsin
2321 Wisconsin Avenue
Peoria, IL, 61605

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Community Dental Clinic
  • Laboratory Services

OSF Outpatient Orthopetics - Kumpf
303 North Wm Kumpf Blvd, Suite 608 and 609
Peoria, IL, 61605

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • MRI
  • OSF Outpatient Rehab Gwynn

OSF Outpatient Rehab Bartonville
1119 Garfield
Bartonville, IL, 61607

Available Services

  • Outpatient Clinics (Outpatient )

OSF Outpatient Rehab Chillicothe
311 N 4th Street
Chillicothe, IL, 61523

Available Services

  • Outpatient Clinics (Outpatient )

OSF Outpatient Rehab Glen Park
5009 N. Glen Park Place
Peoria, IL, 61614

Available Services

  • Outpatient Clinics (Outpatient )

OSF Outpatient Rehab Metamora
709 West Mount Vernon
Metamora, IL, 61548

Available Services

  • Outpatient Clinics (Outpatient )

OSF Outpatient Rehab Pekin
2359 Broadway
Pekin, IL, 61554

Available Services

  • Outpatient Clinics (Outpatient )

OSF Outpatient Rehab Services Five Points
360 N. Wilmor Rd Washington, IL
Washington, IL, 61571

Available Services

  • Outpatient Clinics (Outpatient )

OSF Outpatient Rehab Sheridan
6501 N. Sheridan
Peoria, IL, 61614

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • OSF Center for Industrial and Outpatient Rehab
  • OSF Outpatient Rehab Lymphadema Therapy
  • Outpatient Rehab

OSF Outpatient Rehab Sommer
7800 N Sommer St Suite 508
Peoria, IL, 61615

Available Services

  • Outpatient Clinics (Outpatient )

OSF Saint Clare Family Health Center
10 Saint Clare Court #100
Washington, IL, 61571

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Center for Breast Health - Mammography
  • Outpatient Diagnostics/Radiology
  • Outpatient Lab, EKG

OSF Saint Francis Radiation Oncology at Pekin Cancer Center
3500 Court Street Suite 3428
Pekin, IL, 61554

Available Services

  • Outpatient Clinics (Outpatient )

Pecan Street Building - Trauma Recovery (STRIVE)
306 Pecan St.
Peoria, IL, 61605

Available Services

  • Outpatient Clinics (Outpatient )

Pediatric Allergy, Pulmonology and Sleep Medicine
2900 Knoxville Avenue
Peoria, IL, 61603

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Outpatient Clinics (Outpatient )

Physician's Office Building - Medical Psychology
515 NE Glen Oak Ave
Peoria, IL, 61637

Available Services

  • Outpatient Clinics (Outpatient )

RiverPlex
600 Water Street
Peoria, IL, 61603

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Aquatics/Warm Water Therapy
  • Cardiac/Pulmonary Rehab
  • OSF Medical Exercise
  • OSF Physical Therapy
  • Weight Management, Bariatrics

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.