Quality Report


Quality Report

St Francis Hospital

DBA: St. Francis Hospital & Medical Group
HCO ID: 7508
3401 Ludington Street
Escanaba, MI, 49829
(906) 786-5707
www.osfhealthcare.org
Summary of Quality Information

Accreditation Programs

Gold Seal
Critical Access Hospital
Accreditation Decision
Effective Date
3/16/2022
Last Full Survey Date
3/15/2022
Last On-Site Survey Date
3/15/2022
Gold Seal
Laboratory
Accreditation Decision
Effective Date
5/27/2022
Last Full Survey Date
4/26/2024
Last On-Site Survey Date
4/26/2024

Sites

St Francis Hospital
3409 Ludington Street
Escanaba, MI, 49829

Available Services

  • General Laboratory Tests

St Francis Hospital
DBA: OSF Healthcare Medical Group – Gladstone
145 4th Avenue NE
Gladstone, MI, 49837

Available Services

  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

St Francis Hospital
DBA: OSF Healthcare Medical Group – Powers
N15995 Main Street
Powers, MI, 49874

Available Services

  • General Laboratory Tests
  • Single Specialty Practitioner (Outpatient )

St. Francis Hospital
3401 Ludington Street,
Escanaba, MI, 49829

Available Services

  • Acute Care
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Labor & Delivery (Inpatient )
  • Long Term Acute Care Unit (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Mammography (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sleep Laboratory (Sleep Laboratory )
  • Swing Beds
  • Toxicology
  • Trauma Center (Trauma Center )
  • Ultrasound (Imaging/Diagnostic Services )

St. Francis Hospital
DBA: OSF Healthcare Medical Group – Escanaba
3409 Ludington Street
Escanaba, MI, 49829

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Cardiology Clinic
  • Family Practice
  • Internal Medicine
  • Oncology Clinic
  • Walk in Clinic
  • Women's Center

St. Francis Hospital
DBA: OSF Medical St. Francis Hospital - Gladstone Rehab
145 4th Avenue East
Gladstone, MI, 49837

Available Services

  • Single Specialty Practitioner (Outpatient )

St. Francis Hospital
DBA: OSF Healthcare St. Francis Hospital - Willow Creek Rehab
300 Willow Creek Road
Escanaba, MI, 49829

Available Services

  • Single Specialty Practitioner (Outpatient )

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.

Laboratory 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Critical Access Hospital 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na

New Changes to Quarterly Measure

Download Quarterly Measure Results

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