Quality Report


Quality Report

Woman's Hospital
HCO ID: 8701
100 Woman's Way
Baton Rouge, LA, 70817
(225) 927-1300
www.womans.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
4/9/2022
Last Full Survey Date
4/8/2022
Last On-Site Survey Date
4/8/2022
Gold Seal
Laboratory
Accreditation Decision
Effective Date
3/17/2023
Last Full Survey Date
3/16/2023
Last On-Site Survey Date
3/16/2023

Sites

Maternal Fetal Medicine (MFM) - Covington
200 Greenbriar Blvd.
Covington, LA, 70433

Available Services

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

Woman's Behavioral Health Clinic
9229 Bluebonnet Blvd.
Baton Rouge, LA, 70810

Available Services

  • Behavioral Health (Non 24 Hour Care - Adult )
  • Behavioral Health (Non 24 Hour Care - Child/Youth )

Woman's Center for Wellness
9637 Jefferson Hwy.
Baton Rouge, LA, 70895

Available Services

  • Outpatient Clinics (Outpatient )

Woman's Gyn/Oncology Clinic
500 Ambassador Caffery, Building 4
Lafayette, LA, 70508

Available Services

  • Outpatient Clinics (Outpatient )

Woman's Hospital
100 Woman's Way
Baton Rouge, LA, 70817

Available Services

  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • General Laboratory Tests
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic 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 )
  • Toxicology
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )

Other Clinics/Practices Located at This Site:

  • Maternal Fetal Medicine Clinic
  • Radiation Oncology

Woman's Hospital Physician's Office Building
500 Rue de la Vie
Baton Rouge, LA, 70817

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Advanced Imaging (Suite 110)
  • Health Center for OB/GYN (407)
  • Health Center for Obstetrics and Gynecology (Suite 414)
  • Radiation Therapy Department (Suite 125)
  • Same Day Surgery Center
  • Woman's Breast Specialists (Suite 305)
  • Woman's General Surgery (Suite 402)
  • Woman's Gynecologic Oncology (Ste 515)
  • Woman's Infusion Therapy (Suite 425)
  • Woman's Metabolic Weight Loss Clinic (Ste. 511 & 513)
  • Woman's Outpatient Clinics (Ste. 311)
  • Woman's Outpatient Lab (Suite 110)
  • Woman's Pre-Surgery Center (Suite 105)
  • Woman's Same Day Surgery Center (Suite 218)

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 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Laboratory 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.