St. Margaret's Health - Spring Valley
Quality - All
Process of Care and Inpatient Quality
Process of Care
These indicators are used to measure how often hospitals use recommended treatments known to get the best results for certain conditions. This data comes from medicare.gov/hospitalcompare
Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it
This measure is used to assess the percent of patients diagnosed with confirmed venous thromboembolism (VTE) during hospitalization (not present at admission) who did not receive VTE prophylaxis between hospital admission and the day before the VTE diagnosis testing order date.
| Measure | Result |
|---|---|
|
Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it
-
|
N/A percent |
Readmission Rates
"Readmission" is when patients who had a recent stay in the hospital go back into hospital again. Rates of readmission can give information about whether a hospital is doing its best to prevent complications, educate patients at discharge, and ensure patients make a smooth transition to their home or another setting such as a nursing home. This data comes from medicare.gov/hospitalcompare.
Pneumonia Patients Readmitted to Hospital Within 30 Days
This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for pneumonia.
| Measure | Result |
|---|---|
|
Pneumonia Patients Readmitted to Hospital Within 30 Days
-
|
17.70 percent |
Heart Failure Patients Readmitted to Hospital Within 30 Days
This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for heart failure.
| Measure | Result |
|---|---|
|
Heart Failure Patients Readmitted to Hospital Within 30 Days
-
|
20.50 percent |
Heart Attack Patients Readmitted to Hospital Within 30 Days
This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for heart attack.
| Measure | Result |
|---|---|
|
Heart Attack Patients Readmitted to Hospital Within 30 Days
-
|
N/A percent |
Thirty Day Mortality
These indicators are used to measure patient mortality within thirty days of a hospital admission. This adverse outome could potentially be related to quality of care. This data comes from medicare.gov/hospitalcompare.
Pneumonia 30-Day Mortality Rate
This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for pneumonia.
| Measure | Result |
|---|---|
|
Pneumonia 30-Day Mortality Rate
-
|
18.10 percent |
Heart Failure 30-Day Mortality Rate
This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for heart failure.
| Measure | Result |
|---|---|
|
Heart Failure 30-Day Mortality Rate
-
|
10.70 percent |
Heart Attack 30-Day Mortality Rate
This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for heart attack.
| Measure | Result |
|---|---|
|
Heart Attack 30-Day Mortality Rate
-
|
N/A percent |
Inpatient Mortality
Better processes of care may reduce short-term mortality, which represents better quality. IDPH uses discharge data provided by hospitals and inpatient quality indicators provided by the Agency for Healthcare Research and Quality (AHRQ). Read about risk adjustment and the Report Card methodology.
Statistical Significance
| Measure | Risk-adjusted Rate | |
|---|---|---|
|
Inpatient Heart Attack Deaths
-
|
45.84 | |
|
Pneumonia
-
|
39.06 | |
|
Hip Fracture
-
|
0.00 | |
|
Stroke
-
|
0.00 | |
|
Congestive heart failure
-
|
35.39 | |