Part of our continuing efforts at improving quality is
participation in a national initiative for public reporting of
quality measures promoted by organizations including the Centers
for Medicare and Medicaid Services and the Joint Commission on the
Accreditation of HealthCare Organizations (Joint Commission).
Quality Measures, also called Core Measures, refer to specific sets
of guidelines in the treatment of four of the most common and
costly conditions: Acute Myocardial Infarction (Heart Attack),
Heart Failure, Pneumonia and Surgical Infection. These quality
measures are important because research has shown that following
these guidelines leads to significantly better outcomes.
Click on links below to view our Quality Measures:
Surgical Care Improvement
Quality measures indicate how well a hospital is doing in
following specific guidelines as a percentage of applicable cases
and provides a comparison to the national average. It is important
to remember that interpreting these results may be difficult since
there are times when it may be best for a patient that a guideline
is not specifically followed.
Healthcare is one of the most important services you will choose
for yourself and your family. Good information helps you make
informed decisions about your healthcare. In this section we report
accurate and honest information about the quality of the care we
provide at Our Lady of Lourdes. This information provides clear,
objective data for you to compare quality measures at Our Lady of
the Lake to the Joint Commission standards. By providing you with
this information, we hope to help you make informed decisions about
you and your family's healthcare.
The Joint Commission evaluates and accredits more than 15,000
healthcare organizations and programs in the United States. An
independent, not-for-profit organization, the Joint Commission is
the nation's predominant standards-setting and accrediting body in
healthcare. Joint Commission accreditation is recognized nationwide
as a symbol of quality that reflects an organization's commitment
to meeting certain performance standards. To earn and maintain the
the Joint Commission's Gold Seal of Approval™, an organization must
undergo an on-site survey by a Joint Commission survey team at
least every three years.