OSF St. Mary Medical Center - Quality Improvements

JC Accreditation
OSF St. Mary a Quality Leader
Patient Satisfaction and Service Quality
Quality Reports
Saving 5 Million Lives
Hospital Report Card Act

Measuring Quality

Not all medical centers and physicians are alike. Differences in quality matter most when you need sophisticated medical care for a complex condition. The doctor and medical center you choose will have a direct impact on your care – especially when you need treatment for a serious condition or disease.

Quality is measured in many different ways. While there is no universal agreement on which method should be used, the following criteria are often cited as quality indicators:

Medical Center Accreditation
The Joint Commission (JC) is an independent, not-for-profit organization that evaluates and accredits nearly 16,000 health care organizations and programs in the United States. JC accreditation is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards. To earn and maintain accreditation, an organization must undergo an on-site survey by a JC survey team at least every three years. Our JC information is available on the JC Accreditation pages of this web site and at http://www.jointcommission.org.

Physician Training
Board certification, or the international equivalent, means that doctors have completed specialized training that a specialty board requires. To earn board certification, physicians must have practiced for a specified period of time and then pass a difficult written and oral examination. Board certification is generally accepted as a good indication of competence and experience. Ask your physician about her or his board certifications. Additionally, some physicians are also board eligible, meaning they have completed necessary education and training and are waiting a required period of time before taking their board exam.

Satisfied Patients
Patient satisfaction often reflects how willing doctors and nurses are to listen, answer questions and explain treatments; how much time doctors spend with patients; and if the medical center is clean and the food is good. Patient satisfaction data can predict how satisfying your experience is likely to be. Patient satisfaction information can be found on our Patient Satisfaction and Service Quality web page.

Other Sources of Health Care Quality Information

Several industry and government organizations provide information about health care quality and some have proprietary reporting tools. The information these organizations provide can help you make informed, accurate decisions about healthcare quality.

Warning: Different agencies and consumer reporting sites use a variety of definitions, data sets, and time periods and have many methods of normalizing data for comparisons.

Therefore, comparisons between sources are not “apples to apples” and comparisons within a single source have to be carefully analyzed before accurate conclusions can be made.

Joint Commission (JC)
JC and Centers for Medicare and Medicaid Services (CMS) developed a set of research-based quality indicators that are used across the nation. They have established standardized measures of quality in selected patient populations including acute myocardial infarction (AMI), community acquired pneumonia (CAP), congestive heart failure (CHF), surgical infections and surgical procedures. OSF St. Mary is currently participating in AMI, CAP and CHF. This information can be found on our Quality Reports web page, in the JC report on OSF St. Mary that is linked to our JC Accreditation web page, and the CMS website.

The Leapfrog Group
The Leapfrog Group was founded in November 2000 by the Business Roundtable and has support from The Robert Wood Johnson Foundation. Leapfrog's mission is to trigger giant leaps forward in the safety, quality and affordability of health care by: supporting informed healthcare decisions by those who use and pay for health care; and, promoting high-value healthcare through incentives and rewards. More than 165 Fortune 500 corporations and other large private and public sector health benefits purchasers have joined The Leapfrog Group, representing more than 36 million enrollees. For more information, visit its website.

Healthgrades
Healthgrades is a private company that uses Med Par public data and proprietary severity adjustment methodology to rank organizations on a scale of 1-5 "stars" with 5 being excellent. Problems abound with this data, which is two to three years old before it is released, and Healthgrades issues its stars based on three years of data. As a result, Healthgrades is not a true reflection of any medical center's current practices. In addition, its severity adjustment methodology can not be reproduced. Another limitation is that Med Par data includes only Medicare patients who are over 65 years old and who are cared for in the inpatient settings.

Illinois Foundation for Quality Health Care
The Illinois Foundation for Quality Health Care (IFQHC) is the Quality Improvement Organization (QIO) for the State of Illinois. QIOs work with physicians and health care professionals to promote high quality medical care for Medicare beneficiaries. IFQHC is contracted by the Centers for Medicare & Medicaid Services (CMS) to perform the designated quality improvement activities. OSF St. Mary Medical Center participated in the Appropriate Care Measure Pilot which used a composite score of commonly measured quality indicators from the treatment of patients with heart failure, myocardial infarction and pneumonia. The pilot study consisted of 21 hospitals throughout the state of Illinois. OSF St. Mary’s baseline score was 74% and determined a primary goal should be to reduce the failure rate by 50% by achieving a score of 88% by May 2007. By combining 10 of the most common indicators measured, OSF St. Mary scored 88.1% thereby reaffirming its commitment of the “Right Care for Every Patient, Every Time.”

Illinois Department of Public Health
The Illinois Department of Public Health is responsible for protecting the state's 12.4 million residents, as well as countless visitors, through the prevention and control of disease and injury. The Department's nearly 200 programs touch virtually every age, aspect and cycle of life. For more information, visit its website.