Quality Reports

OSF St. Mary Medical Center is dedicated to providing the highest quality and safest patient care in the region. Our Quality Improvement process involve staff from throughout the medical center including physicians, nurses, pharmacists, emergency and trauma service staff, as well as critical and intensive care departments.

Quality Improvement services include coordinating activities such as:

  • Incident reporting
  • Root cause analysis
  • Failure mode effects analysis
  • National patient safety goals
  • Education and awareness
  • Coordination of quality / performance improvement initiatives
  • Management of the Peer Review process
  • Facilitation of the Quality Reviews / Morbidity and Mortality Reviews
  • Quality indicator monitoring, benchmarking and reporting to numerous internal and external databases
  • Coordination of JC and other regulatory compliance
  • Clinical data analysis
  • Providing staff support and education on quality and patient safety issues.

Public Information About OSF St. Mary Quality

One of the steps OSF St. Mary has taken to provide the public with information about the quality of the care we provide is by participating in the Healthcare Quality Alliance, which is a collaborative effort between the Centers for Medicare & Medicaid Services, national hospital organizations, accrediting organizations, consumer advocates and others.

OSF St. Mary was one of the first hospitals in the country to participate in this effort to improve care and make more information available to the public. Many hospitals have been providing information through this initiative since November 2003.

Below are the results of the most recent data we reported to the Alliance. It and information from other hospitals can be found at http://www.hospitalcompare.hhs.gov/.

The state and national percentages displayed below are derived from the medical record data submitted by hospitals to the QIO Clinical Data Warehouse.

Heart Attack/Chest Pain (Show/Hide Report)

Heart Failure (Show/Hide Report)

Pneumonia (Show/Hide Report)

Surgical Care (Show/Hide Report)

Medical Imaging (Show/Hide Report)

Patients' Experiences (Show/Hide Report)

† No patients met the criteria for inclusion in the measure calculation.
1 The number of cases is too small to be sure how well a hospital is performing.

Hospital Compare
Provided by the U.S. Department of Health and Human Services, this site compares the quality of care provided by hospitals.

Data Last Updated: October 13, 2011