Quality & Safety
The assurance of safe, quality care is fundamental to the vision of St.
John's Health. Meeting and exceeding the expectations of our patients
and achieving best outcomes are central goals to which all employees at
St. John's aspire.
To this end, St. John’s continually monitors various indices of the
care received by our patients. St. John's Performance Improvement
Plan, updated annually, strategically guides the collaborative staff effort
high quality care. Senior leadership committees and the Board of Trustees oversee the organizational efforts.
Patient Safety and Quality Initiatives
- Computerized Physician Order Entry – St. John’s has implemented
Computerized Physician Order Entry (CPOE) for the majority of the medical
staff; further roll out is in progress. CPOE provides for patient safety
through MD direct ordering of tests/medications and treatments through
the computer. Shown to reduce errors related to handwriting or transcription errors.
- ICU Physician Staffing – The St. John’s ICU is covered 24/7
by employed hospitalist physicians.
- Safety Culture – Employee Perception of Culture of Safety Assessment
completed. Action Plans to increase reporting and address communications
issues is in progress. Improvements have been noted.
- Health Care Safety Initiative – St. John’s has participated
in an on-going program from Healthcare Performance Improvement that includes
education and implementation of process improvement to reduce the opportunity
for error and to improve communication.
- Medication Reconciliation Process Improvements – Organization wide
Current Quality Core Measure Statistics
We currently measure hospital statistics each month through Core Measures,
Patient Satisfaction, and Infection Rates.
Core Measures are specific data that are gathered from medical records.
They measure precise areas for which care is rendered and received. Reviewing
the St. John's Core Measures on a monthly basis and meeting best practice
criteria assure that patients receive the safest, quality care. These
measures include Community Acquired Pneumonia (CAP), Acute Myocardial
Infarction (AMI), and the Surgical Care Improvement Project (SCIP).
Patient Satisfaction is information collected on surveys that patients
receive after visiting St. John’s. This information is compiled
by a third-party vendor and analyzed.
The provision of safe care through the infection prevention program is
strategic to everyday practice at St. John's. The prevention of infection
is a primary goal for all employees. Following guidelines from the Centers
for Disease Control (CDC), hand hygiene is closely monitored. Ongoing
education with the most up-to-date research for preventing infection and
providing the safest patient care is a part of everyday life at SJMC.
The Infection Control Specialist at St. John's is central to a vital
infection prevention program in which all staff is required to participate.
The Centers for Medicare & Medicaid Services (CMS) provides detailed
statistics on all hospitals and health systems across the country. Find
St. John's and our performance metrics on Medicare.gov, the official
U.S. Government website for Medicare.
St. John's on Medicare.gov
St. John's is working towards a national accreditation by DNV GL Healthcare.
This accreditation is granted to those organizations that demonstrate
adherence to strict standards in areas such as Leadership, Performance
Improvement, Safety, Environment, Infection Control, Medication Management,
Emergency Management, and Rights of the Individual.