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Memorial Hospital Quality Measures

Hospital Quality - How Do We CompareYou, the patient, have the right to know how our health system compares to state and national quality performance measures (as determined by the Joint Commission, Centers for Medicare and Medicaid Services, and other national agencies reporting on quality) to help you make an informed health care decision.

On this web site, we provide you the most current quality data possible for Memorial Hospital available anywhere. To help you compare the quality of our performance, our quality measure reports include the average performance of Colorado and national hospitals as well as the minimum score of hospitals ranked in the top 10% in the nation.

Learn for Yourself How We’re Doing

Select a Memorial Hospital Quality Measures Report:

» Go to: Heart Attack (Acute Myocardial Infarction, AMI) Quality Measures
» Go to: Congestive Heart Failure Quality Measures
» Go to: Pneumonia Quality Measures
» Go to: Intensive and Critical Care Infection Prevention Quality Measures
» Go to: Surgical Site Infection Prevention Quality Measures
» Go to: Surgical Care Improvement Project (SCIP) Quality Measures

PLEASE NOTE: We acknowledge that the process of simplifying complex information can result in some loss of detail and statistical viability due to small sample sizes and limited information. Thus, some measures may not accurately represent true quality performance.

The quality reports published on this web site are intended to be used on an “as is” basis. If you have specific questions about any quality performance measure, consult with your physician.

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How to use the Quality Reports

Quality measures, also referred to as quality indicators, can be used to report how well an organization provides care for patients undergoing certain procedures and/or for patients with particular medical conditions.

Quality measures assess aspects of health care structure (such as types and availability of services), outcomes (such as infection rates, mortality, length of stay), or processes (such as giving antibiotics prior to and after certain surgical procedures).Quality measures can have applications for measuring performance of hospitals, health professionals and physicians.

Research was conducted to determine the established or emerging quality measures for the reported procedures and medical conditions. For each procedure or medical condition, published standards have been identified. In addition, you will find information about the sources used to establish each quality measure. These quality statements provide relevant information needed to help you make more informed decisions about your health care.

At Memorial Hospital, we report our latest quarterly quality data. In addition, we post comparative state and national quality performance measures provided by the Centers for Medicare and Medicaid Services (CMS), Joint Commission and other quality reporting agencies as indicated.

The primary objective of our quality reporting is to provide you, the patient, a reporting format that 1.) is quick to understand, 2.) is easy to understand and 3.) reflects our most recent hospital quality data.

The graphics shown below are used to provide a quick visual snapshot of our hospital’s quality performance as compared to the national average:

Achieved the best possible results = Achieved the best possible results
Above national average performance = Above national average performance
At or near national average performance = At or near national average performance
Below national average performance = Below national average performance

For questions about Memorial Hospital Quality, please call (719) 365-5252.

RELATED INFORMATION:

Centers for Medicare and Medicaid Services (CMS)
www.cms.hhs.gov

Healthcare Cost and Utilization Project (HCUP)
www.ahrq.gov/data/hcup/

Joint Commission
www.jointcommission.org

National Quality Forum
www.qualityforum.org

U.S. Department of Health and Human Services (DHS)
www.hhs.gov

Hospital Compare - U.S. Department of Health and Human Services (DHS)
www.hospitalcompare.hhs.gov

Colorado Hospital Association
www.cha.com