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Quality Report Card - A Common Standard of Excellence

Welcome to St. Joseph's Hospital - North's Online Quality Report Card, where we provide you with accurate and honest information on the performance of our leading not-for-profit hospitals and how we compare with hospitals around the country and the state.

This area of our website provides information on how well BayCare's hospitals care for patients with certain medical conditions or surgical procedures, as reported by the U.S. Department of Health and Human Services on its Hospital Compare website.

St. Joseph's Hospital is part of the St. Joseph's Baptist Health Care organization. Therefore, the Center for Medicare and Medicaid Services (CMS) publishes all data under St. Joseph's Hospital on the Hospital Compare website.

Quality of Care

Most of the measures included under St. Joseph's Hospital on the Hospital Compare website feature the same data snapshot that coincides with the most current reporting period used by Hospital Compare. By doing so, we can compare our performance with the U.S. average and employ statistical formulas to depict when our scores are significantly higher or lower than the national averages for each measure.

For St. Joseph's Hospital - North, we will provide our more Recent Data that is not yet available on Hospital Compare to provide a more current view of our performance. However, by using more Recent Data, we are unable to compare these scores with the national averages, which are not available for the time period we are using.

This data set is updated quarterly as per the availability of 'Recent Data.'

Process of Care

Heart Attack Recent Data - Provides information on process of care measures that tell you how many patients at our hospitals get treatments known to be effective for most adults who have had a heart attack.

Heart Failure Recent Data- Provides information on process of care measures that tell you how many patients at our hospitals get treatments known to help most adults with heart failure do better and keep from getting worse.

Pneumonia Recent Data- Provides information on process of care measures that tell you how many patients at our hospitals get treatments known to be effective for most adults with pneumonia.

Surgical Care Improvement/Surgical Infection Prevention Recent Data- Provides information on process of care measures that tell you how many patients at our hospitals get treatments recommended for most adult surgical patients.

Outpatient Surgery Recent Data - Provides information on process of care measures that tell you how many patients at our hospitals received treatment recommended for most adult outpatient surgical patients. 

Outpatient AMI/Chest Pain Recent Data - Provides information on process of care measures that tell you how many patients received treatments which are known to be effective for most adults who have had a heart attack or chest pain. This measure pertains to patients who are later transferred to another hospital.

Outpatient Imaging Efficiency Measures Recent Data - Provides information on Medical Imaging tests administered to patients at our hospitals that screen for or diagnose medical conditions.

Outcomes of Care

Healthcare Associated Infections Recent Data are infections that occurred while the patient was in the hospital. A Central Line Associated Blood Stream Infection (CLABSI) is an infection related to an IV placed in a large (central) blood vessel or vein. When these happen, the hospital identifies and corrects the problems that may have led to the event.

Serious Complications and Deaths Recent Data: This section shows serious events that a patient experienced during the hospital stay, or how many patients died when he/she arrived with a certain condition. Best practices are followed to help prevent these occurrences, whenever possible.

Survey of Patients' Hospital Experiences

HCAHPS Recent Data: A national, standardized survey of hospital patients about their experiences during a recent inpatient hospital stay. This is also referred to as HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems). 

Methodology 

We have made an effort to simplify the same quality measures that the U.S. Department of Health and Human Services recommends and reports for hospitals nationwide and make it easier to access information specifically about our hospitals. We also modified the data in the following ways:

  • Provided raw scores in each measurement area for quick comparison with national and state data.
  • Incorporated links to consumer-friendly health information to help users interpret medical terms and evaluate specific measurements. 

The Agency for Health Care Administration also provides performance outcome and financial data for each facility in the state of Florida at: www.floridahealthfinder.gov

 
 
St. Joseph's Hospital-North - 4211 Van Dyke Road - Lutz, FL 33558 - (813) 443-7000

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