Quality Ratings

Quality Ratings

Why Choose MemorialCare?

Choosing a health care provider is not a simple decision. At MemorialCare, we strongly support public reporting of hospital data to help consumers make informed choices. It is our mission to improve the health and well being of individuals, families and our communities through innovation and the pursuit of excellence. For many years, we have been voluntarily reporting our clinical outcomes on the care we deliver to the public.

Our passion and dedication to quality, patient safety and satisfaction runs deep – from our caregivers at the bedside to our governing boards. MemorialCare have earned widespread recognition for progressive leadership and quality outcomes that continually surpass state and national standards. We continue to hold ourselves accountable and address any opportunities to improve.

Consider the following current data by independent ratings:

HQI Quality Report

Table Key

MemorialCare Quality Rating
Indicates performance exceeding
California and/or National Levels.

Long Beach Medical Center

Outcome Measures:CLABSIColon SSINTSVSepsis
Mortality
Long Beach Medical Center0.670.8423.7019.15
California Level0.870.9524.9014.90
National Level1.001.0025.7025.00
Measure Period10/01/2016-09/30/201710/01/2016-09/30/201701/01/2016-12/31/201601/01/2017-12/31/2017



Orange Coast Medical Center

Outcome Measures:CLABSIColon SSINTSVSepsis
Mortality
Orange Coast Medical Center0.230.1725.7015.13
California Level0.870.9524.9014.90
National Level1.001.0025.7025.00
Measure Period10/01/2016-09/30/201710/01/2016-09/30/201701/01/2016-12/31/201601/01/2017-12/31/2017



Saddleback Medical Center

Outcome Measures:CLABSIColon SSINTSVSepsis
Mortality
Saddleback Medical Center0.343025.4015.28
California Level0.870.94824.9014.90
National Level1.001.0025.7025.00
Measure Period10/01/2016-09/30/201710/01/2016-09/30/201701/01/2016-12/31/201601/01/2017-12/31/2017

Program Status Measures for All Hospitals:

YesThis hospital has a Maternity Safety Program in place. A maternity safety program provides a coordinated approach and emergency response to risks associated with pregnancy and childbirth.
YesThis hospital has a Sepsis Protocol in place. A sepsis protocol provides guidance for a coordinated approach to identification and treatment of an infection and inflammatory response which is present throughout the body.
YesThis hospital has a Respiratory Monitoring program in place. Respiratory monitoring provides guidance for assessment of risk of respiratory depression, and includes continuous monitoring of breathing and functioning of the lungs and circulatory system when indicated.

CLABSI
Central line-Associated Blood Stream Infection: A serious infection that occurs when germs enter the bloodstream through a central line. A central line is a special intravenous catheter (IV) that allows access to a major vein close to the heart and can stay in place for weeks or months. The value shown above is a Standardized Infection Ratio (SIR), which is the ratio of observed-to-expected infections during the measure period. SIRs below 1.00 indicate that the observed number of infections during the measure period was lower than would be expected under normal conditions, whereas values above 1.00 indicate that the observed number of infections was higher than expected. Limitation: In the calculation of the Standardized Infection Ratio (SIR), the CDC adjusts for differences between hospitals. However, patient risk factors are not taken into account. These patient-specific variables (e.g., poor skin integrity, immunosuppression) can increase the risk of developing a central line infection. Hence, the SIR for hospitals that care for more medically complex or immunosuppressed patients may not be adequately adjusted to account for those patient-specific risk factors.

Colon SSI
Colon Surgical Site Infection: An infection (usually bacteria) that occurs after a person has colorectal surgery that occurs at the body site where the surgery took place. While some involve only the skin, others are more serious and can involve tissues under the skin, organs, or implanted material. The value shown above is a Standardized Infection Ratio (SIR), which is the ratio of observed-to-expected infections during the measure period. SIRs below 1.00 indicate that the observed number of infections during the measure period was lower than would be expected under normal conditions, whereas values above 1.00 indicate that the observed number of infections was higher than expected. Limitation: Some, but not all patient-specific risk factors are included in the adjustment of the SIR for these types of infections. However, not all relevant risk factors are included (e.g., trauma, emergency procedures). Hence, the SIRs for hospitals performing more complex procedures or with larger volumes of trauma or emergency procedures may not be adequately adjusted to account for those patient-specific risk factors.

NTSV
Nulliparous, Term, Singleton, Vertex Cesarean Birth Rate: The percentage of cesarean (surgical) births among first-time mothers who are at least 37 weeks pregnant with one baby in a head down position (not breech or transverse). Lower values indicate that fewer cesareans were performed in the hospital among primarily low risk, first-time mothers. Limitation: NTSV rates do not take into account certain obstetric conditions, such as placenta previa, that may make Cesarean delivery the safer route for both mother and infant.

Sepsis Mortality
Percent of patients, with a severe infection, who die in the hospital. Most sepsis cases (over 90%) start outside the hospital. Lower percentage of death indicates better survival. Limitation: Use of discharge/administrative data is limiting since such data has lower specificity for diagnoses than clinical data. In addition, without risk adjustment for differences in patient-specific factors, comparing rates among hospitals is difficult.

VTE
Venous thromboembolism: The measure of patients who develop deep vein clots who had not received potentially preventive treatment. Limitation: Although not adjusted to account for patient-specific risk factors, this rate is helpful in distinguishing a hospital’s adherence to the best practice of administration of appropriate VTE prophylaxis to all appropriate patients.

California Department of Public Health

California Department of Public Health publishes press releases about public health issues for the state of California.

View press releases at cdph.ca.gov

The California Hospital Assessment and Reporting Taskforce (CHART)

MemorialCare is pleased to have been a pilot member in this important voluntary reporting initiative.

The California Hospital Assessment and Reporting Taskforce (CHART) was established to develop a collaborative, comprehensive, statewide online hospital performance reporting system. The focus of CHART is to report the performance of individual California hospitals in a standard, easy-to-understand format. At MemorialCare, we strongly support public reporting of hospital data to help consumers make informed choices. For many years, we have been voluntarily reporting our clinical outcomes on the care we deliver to the public.

View MemorialCare hospital quality of care rates, patient satisfaction, and safety measures at calhospitalcompare.org

Centers for Medicare and Medicaid Services (CMS)

The Centers for Medicare & Medicaid Services (CMS) is a Federal agency working to improve the quality of care in our nation's hospitals.

Sponsored by the federal government, the Hospital Quality Initiative (HQI) program allows hospitals nationally to report information related to care in three categories; heart failure, heart attack, pneumonia, and surgical infection prevention. To view a CMS Hospital Quality Alliance report on one of MemorialCare’s hospitals:

Compare to other hospitals: Hospital Compare Reports

The Leapfrog Group

MemorialCare has been honored with an "A" Hospital Safety Score by the Leapfrog Group.

Compare to other hospitals: hospitalsafetyscore.org

The Joint Commission

The Joint Commission is an independent, not-for-profit organization that accredits healthcare organizations.

Joint Commission Seal

The Joint Commission is an independent, not-for-profit organization, established more than 50 years ago that accredits healthcare organizations. The Joint Commission has recently integrated performance measurement data into the accreditation process. Performance measurement in healthcare represents what is done for the patient and how well it is done. MemorialCare hospitals report data to the Joint Commission on acute myocardial infarction (heart attack), heart failure, pregnancy and pneumonia.

Quality Check is a comprehensive guide to Joint Commission-accredited healthcare organizations. The Quality Reports provide information on a healthcare organization's:

  • Joint Commission accreditation decision and the effective dates of the accreditation award.
  • Programs accredited by the Joint Commission, and programs or services by other accrediting bodies.
  • Compliance with the Joint Commission's National Patient Safety Goals, as applicable to the organization, and performance on National Quality Improvement Goals. National Quality Improvement Goals allow hospitals to report on the key indicators of quality of care in the following treatment areas: heart attack, heart failure, pregnancy, pneumonia, and surgical care.