Quality and Satisfaction Initiatives

“Healthcare quality is the extent to which health services provided to individuals and patient populations improve desired health outcomes. The care should be based on the strongest clinical evidence and provided in a technically and culturally competent manner with good communication and shared decision making.”
Institute of Medicine

Deborah Heart and Lung Center is committed to quality care. Our vision is to be known for excellent clinical outcomes, for supreme customer-driven service, and as the ultimate leader in patient safety and privacy. We partner with quality providers and payers to ensure a seamless continuum of care to the patients we serve, continuously seeking to improve both service and quality in the most cost-effective manner.

Deborah uses the Continuous and Total Quality Improvement models to perform and evaluate vital processes that affect patient care at the Center. We involve our entire organization in a continuous process of customer-driven quality improvement activities.

Our commitment is exemplified by our participation in a number of federal, state, and privately supported quality programs. We voluntarily collect and submit data to a number of external programs.

We are proud of our performance and ranking at both national and state levels for our management of heart, lung, and vascular diseases.

The Joint Commission

Deborah Heart and Lung Center has earned The Joint Commission’s Gold Seal of Approval.

The Joint Commission is an independent, not-for-profit organization established over 50 years ago. The Joint Commission is governed by a board that includes physicians, nurses, and consumers. It sets the standards by which health care quality is measured in the United States and around the world.

The Joint Commission evaluates the quality and safety of care for over 15,000 health care organizations. To maintain and earn accreditation, organizations must have an extensive on-site review by a team of Joint Commission health care professionals, at least once every three years. The purpose of the review is to evaluate the organization’s performance in areas that affect your care. Accreditation is awarded based on how well the organization met Joint Commission standards. The accreditation process requires hospitals to submit data for specified performance measures:

  • Immunizations
  • Venous Thromboembolism
  • National Patient Safety Goals

https://www.qualitycheck.org/quality-report/?bsnId=5914

New Jersey Report Card

Hospitals submit data to the New Jersey Department of Health for public reporting as part of the State’s hospital quality performance initiative to provide information on hospital quality to patients, families, and healthcare professionals. Deborah Heart and Lung Center submits data to the New Jersey Department of Health public reporting division for the following performance measures:

  • Heart Attack
  • Pneumonia
  • Surgical Care Improvement
  • Heart Failure
  • Stroke
  • Safety Indicators
  • Healthcare-Associated Infections

http://web.doh.state.nj.us/apps2/hpr/hospitals.aspx?by=name

Leapfrog

The Leapfrog Group is an organization comprised of over 170 companies, including Fortune 500 companies and large and small private and public organizations that provide health benefits for their employees, retirees, and dependents. Leapfrog Group spends nearly $67 billion each year on health care for over 36 million Americans in all 50 states. This Group represents a significant purchasing power in the healthcare industry, the purpose of which is to use the way they purchase health care to influence hospitals to improve the safety, quality, and affordability of healthcare for Americans. This is achieved by rewarding hospitals who successfully implement initiatives that improve health care safety, quality, and customer value. Deborah Heart and Lung Center voluntarily completes the Leapfrog Survey for public reporting. In addition to scores on the survey, Leapfrog also assigns a Hospital Safety Grade. However, Deborah Heart and Lung Center is not assigned a safety grade because we are considered a specialty hospital and there is no safety grade for a specialty hospital.

The Leapfrog Survey scores hospitals on the following measures:

  • Inpatient Care Management
  • Medication Safety
  • Hospital-Acquired Conditions

http://www.leapfroggroup.org/hospitals/search/list/states/New%20Jersey

National Hospital Compare

Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find hospitals and compare the quality of their care.

The information on Hospital Compare helps you make decisions about where you get your health care and encourages hospitals to improve the quality of care they provide.

Hospital Compare was created through the efforts of the Centers for Medicare & Medicaid Services (CMS), in collaboration with organizations representing consumers, hospitals, doctors, employers, accrediting organizations, and other federal agencies.

The Hospital Compare overall rating summarizes up to 57 quality measures across seven areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s overall rating is calculated using only those measures for which data are available. This may include as few as 9 or as many as 57 measures. The average is about 39 measures. Deborah has consistently achieved a rank in the top 10-20% of all hospitals nationwide and has achieved the status of “Top Hospital” for a number of quality measures.

Deborah Heart and Lung Center submits data to this national database for public reporting for the following performance measures:

  • Mortality
  • Safety of Care
  • Readmission
  • Patient Experience
  • Effectiveness of Care
  • Timeliness of Care
  • Efficient Use of Medical Imaging

 

 

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