Quality Reports
The Centers for Medicare and Medicadi (CMS) provides information about the quality of care at over 4,000 Medicare-certified hospitals across the nation. Hospital Compare is a source to find hospitals and compare their quality outcomes. Adventist Health Sonora is excited to share the hospital’s Care Compare Star Rating as well as a sampling of how we are performing on certain measures, compared to the national average.
Medicare’s Care Compare website: www.medicare.gov/care-compare
Adventist Health Sonora
Quality Measures
| Adventist Health Sonora | National Average |
---|---|---|
Outpatients with chest pain or possible heart attack who received drugs to break up blood clots within 30 minutes of arrival. |
78% | 57% |
Patients who present with stroke symptoms who received brain scan results within 45 mins of arrival. |
88% | 72% |
Percentage of mothers breastfeeding exclusively. |
66% | 51% |
Patients who received appropriate care for severe sepsis and septic shock. |
86% | 60% |
Patient Safety Initiatives
Patient Safety Initiative | Description | Results |
---|---|---|
Wound Care Team | Assessment of skin and wounds; prevention of pressure injuries | Zero pressure ulcers in 2017,2018, 2019, and 2020 |
Hospital-Onset MRSA Bloodstream Infections | Best practices when initiating, accessing, and caring for central lines; prescribing antibiotics appropriately | Zero hospital-onset MRSA bloodstream infections in 2017, 2018, 2019, and 2020 |
CLABSI Prevention
(initiated September 2018) |
Best practices for central line maintenance, compliance monitoring; CHG daily bathing implemented | Zero Central Line Associated BloodStream Infections (CLABSI) since initiation in 2018, 2019, and 2020 |
CAUTI Care Redesign
(initiated September 2020) |
Best practices of utilizing other urinary options, reducing foley catheter days, and nurse-driven protocols | Zero Catheter Associated Urinary Tract Infections (CAUTI) since initiation in 2020 |
For more information about Hospital Compare, visit the CMS website.