Hospital Profile - 2011 New Jersey Hospital Performance Report

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Bergen Regional Medical Center
http://www.bergenregional.com

Hospital is not licensed to perform CABG surgery.

Recommended Care/Process of Care Measures Higher Score is Better
	Hospital Overall Score	State Median	State Top 10%
Heart Attack (detail)	93	99	100
Pneumonia (detail)	93	97	99
Surgical Care Improvement (detail)	95	97	99
Heart Failure (detail)	100	98	100

Outcome of Care Measures: Mortality Inpatient Quality Indicator (IQI) Lower Rate is Better
	Hospital Rate	National Rates (AHRQ Comparative Data, 2008)	Statewide (2010)
Heart Attack	3.9 ^	6.3	6.1
Pneumonia	4.5	3.7	2.7
Heart Failure	6.6 ^	2.8	2.3
Stroke	16.9 ^	9.6	7.9
^ Rate is based on denominator less than 30 and should be taken with caution

Patient Safety Indicators Lower Rate is Better
	Hospital Rate	National average (2008)	Statewide number of adverse events (2010)	Statewide average rate (2010)
Foreign body left during procedure	0	184	27	NA
Iatrogenic pneumo thorax	0	0.5	292	0.3
Post-operative hip fracture	0	0.1	6	0
Post-operative hemorrhage or hematoma	0	3.4	435	3.7
Post-operative pulmonary embolism (PE) or deep vein thrombosis (DVT)	15	9.4	1461	6.6
Post-operative sepsis	64	12.7	256	14.5
Post-operative wound dehiscence	32 **	2.1	64	2
Accidental puncture or laceration	0	3	1337	1.7
Transfusion reaction	0	27	3	NA
Birth Trauma+	-1	2.3	257	2.6
Obstetric trauma - vaginal delivery with instrument+	-1	146.4	534	133.6
Obstetric trauma - vaginal delivery without instrument+	-1	32.3	1317	22.6
+ Observed rate (not risk-adjusted) NA(Not applicable) Rate is not applicable for "foreign body left during procedure" and "transfusion reaction". Both indicators are measured using volume instead of rate. - (Missing) Hospital did not perform the procedure during the year; or it performed less than 3 procedures (rate is not calculated when the denominator is less than 3). ** Worse than State Average (i.e. occurrence rate of adverse events is greater than statewide rate).

Outpatient measures for all hospitals [pdf 20k]

Healthcare Associated Infections (HAI) for all hospitals

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