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Summary of Hospital Quality Measures

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Hackensack-UMC At Pascack Valley
http://www.hackensackumcpv.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) 95 100
Pneumonia (detail) 97 99 100
Surgical Care Improvement (detail) 99 99 100
Heart Failure (detail) 100 100 100


Outcome of Care Measures: Mortality Inpatient Quality Indicator (IQI)
Lower Rate is Better
Hospital Rate National Average Rate (2012) Statewide Average Rate (2014)





Healthcare Associated Infections (HAIs)
  Hospital to
National Comparison‡
Standardized Infection Ratio (SIR) NJ Statewide to
National Comparison
Abdominal Hysterectomy Surgical Site Infections, 2014 --- --- Similar
Catheter-Associated Urinary Tract Infections (CAUTI), 2014 Similar 2.23 Higher
Central Line-Associated Bloodstream Infections (CLABSI), 2014 Similar 0.88 Lower
Colon Surgical Site Infections, 2014 --- --- Lower
Knee Arthroplasty Surgical Site Infections, 2014 --- --- Lower
Overall Surgical Site Infections, 2014 --- --- Lower

‡ Each hospital is compared to the National Ratio=1. The National Ratio is derived using the CDCs NHSN data from 2009 for CAUTI due to a definition change (AJIC, 2010).


Health System: Hackensack-UMC
Outpatient measures for all hospitals [pdf 20k]
Healthcare Associated Infections (HAI) for all hospitals