Hospital Performance Report

Summary of Hospital Quality Measures

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Virtua West Jersey Hospital-Marlton
http://www.virtua.org

Hospital is not licensed to perform CABG surgery.

Outcome of Care Measures: Mortality Inpatient Quality Indicator (IQI) Lower Rate is Better
	Hospital Rate	National Average Rate (2019)	Statewide Average Rate (2021)
Heart Attack	3.4	4.9	5.6
Pneumonia	7.2	4.3	5.3
Heart Failure	4.3	2.5	3
Stroke	4.9	6.7	6.9

Patient Safety Indicators Lower Rate is Better
	Hospital Rate	National comparative ratea (2019)	Statewide number of adverse events (2021)	Satewide average rates (2021)
Retained Surgical Item or Unretrieved Device Fragment	0	597	11	NA
Iatrogenic pneumo thorax	0.2	0.2	75	0.1
In Hospital Fall with Hip Fracture	0	0.1	40	0.1
Post-operative hemorrhage or hematoma	2.8	2.2	326	2.2
Post-operative pulmonary embolism (PE) or deep vein thrombosis (DVT)	2.8	3.2	512	3.3
Post-operative sepsis	6.9	3.9	225	3.8
Post-operative wound dehiscence	0	1.6	29	0.9
Abdominopelvic Accidental Puncture or Laceration	0.8	1	111	1
Birth Trauma+	0	4.6	296	3.2
Obstetric trauma - vaginal delivery with instrument+	.	117.2	401	106.4
Obstetric trauma - vaginal delivery without instrument+	.	17.5	942	15.8
+ Observed rate (not risk-adjusted) Not applicable - Rate is not applicable for "Retained Surgical Item or Unretrieved Device Fragment Count" 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).

Healthcare Associated Infections (HAIs)
	Hospital to National Comparison‡	Standardized Infection Ratio (SIR)	NJ Statewide to National Comparison
Abdominal Hysterectomy Surgical Site Infections, 2019	---	---	Similar
Catheter-Associated Urinary Tract Infections (CAUTI), 2019	Similar	0.244	Lower
Central Line-Associated Bloodstream Infections (CLABSI), 2019	Similar	0.87	Lower
Colon Surgical Site Infections, 2019	Similar	0.56	Lower
Knee Arthroplasty Surgical Site Infections, 2019	---	---	Similar
Overall Surgical Site Infections, 2019	Similar	0.467	Lower
Each hospital is compared to the National Ratio=1. --- Standardized Infection Ratio (SIR) is not calculated because the Expected is < 1 Lower - indicates hospital infections are LOWER than infections seen nationally. Similar - áindicates hospital infections are SIMILAR to infections seen nationally.

Health System: Virtua Health

Outpatient measures for all hospitals [pdf 20k]

Healthcare Associated Infections (HAI) for all hospitals