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Summary of Hospital Quality Measures

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Jefferson Cherry Hill Hospital
https://newjersey.jeffersonhealth.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 (2018) Statewide Average Rate (2020)
Heart Attack 8.3 ^ 5 5.8
Pneumonia 6.6 4.5 5.9
Heart Failure 1.9 2.6 2.8
Stroke 9.2 7 7.3

^ Rate is based on denominator less than 30 and should be taken with caution



Patient Safety Indicators
Lower Rate is Better
Hospital Rate National comparative rates (2018) Statewide number of adverse events (2020) Statewide average rates (2020)
Retained Surgical Item or Unretrieved Device Fragment 0 629 10 NA
Iatrogenic pneumo thorax 0 0.2 89 0.2
In Hospital Fall with Hip Fracture 0 0.1 38 0.1
Post-operative hemorrhage or hematoma 1.8 2.4 313 2.2
Post-operative pulmonary embolism (PE) or deep vein thrombosis (DVT) 0 3.4 551 3.7
Post-operative sepsis 18.8 ** 4.1 215 3.8
Post-operative wound dehiscence 0 0.8 29 0.6
Abdominopelvic Accidental Puncture or Laceration 2.1 1.0 89 0.8
Birth Trauma+ . 4.5 221 2.4
Obstetric trauma - vaginal delivery with instrument+ . 116.0 429 114.7
Obstetric trauma - vaginal delivery without instrument+ . 17.4 832 14.8

+ 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).

** Worse than State Average (i.e. occurrence rate of adverse events is greater than statewide rate).




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 3.08 Lower
Central Line-Associated Bloodstream Infections (CLABSI), 2019 --- --- Lower
Colon Surgical Site Infections, 2019 --- --- Lower
Knee Arthroplasty Surgical Site Infections, 2019 Similar 0.823 Similar
Overall Surgical Site Infections, 2019 Similar 1.694 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 - √°indicates hospital infections are SIMILAR to infections seen nationally.


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