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Summary of Hospital Quality Measures

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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) 96 95 100
Pneumonia (detail) 98 99 100
Surgical Care Improvement (detail) 100 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 (2016) Statewide Average Rate (2018)
Heart Attack 4.5 5.1 5
Pneumonia 2.9 2.8 2.5
Heart Failure 2.3 2.7 2.7
Stroke 4.0 7.4 6


Patient Safety Indicators
Lower Rate is Better
Hospital Rate National averages (2016) Statewide number of adverse events (2018) Statewide average rates (2018)
Retained Surgical Item or Unretrieved Device Fragment 0 694 17 NA
Iatrogenic pneumo thorax 0 0.2 104 0.2
In Hospital Fall with Hip Fracture 0 0.1 29 0.1
Post-operative hemorrhage or hematoma 0 2.3 382 2.3
Post-operative pulmonary embolism (PE) or deep vein thrombosis (DVT) 3 3.4 684 4
Post-operative sepsis 5.9 4 247 3.2
Post-operative wound dehiscence 0 0.7 27 0.6
Unrecognized Abdominopelvic Accidental Puncture or Laceration 1 1.1 93 0.8
Birth Trauma+ 4 4.6 225 2.4
Obstetric trauma - vaginal delivery with instrument+ 0^ 109.9 451 112.1
Obstetric trauma - vaginal delivery without instrument+ 15.8 17.3 842 14.4

+ 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.

^ Rate is based on less than 30 cases/patients and should be taken with caution




Healthcare Associated Infections (HAIs)
  Hospital to
National Comparison‡
Standardized Infection Ratio (SIR) NJ Statewide to
National Comparison
Abdominal Hysterectomy Surgical Site Infections, 2018 --- 0 Similar
Catheter-Associated Urinary Tract Infections (CAUTI), 2018 Similar 0.39 Lower
Central Line-Associated Bloodstream Infections (CLABSI), 2018 Similar 0.73 Lower
Colon Surgical Site Infections, 2018 Similar 0.66 Lower
Knee Arthroplasty Surgical Site Infections, 2018 --- 0 Similar
Overall Surgical Site Infections, 2018 Similar 1 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: AtlantiCare Health System
Outpatient measures for all hospitals [pdf 20k]
Healthcare Associated Infections (HAI) for all hospitals