Providing the highest quality health care is the cornerstone of all we do. Quality data reporting allows us to share with the communities we service how we are doing on key quality measures. Quality measures allow us to show how we compare to national standards.
As a patient, this data may help you make decisions regarding your health care and will help you be a more informed partner along with your health care team.
Carle is continually working to provide the best care possible. Team members actively review outcome data and work collaboratively with key stakeholders to identify areas of improvement in workflows, reducing gaps in care, and ensuring consistency in care with the focus of providing the highest quality and safest level of care to our patients.
Patients can be at risk for infection while receiving medical care. Our teams follow strict guidelines for keeping our patients safe from infection using standard precautions – such as handwashing, wearing gloves and cleaning surfaces – to special precautions required for higher risk illnesses.
0.488
Better than national benchmark
National benchmark: 1.000
0.895
No different than national benchmark
National benchmark: 1.000
1.469
No different than national benchmark
National benchmark: 1.000
Not Available
National benchmark: 1.000
0.964
No different than national benchmark
National benchmark: 1.000
0.105
Better than the national benchmark
National benchmark: 1.000
Data Collection Time period: 01/2022-12/2022
Last updated: 04/2024
Carle Orthopedics offers comprehensive care through the collaboration of our physicians, therapists and advanced practice providers. We perform the most hip and joint replacements in the area, using state-of-the-art techniques that are minimally invasive, improve pain control and reduce recovery times.
How Carle Foundation Hospital is Performing
At Carle, we work tirelessly to provide the highest quality of care for our patients. We regularly review quality data to understand how we compare to regional and national standards of care to confirm what we are doing well and to identify the areas in which we need to improve. By regularly evaluating how we are doing against quality standards, we are able to work together to ensure safe and effective delivery of care.
The DNV Hip and Knee Replacement Program Certification, based on standards set forth by and considering the guidelines of the American Academy of Orthopedic Surgeons, recognizes program excellence in patient care and outcomes.
DNV certification as a Hip & Knee Replacement Center validates the hospital’s excellence across the spectrum of hip and knee replacement care, from diagnosis to treatment, rehabilitation, education and outcomes.
“This certification tells our community that we have the resources and commitment to provide the best possible care for Hip and Knee replacement. It’s a combination of the right equipment, personnel and training to exhibit excellence in orthopedic surgery within the scope of Hip and Knee Replacement and related procedures. Achieving certification validates all the effort we have put into this program to ensure the health and safety of our patients.”
– Lakita Scott, MSN, RN, CPHQ, NE-BC Vice President of Quality
Our comprehensive team of experts specialize in the treatment of numerous types of cancer, including complex and advanced stage cases. Our Cancer Institute houses state-of-the-art equipment that allows our team to more accurately locate, stage and treat the disease.
Our cancer care teams follow the latest evidence-based treatment protocols resulting in the best possible outcomes for our patients.
How Carle Foundation Hospital is Performing
Carle Foundation Hospital is the only certified Comprehensive Stroke Center in the region in a Level I Trauma Center. We have neurosurgeons and neurointerventional specialists available 24/7 to ensure faster treatment and help improve outcomes for patients having a stroke. We strive to intervene as early as possible for patients with stroke symptoms, and we continue to provide quality care to patients after a stroke with the goal of optimizing recovery.
How Carle Foundation Hospital is Performing
The DNV Comprehensive Stroke Center Certification is based on standards set forth by the Brain Attack Coalition and the American Stroke Association, and affirms that the medical center addresses the full spectrum of stroke care – diagnosis, treatment, rehabilitation and education – and establishes clear metrics to evaluate outcomes.
“The DNV Comprehensive Stroke Certification survey process integrates requirements related to the CMS Conditions for Participation for hospitals. The certification also incorporates a Quality Management System to develop, implement, and maintain an ongoing system for measuring, monitoring, and managing quality and patient safety to continually improve the care of patients."
– Robert Healy, MD Associate Chief Medical Officer, Quality, Patient Safety and Experience.
Our mission is to be your trusted partner in all healthcare decisions, and we strive to make sure you feel well cared for while receiving our services. The Centers for Medicare and Medicaid collect data through a national, standardized survey. This survey is provided to a random sample of our patients recently discharged from the hospital. We use patient feedback through these and other surveys to make improvements to our processes and communication to serve you better.
See how Carle performs on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures via the Illinois Hospital Report Card.
Following clinical best practices and scientific evidence are the best ways to avoid preventable complications and hospital-acquired infections. At Carle, we have numerous clinical workgroups and committees that are regularly reviewing the latest literature and clinical recommendations to ensure we are providing the most up-to-date, safe processes and treatments for our patients. When adverse events occur, our Patient Safety team partners with the clinical teams to review root causes and opportunities for improvement as part of a continuous learning cycle.
The Centers for Medicare & Medicaid Services (CMS) tracks various complications that may occur in the hospital setting, providing national comparisons for benchmarking. Carle Foundation Hospital’s most recent performance on these measures is displayed below.
4%
No different than the national rate
National result: 3.2%
Number of included patients: 141
1.14
No different than national value
177.69
No different than the national rate
National result: 167.87
Last updated: 04/2024
Experts from Carle Heart and Vascular Institute collaborate to provide the highest level of patient care, research and education to patients with cardiac, vascular and related conditions.
Heart care quality measures focus on all non-surgical care of the heart. Measures look at how we compare to national standards for caring for heart related disorders. Treatments range from medications to more invasive procedures.
How Carle Foundation Hospital is Performing
“Program certification lets the communities we serve know we have the resources and commitment to provide the best possible care for the patients we serve. Achieving and maintaining certifications validates all the effort we have put into this program to ensure the health and safety of our patients."
– Napoleon Knight, MD, MBA Executive Vice President and Chief Medical Officer
After a hospital stay or a major health event, patients may need additional care getting back to their daily lives. Our inpatient rehabilitation team works to help patients recover from injury or illness to achieve the best possible outcomes.
How Carle Foundation Hospital is Performing
With the area’s only Level III Perinatal services, we care for women with healthy pregnancies but also those with high risk pregnancies and their babies. We use the most advanced diagnostics to monitor the health of mothers and their babies during pregnancy. And we are here to provide the highest quality care after the baby is born.
See how Carle performs on Maternal and Pediatric Quality measures via the Illinois Hospital Report Card.
Research shows that outcomes of care are improved when patients receive appropriate screening and treatment in a timely manner, along with appropriate utilization of resources. Time to treatment, appropriate intervention and follow-up, and survival rates are all important ways to measure quality care.
Sepsis care - January 2022-December 2022
Sepsis is a complication that occurs when your body has an extreme response to an infection. It causes damage to organs in the body and can be life-threatening if not treated. Sepsis can sometimes turn into septic shock, which has a higher risk of death. Identifying sepsis early and starting appropriate care quickly increase the chances of survival. At Carle Foundation Hospital, our Sepsis Workgroup focuses on efficient identification and implementation of care processes for septic patients, as well as provider education to ensure compliance with evidence-based screening and treatment.
55%
of 215 patients
National average: 60%
Illinois average: 58%
Colonoscopy follow-up - Jan - Dec 2022
A colonoscopy is one test doctors can use to find precancerous polyps (abnormal growths) or colorectal cancer. Scientific evidence shows that the following measures represent best practices for follow-up colonoscopies.
94%
of 103 patients
National average: 92%
Illinois average: 94%
16.4%
Worse than than the national rate
National average: 14.6%
Number of included patients: 3750
13.8%
No different than the national rate
National average: 14%
Number of included patients: 246
19.1%
No different than the national rate
National average: 19.3%
Number of included patients: 138
17.1%
No different than the national rate
National average: 16.9%
Number of included patients: 455
22.6%
Worse than the national rate
National average: 20.2%
Number of included patients: 729
Updated: 04/2024