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Quality Data for CHI St. Luke's Health Brazosport



Healthcare is becoming a more transparent business.
In years past, healthcare consumers had no way of knowing if the hospital they used met the quality standards. Today, it is fairly easy to research how our community hospital or almost any other hospital in the country is doing relative to national standards.

What are we doing to improve clinical quality at CHISLHB? Below are some of the actions we take to provide top quality care:
  • We review our quality measurement data on a consistent basis and report to a hospital-based Performance Improvement Team.
  • We post our performance data for our Team Members to review, learn, and improve quality practices.
  • On a routine basis, we share our data with the Medical Staff, and work with them closely to ensure we keep our scores high.
  • The results are also shared with our Board of Trustees.
  • We have a concurrent review nurse who evaluates the patient charts to ensure each measure is met.
  • Our concurrent review nurse also meets with Team Members, including Physicians, to provide education regarding the core measures.
  • To remain consistent with national standards and trends, we hold regular educational sessions to learn more about quality and patient safety.

How can I learn more? Hospitals across the country, like CHI St. Luke's Health Brazosport, are measured and compared by Medicare on their website entitled Hospital Compare. Please notice there is a lapse of time between when data is reported from hospitals and when it is posted to the public. This is because all hospitals nation-wide have to wait for state and national statistics to be compiled before posting quality data for a given period.

The Centers for Medicare and Medicaid Services established the Core Measure process in 2000. Based on research and national standards, Core Measures describe the fundamental things that should happen while patients receive care in the hospital.