Quality of Care
The skilled and compassionate doctors, nurses and support staff of OSF Holy Family set the standard for patient care. Each patient is treated like family with personal care. The access we provide to specialized clinics, modern medical technology and a long list of resources make each patient's stay - however long or brief - one that will ultimately lead to a full recovery.
The evaluation of patient care is an on-going process. Each clinical department has a continuing quality improvement program and monitors various aspects of care on a priority and problem basis (high risk, high volume, problem prone or an identified opportunity to improve care). Monthly and/or quarterly reports on departmental activities are provided to the Performance Improvement Area in accordance with the Hospital's Care, Ethics, Improvement and Compliance Program Plan.
These reports are then presented to the Care Ethics Improvement Compliance (CEIC) Committee for review. If the monitor result fails to achieve expectations, the department will conduct, as appropriate, whatever investigations or activities are necessary to bring the monitor to the expected level.
Information or data that comprises the monitor, i.e., nosocomial infection rate, number of patient falls, patient telephone survey data, is often provided by sources external to the department. These sources may include, but are not limited to, the following:
- Internal Audit
- Medical Records Department
- Information Services Department
- Patient Advocate
- Hospital Association
- Review Organization
- Commission on Accreditation of Healthcare Organizations
- COMP data
- CART Tool Data
Hospital Report Card Act
The Illinois Department of Public Health (IDPH) is responsible for making certain the adopted rules of the Hospital Report Card Act* are followed. The Act was passed by the Illinois Legislature in 2006 and became effective in March, 2007. Basically, the Act requires hospitals to provide to patients and anyone inquiring the number of nursing staff assigned to a patient unit during a work shift.
Nurse staffing includes the number of registered professional nurses, licensed practical nurses and other nursing personnel assigned to each patient unit each day.
To receive this information while you are or your loved one is hospitalized; contact the Nurse Manager on the specific nursing unit. Your request will be answered by a nursing supervisor or manager within two hours of your request during normal business hours on weekdays and within 4 hours on weekends in compliance with the adopted rules published by IDPH.
Additionally, any requests about our nurse staffing unrelated to an individual person's pending or current inpatient hospital stay can be made between 9 a.m. and 5 p.m. Monday thru Friday either in writing or by contacting our Director of Nursing noted below. Again, in compliance with the adopted rules published by IDPH, we will comply with a written request within seven business days after its receipt.
You may also call Shelley Wiborg at (309) 734-3141 x437, or put your request in writing to:
Shelley Wiborg, Director of Nursing
OSF Holy Family Medical Center
1000 W. Harlem Avenue
Monmouth, Illinois 61462