Quality & Safety
Have a Patient Care or Safety Concern?
Safe care is our priority. Please feel free to tell our staff if you have a patient care or safety-related concern or complaint. Patients have the right to report complaints without negative consequences. Contact numbers follow:
- The Department Manager (call the hospital operator at 815-433-3100)
- The Patient Representative (call Lauren Siemen, Manager of Service Excellence at 815-431-5527)
- Hospital Administration at 815-431-5375
The following agencies may also be contacted:
- The Joint Commission at 800-994-6610
- The Illinois Department of Public Health at 800-252-4343, TTY 800-547-0466
535 W. Jefferson Street, Springfield, IL 62761
We are leading the transformation of health care through sustained quality and delivering value to our communities. Quality is more than a concept to us, and we measure it in several ways.
First, we complete the Leapfrog Survey annually.
- The Leapfrog Hospital Survey assesses hospital performance based on national performance measures. These measures and practices are of specific interest to health care consumers, and cover a broad spectrum of hospital services, processes, and structures. The measures also provide hospitals with the opportunity to benchmark the progress they are making in improving the safety, quality, and efficiency of the care they deliver. Leapfrog Hospital Survey results are publicly reported, by hospital, at www.LeapfrogGroup.org/cp each month.
Additionally, we have joined the Illinois Surgical Quality Improvement Collaborative and submit data to National Database of Nursing Quality Indicators:
- The Illinois Surgical Quality Improvement Collaborative (ISQIC) is a recently initiated collaborative partnership of 53 Illinois hospitals, the Illinois and Metropolitan Chicago Chapters of the American College of Surgeons, the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP), the Surgical Outcomes and Quality Improvement Center (SOQIC), and Blue Cross Blue Shield of Illinois. The mission of ISQIC is to work together to improve the quality of surgical care in Illinois. Hospitals are provided with detailed data regarding their performance compared to other Illinois hospitals, along with the tools to enact meaningful improvements when they identify problem areas. Mentors, formal quality and process improvement training, and process improvement consultants are available to the hospitals as they work to implement solutions. Lessons learned at one hospital are shared with all participating hospitals, so we can all learn from each other with a common goal of making care better and safer for the surgical patient in Illinois.
- The National Database of Nursing Quality Indicators® (NDNQI) is a proprietary database of the Press Ganey Associates, Inc. The database collects and evaluates unit-specific nurse-sensitive data from acute care hospitals. Participating facilities receive unit-level comparative data reports to use for quality improvement purposes.
The following criteria are also often cited as quality indicators:
Medical Center Accreditation
The Joint Commission (JC) is an independent, not-for-profit organization that evaluates and accredits nearly 16,000 health care organizations and programs in the United States. JC accreditation is recognized nationwide as a symbol of quality that reflects an organization's commitment to meeting certain performance standards. To earn and maintain accreditation, an organization must undergo an on-site survey by a JC survey team at least every three years. Our JC information is available at www.jointcommission.org.
OSF Saint Elizabeth boasts a nursing staff that is highly experienced and exceptionally trained. Our hospital has the highest percentage of registered nurses in the area. These compassionate caregivers may be found throughout OSF Saint Elizabeth in clinical and non-clinical roles performing a variety of services for patients of all ages, from infants to geriatrics. In addition to providing direct patient care, our nurses coordinate patient care with the other disciplines such as physical therapy, dietitians, and social services. Our nursing staff is dedicated to providing a high level of care, focusing on safety. Patient Safe Solutions are utilized by nursing staff throughout the hospital, including a bar coding system used for passing medications, PCA's with smart pump technology, and end tidal Cox monitoring (which monitors hypoventilation) for patients receiving IV medications.
Board certification, or the international equivalent, means that doctors have completed specialized training that a specialty board requires. To earn board certification, physicians must have practiced for a specified period of time and then pass a difficult written and oral examination. Board certification is generally accepted as a good indication of competence and experience. Ask your physician about her or his board certifications. Additionally, some physicians are also board eligible, meaning they have completed necessary education and training and are waiting a required period of time before taking their board exam.
Patient satisfaction often reflects how willing doctors and nurses are to listen, answer questions and explain treatments; how much time doctors spend with patients; and if the medical center is clean and the food is good. Patient satisfaction data can predict how satisfying your experience is likely to be. We work to capture the voice of our patients and transform the patient experience by working with Press Ganey. If you visit our emergency department or are admitted to our facility, you might receive a survey in the mail. We appreciate your participation!
Hospital Report Card Act
Pursuant to the "Hospital Report Card Act" you have the right to information regarding nurse staffing and training. In order for us to provide you this information in a timely manner, please contact us as follows:
If you would like current staffing information, please contact a nurse on the inpatient unit for which you would like the information.
If you would like information regarding staffing plans and historical data, please contact the Nursing Secretary Office at (815) 431-5355 Monday through Friday between the hours of 9:00 a.m. and 5:00 p.m.
If you would like information regarding staff training of personnel working in the inpatient direct care areas, please contact Human Resources at (815) 431-5318 Monday through Friday between the hours of 9:00 a.m. and 5:00 p.m.
Other Sources of Health Care Quality Information
Several industry and government organizations provide information about health care quality and some have proprietary reporting tools. The information these organizations provide can help you make informed, accurate decisions about healthcare quality.
Warning: Different agencies and consumer reporting sites use different definitions, data sets, and time periods and have different (or nonexistent) ways of normalizing data for comparisons (severity adjustments).
Therefore, comparisons between sources are not "apples to apples" and comparisons within a single source have to be carefully analyzed before accurate conclusions can be made (read the fine print!).
Public Information About OSF Saint Elizabeth Medical Center
Healthgrades is a private company that uses Med Par public data and proprietary severity adjustment methodology to rank organizations on a scale of 1-5 "stars" with 5 being excellent. Problems abound with this data, which is two to three years old before it is released, and Healthgrades issues its stars based on three years of data. As a result, Healthgrades is not a true reflection of any medical center's current practices. In addition, its severity adjustment methodology can not be reproduced. Another limitation is that Med Par data includes only Medicare patients who are over 65 years old and who are cared for in the inpatient settings.
Illinois Department of Public Health
The Illinois Department of Public Health is responsible for protecting the state's 12.4 million residents, as well as countless visitors, through the prevention and control of disease and injury. The Department's nearly 200 programs touch virtually every age, aspect and cycle of life. For more information, visit the IDPH website.