Patient Safety
Good Shepherd Medical Center
| Measure | Last Updated |
|---|---|
| HCP/IMM-3 | Q4 2023 – Q1 2024 |
|
Influenza Vaccination Coverage Among Healthcare Personnel (HCP) |
|
| Antibiotic Stewardship | 2024 |
|
Measured via Center for Disease Control National Healthcare Safety Network (CDC NHSN) Annual Facility Survey |
| Good Shepherd Medical Center | Q4 2020 – Q1 2021 | Q4 2021 – Q1 2022 | Q4 2022 – Q1 2023 | Q4 2023 – Q1 2024 | Q4 2024 – Q1 2025 | OR CAH Rate Q4 2024 – Q1 2025 | National CAH Rate Q4 2024 – Q1 2025 | |
|---|---|---|---|---|---|---|---|---|
| IMM-3 | Influenza Vaccination Coverage Among Healthcare Personnel | 92% of 983 patients | 69% of 1,034 patients | 55% of 941 patients | 43% of 1,179 patients | 38.1% of 1,434 patients | 84.5% | 75.0% |
Influenza Vaccination Coverage Among Healthcare Personnel
| Antibiotic Stewardship | 2020 | 2022 | 2023 | 2024 | % of OR CAHs Meeting Element (2024) | State CAH Average (2024) | National CAH Average (2024) |
|---|---|---|---|---|---|---|---|
| Number of Elements Met | 4 | 7 | 7 | 7 | 92% | 100.0% | 94.0% |
| Element 1: Leadership | Y | Y | Y | Y | 92% | 100.0% | 99.0% |
| Element 2: Accountability | Y | Y | Y | Y | 92% | 100.0% | 99.0% |
| Element 3: Drug Expertise | Y | Y | Y | Y | 92% | 100.0% | 98.0% |
| Element 4: Action | N | Y | Y | Y | 92% | 100.0% | 99.0% |
| Element 5: Tracking | Y | Y | Y | Y | 92% | 100.0% | 97.0% |
| Element 6: Reporting | N | Y | Y | Y | 92% | 100.0% | 99.0% |
| Element 7: Education | N | Y | Y | Y | 92% | 100.0% | 100.0% |
Antibiotic Stewardship Trend in Good Shepherd Medical Center
| Safe Use of Opioids | 2023 | 2024 | % of OR CAHs Meeting Element (2024) | State CAH Rate (2024) | National CAH Rate (2024) |
|---|---|---|---|---|---|
| Safe Use of Opioids Rate | 11% of 510 patients | 12% of 653 patients | 100% | 15.3% | 16.5% |