April 2008 Quality Report Card 

When choosing healthcare, quality is the most important factor to consider. Finding quality healthcare involves more than just choosing a physician or hospital from an insurance list or the yellow pages. Since the medical care you choose will have a direct impact on your outcome, it is important to compare quality scores before seeking treatment. 

Cape Fear Valley is fully accredited by The Joint Commission on Accreditation of Healthcare Organizations, the premiere healthcare-accrediting body in the world. It evaluates nearly 16,000 healthcare organizations throughout the United States, including more than 8,500 U.S. hospitals and home care providers. 

To learn more about Cape Fear Valley's accreditation by the Joint Commission, click here.

Here is a quick list of Cape Fear Valley's current quality rankings below:

Patient Satisfaction Scores

Cleveland Clinic Heart Center Affiliation Results

Emergency Department Trends

Hospital Compare Scores

Hospital Quality Incentive Rankings

Rehabilitation Center Program Evaluation Model Score

Surgical Care Improvement Project Scores 

North Carolina Hospital Quality Performance Report

Highly Reliable Heart Failure Care

National Patient Satisfaction Scores

Click the PDF logo to the left 
to download a printer-friendly 
version of all the scores

 

 

Patient Satisfaction Scores

Category Percentile Ranking
Emergency Department 84th
Cape Fear Valley Inpatients 44th
Cape Fear Valley Outpatients 39th
Press-Ganey Percentile Rankings
Jan. - March 2008 data

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Cleveland Clinic Heart Center Affiliation Results

In June 2007, Cape Fear Valley's Heart & Vascular Center became a national affiliate of Cleveland Clinic's top-rated Heart Surgery program. The initial results of that affiliation show that the Heart & Vascular Center has made significant gains in heart surgery patient outcomes. To learn more, download our inaugural Cardiothoracic Surgery Outcomes booklet explaining how our new affiliation benefits you, the patient.


Click to download
Outcomes booklet

*The time a heart is stopped during surgery. Shorter times minimize stress to the heart and lead to fewer complications and survival rates.

January - December 2007 data

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Emergency Department Trends

Cape Fear Valley's Emergency Department is one of the busiest in the state, with patient volumes that continue to grow tremendously every year. Despite the rapid growth, the Emergency Department has continued to improve quality by improving patient throughput. Decreased wait times directly affects patient satisfaction, which is a key performance measure indicator for the health system.

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Hospital Compare Scores

How do you know you’re getting quality care? The Centers for Medicare and Medicaid Services has made it easy to compare hospital quality delivered to Medicare patients on its new website, called “hospital compare.” 

Located at www.hospitalcompare.hhs.gov, the site was launched in 2005 to provide consumers with an easy way to gauge a hospital’s efforts to improve care.

The latest results, through March 2007, show that Cape Fear Valley is on the right track. In fact, we are scoring above state and/or national averages on 18 out of 19 indicators. Patients without internet access can call 1-800-MEDICARE for the latest results.

July 2006 - June 2007 data

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Hospital Quality Incentive Rankings

The Hospital Quality Incentive is a six-year demonstration project of Medicare, in partnership with Premier Inc. It is designed to incentivize hospitals to improve quality. Cape Fear Valley is one of approximately 270 hospitals nationwide that volunteered to participate in the project. You can get additional information about our scores at www.hospitalcompare.hhs.gov.  

December 2007 latest available data   

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Rehabilitation Center Program Evaluation Model Score

Cape Fear Valley Rehabilitation Center is participating in a new evaluation program called Program Evaluation Model (PEM) Report Cards through Uniform Data Services (UDS). The program evaluates the outcomes of rehabilitation patients from 804 participating facilities nationwide, based on patient diagnoses, length of stay and discharge destination. The graph shows Cape Fear Valley Rehabilitation Center's overall percentile ranking compared to the other rehabilitation centers.

April 2008 latest available data   

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Surgical Care Improvement Project Scores

Cape Fear Valley is participating in the national Surgical Care Improvement Project (SCIP) to improve the surgical care patients receive and reduce preventable surgical deaths by complying with three steps: choosing the correct antibiotic to help prevent surgical infection; giving patients the antibiotic within one hour prior to surgical incision; and discontinuing the antibiotic within 24 48 hours after surgery, depending on the surgery. The graphs below show Cape Fear Valley's overall compliance.  

 

 
December 2007 latest available data   


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NC Hospital Quality Performance Report

The North Carolina Hospital Quality Performance Report is a joint initiative of the North Carolina Hospital Association (NCHA) and NC Center for Hospital Quality and Patient Safety, in an effort to voluntarily collect and report quality performance information. The effort is consistent with a similar reporting initiative run by the national Hospital Quality Alliance (HQA). You can learn more about our performance scores at http://www.nchospitalquality.org/.

 







May - October 2007 data

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Highly Reliable Heart Failure Care

The N.C. Hospital Quality Performance Report recently created a new category called “High Reliable" for hospitals that consistently provide recommended treatment as measured by an optimal care score over a period of time. The Heart Failure subcategory requires hospitals to maintain optimal care scores of 90% or higher for four consecutive 6-month periods. This shows compliance with evidence-based treatment for patients that are consistent and exceptional. Cape Fear Valley was one of just seven North Carolina facilities to be named a High Reliable hospital this year.

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National Patient Satisfaction Scores

In March 2008, The Center for Medicare and Medicaid Services (CMS) released its first national patient satisfaction scorecard, called the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The goals of the survey are to provide consumers with hospital data they can understand and compare, incentivize hospitals to improve quality of care, and to increase the transparency of hospital care quality. Consumers can visit www.hospitalcompare.hhs.gov and compare up to three hospitals to each other, to the state, or national averages.

October 2006 - June 2007 data

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