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April 2008 Quality Report Card
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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.
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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.
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| Category |
Percentile Ranking |
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Emergency Department |
84th |
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Cape Fear Valley Inpatients
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44th |
| Cape Fear Valley Outpatients |
39th |
Press-Ganey
Percentile Rankings
Jan. - March 2008 data |
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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.
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| *The time a heart is stopped during surgery. Shorter times minimize stress to the heart and lead to fewer complications
and survival rates. |
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January - December 2007
data |
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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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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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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 |
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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.

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April
2008
latest available
data
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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/.
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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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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.
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October 2006 - June 2007 data
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