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| QUALITY REPORTS |
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Quality Reports
 Quality Reporting As your quality care partner, Sturgis Hospital provides quality and safety data of our hospital so you have the information to make the best decisions for you and your family. We are always reviewing our data results and updating our plans so we can provide excellent care. The clinical data found on the internet reflect the prior years scores. These scores are updated on a quarterly basis. The measurements are found at the Centers for Medicare & Medicaid Services (CMS) and the Hospital Quality Alliance (HQA) at www.hospitalcompare.hhs.gov Categories Heart Attack A heart attack (also called an acute myocardial infarction) happens when the arteries leading to the heart become blocked and the blood supply is slowed or stopped. When the heart muscle cant get the oxygen and nutrients it needs, the part of the heart tissue that is affected may die. Every year, about one million people suffer a heart attack. It is among the leading causes of hospital admission for Medicare beneficiaries, age 65 and older. The symptoms of a heart attack can include: Chest pain (often described as a crushing, squeezing or burning pain in the center of the chest and may radiate to your arm or jaw) Shortness of breath Dizziness or faintness Sweating Nausea Cold or clammy skin A gray or very ill appearance Sometimes there may be no symptoms, especially if you have diabetes, Women sometimes have different symptoms, such as a different kind of chest pain and/or abdominal pain. More information about heart health: American Heart Association (www.heart.org) National Library of Medicine and the National Institutes of Health (www.nlm.nih.gov) Heart Failure Heart Failure is a weakening of the hearts pumping power. With heart failure, your body doesnt get enough oxygen and nutrients to meet its needs. Heart failure is the most common hospital admission diagnosis in patients age 65 or older, accounting for more that 700,00 hospitalizations among Medicare beneficiaries every year. It is associated with severe functional impairments and high rates of morbidity and mortality. Symptoms of Heart Failure may include: Shortness of breath from fluid in the lungs Swelling (such as in the legs, ankles or abdomen) Dizziness Fatigue Weakness Cold or clammy skin A rapid or irregular heartbeat Heart Failure can be a result of heart condition due to: Hardening of the arteries, also known as coronary artery disease, A heart attack, Cardiomyopathy (heart muscle damage from infection or alcohol or drug abuse), or An overworked heart (caused over time by conditions like high blood pressure, kidney disease, diabetes, or a defect from birth). For more information about heart health, check: American Heart Association (www.heart.org) National Library of Medicine and the National Institutes of Health (www.nlm.nih.gov) Pneumonia Pneumonia is caused by a viral or bacterial infection that fills your lungs with mucus. This lowers the oxygen level in your blood. Community acquired pneumonia is a major contributor to illness and mortality in the United States, causing 4 million episodes of illness and nearly one million hospital admissions each year. Symptoms of pneumonia can include the following: Difficulty breathing Wet cough. Your mucus may look green or bloody. Chest pain Fever and chills Fatigue For more information about lung health, check: American Lung Association (www.lungusa.org) National Library of Medicine and the National Institutes of Health (www.nlm.nih.gov) Surgical Care Improvement / Surgical Infection Prevention Hospitals can improve surgical care and reduce the risk of wound infection after surgery by providing the right medicines at the right time on the day of surgery. Sometimes patients get an infection after surgery, even if the hospital took steps to prevent it. Here are signs to look out for: The surgical wound is red, hot and swollen. You have a fever of over 100 degrees after you go home. A smelly or yellow/green fluid is coming out of the wound. Your pain is increasing even though you are taking pain medication. Call your doctor or local hospital immediately if you have any of these signs. Central Line Associated Bloodstream Infections Ref: ICUs in Michigan Sustain Zero Blood Stream Infections for Up to 2 Years, AHRQ, 5/9/11 Blood stream infection defined: Blood stream infections are caused by bacteria that enter into the blood stream. This is one of the most serious types of infection a person can have. Approximately 35% of patients that develop a Central Line Associated Bloodstream Infection die. Having a central line in place increases the risk of these infections. This emphasizes the importance of safety precautions while a patient has a central line. Infection Rates Sturgis Hospital can not provide specific infection rates without permission of the physician. However, our MRSA and hospital acquired infection rates are well below the national average. We have multiple policies in place that the staff and physicians follow and do everything we can to prevent infections in our patients. I personally would be very comfortable as a patient here knowing that our staff is dedicated to making sure our patients are as safe as possible. Sarah Kay Hagen, RN, BSN Many people ask me if I get the vaccine, and the answer is “yes” and I even make sure my kids
get it because I feel that strongly about it.
The Birthing Center at Sturgis Hospital follows the guidelines and standards of care from:
The Birthing Center at Sturgis Hospital has very knowledgeable and trained nurses to care for you and your baby. Our staff cares for well mothers and babies as well as ill mothers and babies. We provide mother and infant care based upon The American College of Obstetricians and Gynecologist as well as the American Academy of Pediatrics standards of care. We are proud to say that all of our nurses are S.T.A.B.L.E. and Neonatal Resuscitation trained in order to provide your infant with excellent care. Many of our staff have advanced degrees and or are certified in the area of Obstetrics. Our staff is highly skilled at caring for ill neonates or mothers. In the event your infant requires the services of a neo-natal ICU, we have a very close working relationship with Bronson Hospital Neonatal Intensive Care Unit. We are able to expedite a transfer of your infant in a timely manner to Kalamazoo. For additional information please contact Melanie Mann, OB Nurse Manager at 269-659-4242 or contact your Physician for any questions. All of our obstetric nurses are S.T.A.B.L.E. and Neonatal Resuscitation trained. The S.T.A.B.L.E. course is an advanced course to prepare the staff in the stabilization and care of sick infants. This stands for S. SUGAR and SAFE CARE, T. TEMPERATURE, A. AIRWAY, B. BLOOD PRESSURE, L. LAB WORK, AND E. EMOTIONAL SUPPORT.
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