Quality &
Patient Safety

At HSHS St. Joseph's Hospital, we're committed to providing quality individual care through medical expertise and current technology. We've upgraded surgical suites, added advanced imaging systems and continue to recruit additional doctors.

Our success is based on four strategic principles:

  1. Quality Colleagues, Medical Staff, and Volunteers
  2. Quality Experience for Patients and Their Families
  3. Quality Clinical Outcomes for Our Patients and Community
  4. Quality Business and Management Practices

We believe in public reporting of performance measures so you can be an informed healthcare consumer. Our quality reports can be found on the following sites:

  • CheckPoint— Quality reports on Wisconsin hospitals
  • Hospital Compare— Department of Health and Human Services
    database on hospital quality information
  • PricePoint— Inpatient and outpatient cost reports on Wisconsin hospitals
  • Quality Check— The Joint Commission's database on hospital quality

HSHS St. Joseph's Hospital also participates in the following healthcare quality and service initiatives:

  • The Quality Indicator Project/Association of Maryland Hospitals and Health Systems
  • Press Ganey Patient Satisfaction Survey
  • MetaStar (WI Peer Review Organization)
  • Management Science Associates: Colleague Satisfaction
  • Leapfrog
  • Hospital Quality Alliance
  • National Database of Nursing Quality Indicators
  • Home Health Compare, Home Health Quality Improvement, and Home Health Quality Monitoring
  • Intellimed
  • eFACT (Electronic Facility and Activity Center Tracking)
  • College of Healthcare Information Management Executives Budget and Staffing Trend Analysis Database
  • Hospital Sisters Health System Metrics
  • Hospital Consumer Assessment of Healthcare Providers and Systems
  • National Hospice and Palliative Care Organization

The Joint Commission Public Notice

The Joint Commission can, at any point in time, survey HSHS St. Joseph's Hospital.

The purpose of the survey is to evaluate the organization's compliance with nationally established Joint Commission standards. The survey results will be used to determine whether, and the conditions under which accreditation should be awarded the organization.

The Joint Commission standards deal with organizational quality of care issues and the safety of the environment in which care is provided. Anyone believing that he or she has pertinent and valid information about such matters may request a Public Information Interview with The Joint Commission's field representatives at the time of the survey. Information presented at the interview will be carefully evaluated for relevance to the accreditation process. Requests for a Public Information Interview must be made in writing and should be sent to The Joint Commission. The request must also indicate the nature of the information to be provided at the interview.

The Joint Commission will acknowledge such requests in writing or by telephone and will inform the organization of the request for any interview.

Office of Quality Monitoring
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181

Call 800-994-6610, fax 630-792-5636, or email complaint@jointcommission.org

Patient Privacy— HSHS St. Joseph's Hospital is committed to protecting the healthcare information of its patients pursuant to the Federal Guidelines outlined in the Health Insurance Portability and Accountability Act (HIPAA).
View our Notice About Privacy Practices.

 

PATIENT
SATISFACTION

If you have a concern about safety or quality of patient care please contact us at (715) 717-7200.

We survey our patients and ask them to tell us how we're doing. Press Ganey Associates, a national survey and benchmarking organization, measures our patient's satisfaction using detailed standardized questions. Our data is then compared with hospitals across the country. This information helps us continually improve the safety and quality experience of patient care at HSHS St. Joseph's Hospital.

PERSONAL SAFETY

If a matter concerning the safety or quality of patient care provided at our hospital is not resolved after contacting our Administrative Office, you may report your concerns directly to the Bureau of Quality Compliance at 1-608-266-8481 or the Joint Commission Office at (800) 994-6610.
View more information on
The Joint Commission website.

ACCREDITATIONS

The Joint Commission (TJC) is the nation's preeminent hospital accreditation body and an independent, not-for-profit organization. They evaluate and accredit more than 16,000 healthcare organizations and programs in the US. Their standards are regarded as the most rigorous in the industry to recognize the highest level of quality patient care. In fact, the Gold Seal of Approval demonstrates compliance with the most stringent standards of hospital performance. To earn and maintain accreditation, our hospital must undergo an on-site TJC survey at least every three years.

American College of Radiology (ACR) and Food and Drug Administration (FDA) accredited Mammography Program.

College of American Pathologists (CAP) accredited Laboratory.

AFFILIATIONS

   • American Hospital Association
   • US Catholic Health Association
   • Wisconsin Hospital Association
   • Hospital Sisters Health System
   • Hospital Sisters of the Third
     Order of St. Francis
     (an international, multicultural
     congregation of Franciscan
     Sisters).

FOR MORE
INFORMATION

Send our Hospital Administration
an email.

Call (715) 717-7200

Send our Patient Support Services Division Manager an email.
Call (715) 717-7342