Quality Reporting

Our Commitment to Quality and Patient Safety
Safe care is great care. The best medical outcomes come from the safest environments. At Natividad, ensuring the safest possible patient care is our most important goal. This means providing patient care that lives up to our vision: To be a health care delivery system that collaborates with other providers to offer accessible, high quality and high value health care services in a financially stable manner.

We are on a never-ending journey to providing exceptional patient care; we believe in continuous improvement and we have partnered with some leading health care organizations to guide us on this journey.

The Institute of Healthcare Improvement (IHI)
The Institute for Healthcare Improvement is an independent not-for-profit organization helping to lead the improvement of health care throughout the world. Founded in 1991 and based in Cambridge, Massachusetts, IHI works to accelerate improvement by building the will for change, cultivating promising concepts for improving patient care, and helping healthcare systems put those ideas into action. Natividad is a charter member of IHI’s Passport Program.

National Patient Safety Foundation (NPSF)
The National Patient Safety Foundation is an independent not-for-profit 501(c)(3) organization that has been diligently pursuing one mission since its founding in 1997 – improving the safety of our healthcare system. Natividad a member of NPSF’s Stand Up for Patient Safety™ program.

Quality Reporting
Part of our commitment to improving quality and patient safety is our pledge to publicly share our performance data and provide clear explanations of what these measures mean. We do this not only to show how well we compare with our peers, but also to show our commitment to being open and honest with our patients and their families.

The following resources provide our performance data with comparisons between other hospitals.

Hospital Compare
Hospital Compare is a consumer-oriented website that provides information on how well hospitals provide recommended care to their patients. This information can help consumers make informed decisions about where to go for health care. Hospital Compare allows consumers to select multiple hospitals and directly compare performance measure information related to heart attack, heart failure, pneumonia, surgery and other conditions. These results are organized by:

  • General information
  • Survey of patients’ experiences
  • Timely & effective care
  • Complications
  • Readmissions & deaths
  • Use of medical imaging
  • Payment & value of care

Access the Hospital Compare website at www.medicare.gov/hospitalcompare

The Joint Commission
An independent, non-profit organization, The Joint Commission (TJC) accredits and certifies more than 15,000 health care organizations and programs in the United States. The Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.