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Our Quality Commitment
Natividad is dedicated to serving the people of Monterey County by providing the best possible care to each patient. Our team of dedicated physicians, nurses and staff is committed to delivering high-quality and safe patient care.
Natividad is accredited by The Joint Commission (TJC), a globally recognized symbol of quality, that reflects our commitment to ensuring that evidence-based quality and safety standards are consistently followed. In addition, our Sam Karas Acute Rehabilitation Center is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). Please visit our numerous quality designations and recognitions on the Awards ((hyperlink to https://www.natividad.com/about/awards/)) page of this website that further demonstrate Natividad’s commitment to excellence in quality and safe patient care.
Continuous Improvement
Quality and Patient Safety is a collaborative effort of leadership, physicians, nurses, employees and our patients. Natividad fosters a culture of safety that focuses on patient- and family-centered care. At Natividad, our health care team takes great pride in the quality of care they deliver and we continuously strive to improve the care provided to our patients.
Natividad has multiple performance improvement projects and teams reviewing patient care practices to make changes that will result in better care. Examples of these include Daily Patient Care Huddles, Diabetes Education and Treatment, Antibiotic Stewardship, Medication Error Reduction, Sepsis Management, Infection Prevention, Care of the Critically Ill Child in the Emergency Department, Patient Flow, Readmission Reduction, Fall Prevention, Environmental Safety, and Hand Hygiene.
Natividad has partnered with multiple state and national organizations that provide support and guidance to help hospitals improve the safety of healthcare systems. Some of these include the California Hospital Association, the Institute of Healthcare Improvement (IHI), the National Patient Safety Foundation (NPSF), the California Health Care Safety Net Institute, Hospital Quality Institute, California Hospital Patient Safety Organization (CHPSO), and the California Maternal Quality Care Collaborative (CMQCC).
Measuring Quality
One way hospitals measure quality and safety is through monitoring key performance metrics that can help improve patient outcomes. We believe that sharing our data on our website allows the public to see the excellent patient care we provide in comparison to state and national benchmarks.
Here are some Natividad quality indicators where LOWER rates are better.
Colon Surgery Infection
Colon Surgery Infection is an unanticipated infection that occurs after a patient has colorectal surgery. Natividad surgeons follow nationally recognized guidelines when performing surgical procedures to decrease the risk of infection.
Methicillin-resistant Staphylococcus Aureus (MRSA)
Staph bacteria are common in hospitals, but MRSA is a type of staph bacteria that is resistant to (cannot be killed by) many antibiotics. This graph reflects that Natividad is working to reduce MRSA infections in the blood. Natividad is performing well, as we are below the state and national rates of MRSA bloodstream infections.
Central Line-Associated Bloodstream Infection (CLABSI)
Central Line-Associated Bloodstream Infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through the central line, which is a tube placed in a large vein. Natividad physicians follow nationally recognized guidelines when inserting and maintaining all central lines to decrease the risk of infection.
Catheter-Associated Urinary Tract Infection (CAUTI)
A catheter-associated urinary tract infection occurs when germs enter the urinary tract through a urinary catheter and cause infection. They are one of the most common types of Hospital Acquired Infections.
Here are some Natividad quality indicators where HIGHER rates are better.
Colonoscopy Follow-Up
This is a health care quality measure focused on the appropriate follow-up for normal colonoscopies in average-risk patients.
Data Sources: Hospital Quality Institute, OSHPD Inpatient AB2876 Discharge Files, CMS Hospital Compare. Data updated locally when more current information available.
