Sutter Health Hospital Quality Dashboard

At Sutter, we’re always trying to improve. Our integrated network employs rapid cycle improvement techniques so we can enhance safety and quality using near-real-time data. This is how we’re able to outperform state and national averages across many measures of quality. We’ve worked hard to implement procedures and programs to improve the quality and safety of the care we give.

Quality and Safety Programs

These programs and others help us continuously improve quality and safety across our network.

Hospital Acquired Infection (HAI) Reduction

System-wide initiative focused on using standard work to reduce the risk of a hospital acquired infection.

Sepsis Protocol

Implementing a system-wide sepsis protocol results in a reduction in sepsis related mortality.

eICU (electronic ICU)

Provides 24 hour telehealth surveillance of patients in the ICU, creating additional safety for patients.

ICU Liberation

Critically ill patients benefit from new care practices that improve outcomes.

Universal Protocol

Using a “surgical pause” wherever invasive procedures are performed to prevent surgical errors from occurring.

Sutter Safe Care

Over 60,000 employees and physicians have been trained in the use of error prevention tools and safety practices.

Sutter Health All Hospitals Quality Results

Sutter Health outperforms California hospitals and the national average on 6 out of 6 quality measures. Hospital-level specific information can be located on the Medicare Care Compare website.

Note: A lower score is better on all measures

Sutter Health averaged .57 in CLABSI - Central line-associated bloodstream infections (CLABSI) in ICUs and select wards. This is compared to the California average of .89 and the national average of .97. The data is as of: 04/01/2021-03/31/2022.

Sutter Health averaged .39. in CAUTI - Catheter-associated urinary tract infections (CAUTI) in ICUs and select wards. This is compared to the California average of .87 and the national average was .77. The data is as of: 04/01/2021-03/31/2022.

Sutter Health averaged .46 in Colon SSI - Surgical site infections (SSI) from colon surgery. This is compared to the California average of .88 and the national average of .86. The data is as of: 04/01/2021-03/31/2022.

Sutter Health averaged 22.69 in NTSV - C-Section rates for first time mothers with uncomplicated deliveries. This is compared to the California average of 23.90 and the national average was 26.30. The data is as of: 01/01/2021-12/31/2021.

Sutter Health averaged .29 in C-Diff - Clostridium difficile (C.diff.) intestinal infections. This is compared to the California average of .54 and the national average of .49. The data is as of: 04/01/2021-03/31/2022.

Sutter Health averaged 11.55 in Sepsis - Percentage of patients with sepsis who died. This is compared to the California average of 18.97 and the national average of 15.00. The data is as of: 01/01/2021-12/31/2021.

OpenWhat's on the Dashboard?

What's on the Dashboard?

CLABSI – Central Line-associated Blood Stream Infections (CLABSI) – CLABSI is a serious infection that occurs when germs enter the bloodstream through a central IV line. A low value is a positive sign.

CAUTI – Inpatient Catheter-associated Urinary Tract Infections (CAUTI) – This is an infection caused in patients with a urinary catheter. Bacteria or yeast can travel along the catheter and cause bladder and kidney infections. Sutter Health strives to reduce the use of urinary catheters to prevent infections from occurring.

C.diff – Clostridium difficile (C.diff) Infections – This is a serious infection caused by the germ, Clostridium difficile, estimated to cause almost half a million infections in the United States. Sutter Health has implemented the CDC guidelines and tools to prevent C. difficile infections.

NTSV – Nulliparous, Term, Singleton, Vertex (NTSV) Cesarean Birth Rate – The percentage of cesarean (surgical) births among first time mothers who are at least 37 weeks pregnant with one baby in the head down position (not breach or transverse). Lower values indicate that fewer cesareans were performed in the hospital among primarily low risk, first time mothers.

Sepsis – Sepsis Mortality Rate – The percentage of patients, with a severe infection, who die in the hospital. Most sepsis cases (over 90%) start outside the hospital. Sutter Health has implemented a Sepsis Protocol to reduce the incidence of sepsis mortality.

Colon SSI – Colon Surgical Site Infection – A surgical site infection at the primary incision site among patients that have undergone colon surgery.

0.00 – No cases occurred in reporting period.

N/A – Not applicable to this hospital, or rate/ratio too low to be calculated in this reporting period.