Sutter Health Hospital Quality Dashboard

Sutter Health is committed to accurately and transparently sharing quality data with consumers. As an integrated network, we strive to provide coordinated, high-quality and affordable care in every community we serve. We post these six quality related measures, along with hospitals across the state, so consumers can compare data.

As an organization who is always trying to improve, we use our integrated network to spread best practices throughout our hospitals. We employ rapid cycle improvement techniques to enhance safety and quality using near real time data. This allows us to outperform state and national averages across many measures of quality. Every facet of Sutter Health is working every minute of every day to improve your health and safety. We’ve worked hard to implement procedures and programs to improve the quality of care we give, which also improves efficiency and reduces costs.

Quality and Safety Programs

In order to continuously improve our quality we have instituted quality programs, including the six below.

Perinatal Patient Safety Program (PPSP)

Since 2013, teams at the 18 hospitals with OB services participate in drills to enhance emergency response skills.

Sepsis Protocol

Implementing a system-wide sepsis protocol resulted in a 48.9% 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 on 5 out of 6 quality measures.

Note: A lower score is better on all measures

From July
2017 to June 2018, Sutter Health averaged .88 in CLABSI - Central line-associated
bloodstream infections (CLABSI) in ICUs and select wards. This is compared to the
California average of .82 and the national average of .78. The data is as of: July
2017 to June 2018.

From July
2017 to June 2018, Sutter Health averaged .85. in CAUTI - Catheter-associated urinary
tract infections (CAUTI) in ICUs and select wards. This is compared to the California
average of 1.01 and the national average was .84. The data is as of: July 2017 to
June 2018.

From July
2017 to June 2018, Sutter Health averaged .84 in Colon SSI - Surgical site infections
(SSI) from colon surgery. This is compared to the California average of .96 and the
national average of .91. The data is as of: July 2017 to June 2018.

From July
2017 to June 2018, Sutter Health averaged .63 in C-Diff - Clostridium difficile (C.diff.)
intestinal infections. This is compared to the California average of .74 and the national
average of .77. The data is as of: July 2017 to June 2018.

From July 2017
to June 2018, Sutter Health averaged 22.16 in NTSV - C-Section rates for first time
mothers with uncomplicated deliveries. This is compared to the California average
of 24.60 and the national average was 26.00. The data is as of: July 2017 to June
2018.

From July
2017 to June 2018, Sutter Health averaged 10.08 in Sepsis - Percentage of patients
with sepsis who died. This is compared to the California average of 14.90 and the
national average of 25.00. The data is as of: July 2017 to June 2018.

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 – The value shown is a Standardized Infection Ratio (SIR), which is the ratio of observed-to-expected infections during the measure period. A lower SIR means there were less infections than expected.

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.