Compliance Library

The provider collaborated with its Hospital Quality Improvement department and its departments of Obstetrics, Hematology, Cardiothoracic Surgery, Surgery, Neurosurgery, Orthopaedic Surgery, Hospitalists, Surgical PA’s and Nursing. The provider's Department of Hospital Quality Improvement convened a… More

The provider collaborated with its state Department of Health, a state-based school nurse teacher association, and the state-based chapter of the medical professional society to provide vaccination education to physicians that would help meet pediatric and adolescent Healthy People 2020 goals.… More

The provider partnered with a statewide health alliance and a state hospital association to implement the Choosing Wisely campaign to help patients and their healthcare providers choose care that is supported by evidence, not duplicative, not harmful, and truly necessary. The provider held two… More

The provider described and included data that shows that its stroke treatment center has comparatively better results than the averages for the surrounding region in several areas, but it did not demonstrate an improvement in healthcare quality supported by the critical elements of the criterion.

The provider described the creation of standards of surgical care for pediatric patients and through the development of quality improvement program that includes a pediatric database. However, the provider did not demonstrate what changed in healthcare quality or that their CME program contributed… More

The provider reported on learner intent to change practice as a result of an educational intervention. The provider did not demonstrate, with this information, improvements in healthcare quality.