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Additional Quality Measures

Physician Services

The quality of care provided by our physicians is also measured routinely. The standards measured for each individual physician depend on his or her area of practice. An Orthopedics physician would have one set of quality indicators and an Oncologist would have another. Measurement examples include patient satisfaction, length of stay, compliance with evidence based practice core measures and complications of care.
Information about a physician's education, training and licenses are regularly monitored and must meet certain criteria to continue to provide services within the hospital. Allied health practitioners, nurse anesthetists and nurse practitioners are also reviewed routinely.


Performance Improvement:

The function of the Quality Services Department is to assess and improve performance; thereby producing the best quality and safe patient care and outcomes for our patients. The department accomplishes this by:

  • Identifying key quality characteristics that affect quality care and customer satisfaction
  • Developing valid and reliable instruments for measuring quality services
  • Conducting audits and evaluations of care provided to patients
  • Analyzing trends and making recommendations for process improvement
  • Providing data to support hospital management's strategic and operational decision making
  • Facilitating process improvement teams
  • Monitoring internal and external requirements of a Medicare hospital
  • Providing feedback to departments related to audit findings
  • Developing and controlling hospital policies and procedures


Board of Directors

The Board of Directors is actively engaged in the quality and safety of the care provided at Pardee. Reports on how Pardee compares to hospitals of our size are reviewed on a monthly basis with the board. The board has also adopted action plans to ensure that improvement measures are put in place in areas not meeting national benchmarks.