Our Commitment to Quality

Working towards continuous improvement to the patient

experience.

Our Mission Statement Memorial Hospital is committed to

meeting the health needs of the Mt. Washington Valley and surrounding communities by serving with our community partners in the provision of accessible, comprehensive, compassionate, and quality healthcare.

Our Strategic Goals Patient Experience: Fostering a

climate that provides an experience that exceeds expectations.

Our Strategic Goals Community Health: Building strong

relationships to improve community health status

Our Strategic Goals Financial Viability: Achieving long-

term viability by meeting all financial requirements in a changing healthcare environment

Quality Focus Methodically improve the quality of

care patients receive at the hospital. Reduce the risks faced by patients. Improve the patient experience. Identify problematic care and

recognize cases that require further review.

Current Quality Measures CMS Core Measure Composite Scores

• 12 Month Average: Report Date Sept 2014

Why were these conditions selected for public release? The conditions were selected because they represent the most common causes of hospitalization. The processes to be performed for these conditions that are reported were selected because they are scientifically proven to increase the chance of a positive patient outcome.

Current Quality Measures Inpatient (HCAHPS): 12 Month Avg thru September 2014

We strive for excellence. Positive = Ratings of “Always” or 9s and 10s on a scale of 1-10

The HCAHPS Survey (Hospital Consumer Assessment of Healthcare Providers and Systems) was created by The Centers for Medicare & Medicaid Services (CMS) and the Agency for Healthcare Research and Quality (AHRQ) to publicly report the patient’s perspective of hospital care.

Current Quality Measures Imaging Services: 12 Month Avg thru September

2014

We strive for excellence. Positive = Ratings of “Always” or 9s and 10s on a scale of 1-10

Current Quality Measures Emergency Dept.: 12 Month Avg thru September

2014

We strive for excellence. Positive = Ratings of “Always” or 9s and 10s on a scale of 1-10

Current Quality Measures Outpatient Surgery: 12 Month Avg thru September

2014

We strive for excellence. Positive = Ratings of “Always” or 9s and 10s on a scale of 1-10

Current Quality Measures Orthopedics: 12 Month Avg thru September

2014

We strive for excellence. Positive = Ratings of “Always” or 9s and 10s on a scale of 1-10

Current Quality Measures Primary Care: 12 Month Avg thru September 2014

We strive for excellence. Positive = Ratings of “Always” or 9s and 10s on a scale of 1-10

Current Quality Measures Women’s Health: 12 Month Avg thru September 2014

We strive for excellence. Positive = Ratings of “Always” or 9s and 10s on a scale of 1-10

Current Quality Measures Surgery/Urology: 6 Month Avg thru September 2014

We strive for excellence. Positive = Ratings of “Always” or 9s and 10s on a scale of 1-10

Current Quality Measures Cleanliness: 12 Month Avg thru September 2014

We strive for excellence. Positive = Ratings of “Always” or 9s and 10s on a scale of 1-10

What they’re saying about Memorial Hospital...

Inpatient: “I had Dr Mark Daigle as my hospitalist. He was very caring, thorough, and showed great bedside manner. I was very impressed with his concern for my well being - great hospital & staff!”

Family Practice: “Dr Gagina was great! We are very happy we chose her as our pediatrician.”

Overall: “I'm a nurse and work in a community hospital. The care I received from Registration to the X-ray Tech was respectful, kind, caring, knowledgeable and very compassionate.”

Ambulatory Surgery: “All the nurses and doctors were very nice and made me feel very comfortable about being there.”

Emergency: “The Doctors that treated both my husband and me where professional + friendly. This was the best ER service and the cleanest hospital I have ever been too.”

Women’s Health: “I have cancer and its scary. Everyone in office and Dr. have been wonderful, supportive, and caring. This human caring is imperative to healing.”