Quality & Safety

A key component of St. James Hospital’s quality commitment is the Patient Safety Program. This formal program allows staff to respond effectively to occurrences in the hospital, physician offices or clinics, and proactively reduce the potential of medical errors. Our patient safety and quality activities are modeled after evidenced-based programs, meaning that our care practices are based on research and scientific studies to provide the best possible interventions and treatments.

One way patients and families can evaluate quality at St. James Hospital is through public "report cards" provided by the US Centers for Medicare and Medicaid Services Hospital Compare website. They publish specific "indicators" of hospital quality and allow you to compare the results of other facilities. St. James Hospital uses these indicators—as well as many other types of quality data—to identify opportunities for improvement.

Quality and Patient Satisfaction Reports

Specific quality and patient satisfaction measures are regularly analyzed by the staff at St. James Hospital. You can select the links below to view a summary of our current performance

Sources of Quality Information

There are various external sources that can be valuable in assessing the quality of a health care organization. St. James Hospital uses all of these sources in monitoring its quality performance. Each source represents quality data in a way that is useful in measuring some aspect of our quality program:

• The Joint Commission
• Centers for Medicare and Medicaid Services
• New York State Department of Health
• Hospital Compare
• Institute For Healthcare Improvement (IHI)
• Agency for Healthcare Research and Quality (AHRQ)

Reports from these organizations are analyzed regularly and reported to appropriate staff members who have the greatest ability to act upon the data. In addition, St. James Hospital’s Board of Directors reviews the quality results from our hospital, as well as recommended action plans and corrective measures.

Patient Safety Metrics

Also see: The Joint Commission 2025 Hospital National Patient Safety Goals