California Pacific Medical Center - St. Luke's Campus

3555 Cesar Chavez
San Francisco, CA 94110 • (415) 647-8600

Patient Experience?

Current

Hospital Rating

Below Average
59%
68%
70%
Patient Experience

Would Recommend Hospital

69%

70%

71%

Received Information and Education

81%

83%

85%

Nurses Communicated Well

69%

74%

79%

Doctors Communicated Well

77%

78%

82%

Help Received When Wanted

60%

61%

67%

Pain Well Controlled

70%

68%

71%

Staff Explained Medicine

58%

61%

64%

Patient Room and Bathroom Was Clean

70%

70%

73%

Quiet at Night

51%

51%

61%

Re-hospitalizations?

Current

Hospitalwide Readmission Rate

Average
15.80%
(lower is better)
15.90%
(lower is better)
16%
(lower is better)

Patient Safety?

Current

Surgical Care Measures

Above Average
97%
97%
97%
Infection Prevention

Appropriate Timing of Antibiotic

100%

98%

98%

Use of Appropriate Antibiotic

98%

98%

98%

Appropriate Discontinuation of Antibiotic

98%

97%

97%

Urinary Catheter Removal

96%

95%

96%

Complication Prevention

Blood-clot Prevention

95%

97%

97%

Beta-blockers Continued

97%

95%

96%

California Pacific Medical Center - St. Luke's Campus

3555 Cesar Chavez
San Francisco, CA 94110 • (415) 647-8600

Patient Experience?

Current

Hospital Rating

Below Average
59%
68%
70%
Patient Experience

Would recommend hospital

69%

70%

71%

Received information and education

81%

83%

85%

Nurses communicated well

69%

74%

79%

Doctors communicated well

77%

78%

82%

Help received

60%

61%

67%

Pain well controlled

70%

68%

71%

Staff explained medicine

58%

61%

64%

Patient room and bathroom was clean

70%

70%

73%

Quiet at night

51%

51%

61%

California Pacific Medical Center - St. Luke's Campus

3555 Cesar Chavez
San Francisco, CA 94110 • (415) 647-8600

Patient Safety?

Current

Surgical Care Measures

Above Average
97%
97%
97%
Infection Prevention

Appropriate timing of antibiotic

100%

98%

98%

Use of appropriate antibiotic

98%

98%

98%

Appropriate discontinuation of antibiotic

98%

97%

97%

Urinary catheter removal

96%

95%

96%

Complication Prevention

Blood-clot prevention

95%

97%

97%

Beta-blockers continued

97%

95%

96%

Unplanned Surgical Wound Reopening

Average
0.08%
(lower is better)
0.09%
(lower is better)
0.10%
(lower is better)

Death after Serious Treatable Complication

Average
11.88%
(lower is better)
11.24%
(lower is better)
11.34%
(lower is better)

Accidental Lung Puncture

Average
0.03%
(lower is better)
0.03%
(lower is better)
0.03%
(lower is better)

California Pacific Medical Center - St. Luke's Campus

3555 Cesar Chavez
San Francisco, CA 94110 • (415) 647-8600

Heart Attack?

Current

Death Rate

Too Few Cases to Rate
14.90%
(lower is better)
15.10%
(lower is better)

Quality of Care

Superior
100%
97%
97%
More Info

Aspirin prescribed at discharge

100%

98%

99%

Statins prescribed at discharge

100%

97%

97%

Timeliness of Care

Performance has not been rated because either the hospital did not provide this service  or no data were available.
NA
NA
NA
More Info

Anti-clotting therapy within 30 minutes

NA

100%

67%

Percutaneous coronary intervention (PCI) within 90 minutes

NA

94%

95%

Readmission Rate

Too Few Cases to Rate
18.20%
(lower is better)
18.30%
(lower is better)

Heart Bypass Surgery?

Current

Death Rate

Performance has not been rated because either the hospital did not provide this service  or no data were available.
NA
(lower is better)
2.17%
(lower is better)
NA
(lower is better)

Internal Mammary Artery Usage

Performance has not been rated because either the hospital did not provide this service  or no data were available.
NA
97%
NA

Postoperative Stroke

Performance has not been rated because either the hospital did not provide this service  or no data were available.
NA
(lower is better)
1.31%
(lower is better)
NA
(lower is better)

Heart Failure?

Current

Death Rate

Average
9.50%
(lower is better)
11.20%
(lower is better)
11.80%
(lower is better)

Quality of Care

Superior
99%
97%
96%
More Info

Severity of heart failure evaluated

100%

98%

96%

Clear instructions given prior to discharge

98%

93%

92%

ACE inhibitors or angiotensin receptor blockers (ARBs) given

100%

97%

96%

Readmission Rate

Average
22.50%
(lower is better)
22.80%
(lower is better)
23.10%
(lower is better)

California Pacific Medical Center - St. Luke's Campus

3555 Cesar Chavez
San Francisco, CA 94110 • (415) 647-8600

Mother & Baby?

Current

C-Section Rate (NTSV)

Superior
17.90%
(lower is better)
27.80%
(lower is better)
NA
(lower is better)

Breastfeeding Rate

Superior
83.60%
63.20%
NA

Episiotomy Rate

Superior
3.10%
(lower is better)
13.50%
(lower is better)
NA
(lower is better)

VBAC Rate

Performance has not been rated because either the hospital did not provide this service  or no data were available.
NA
8.30%
NA

VBAC Routinely Available

No
NA
NA

California Pacific Medical Center - St. Luke's Campus

3555 Cesar Chavez
San Francisco, CA 94110 • (415) 647-8600

Pneumonia?

Current

Death Rate

Average
12.20%
(lower is better)
11.70%
(lower is better)
12%
(lower is better)

Quality of Care

Superior
100%
96%
95%
More Info

Blood culture taken before antibiotics administered

100%

97%

97%

Initial antibiotic consistent with current recommendations

100%

96%

94%

Readmission Rate

Average
18.80%
(lower is better)
17.50%
(lower is better)
17.60%
(lower is better)

California Pacific Medical Center - St. Luke's Campus

3555 Cesar Chavez
San Francisco, CA 94110 • (415) 647-8600

Surgeries/Other Conditions?

Current

Abdominal Aortic Aneurysm Repair - Number of Cases

Performance has not been rated because either the hospital did not provide this service  or no data were available.
NA
NA
NA

Abdominal Aortic Aneurysm Repair - Death Rate

Performance has not been rated because there are too few cases to rate hospitals.
NA
(lower is better)
1.94%
(lower is better)
NA
(lower is better)

Esophageal Resection - Number of Cases

Performance has not been rated because either the hospital did not provide this service  or no data were available.
NA
NA
NA

Esophageal Resection - Death Rate

Performance has not been rated because there are too few cases to rate hospitals.
NA
(lower is better)
2.55%
(lower is better)
NA
(lower is better)

Pancreatic Resection - Number of Cases

Performance has not been rated because either the hospital did not provide this service  or no data were available.
NA
NA
NA

Pancreatic Resection - Death Rate

Performance has not been rated because there are too few cases to rate hospitals.
NA
(lower is better)
3.51%
(lower is better)
NA
(lower is better)

Angioplasty (PTCA) - Number of Cases

Performance has not been rated because either the hospital did not provide this service  or no data were available.
NA
NA
NA

Angioplasty (PTCA) - Death Rate

Performance has not been rated because there are too few cases to rate hospitals.
NA
(lower is better)
2.40%
(lower is better)
NA
(lower is better)

Acute Stroke Death Rate

Average
11.60%
(lower is better)
9.91%
(lower is better)
NA
(lower is better)

Craniotomy Death Rate

Performance has not been rated because either the hospital did not provide this service  or no data were available.
NA
(lower is better)
7.81%
(lower is better)
NA
(lower is better)

Gastrointestinal Hemorrhage Death Rate

Average
0%
(lower is better)
2.31%
(lower is better)
NA
(lower is better)

Hip Fracture Death Rate

Average
4%
(lower is better)
2.47%
(lower is better)
NA
(lower is better)

Hip or Knee Surgery Readmission Rate

Average
6.20%
(lower is better)
5.20%
(lower is better)
5.40%
(lower is better)

Hip or Knee Surgery Complication Rate

Average
3.90%
(lower is better)
3.30%
(lower is better)
3.50%
(lower is better)

California Pacific Medical Center - St. Luke's Campus

3555 Cesar Chavez
San Francisco, CA 94110 • (415) 647-8600

Emergency Department (ED) Care?

Current

Time in ED before being admitted

Performance has not been rated because the required statistical information is not available.
268 minutes
(lower is better)
338 minutes
(lower is better)
273 minutes
(lower is better)

Time in ED before being sent home

Performance has not been rated because the required statistical information is not available.
140 minutes
(lower is better)
165 minutes
(lower is better)
140 minutes
(lower is better)

Time in ED before being seen

Performance has not been rated because the required statistical information is not available.
37 minutes
(lower is better)
33 minutes
(lower is better)
31 minutes
(lower is better)

Patients who left ED without being seen

Performance has not been rated because the required statistical information is not available.
4%
(lower is better)
3%
(lower is better)
2%
(lower is better)

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