About Us: Quality Matters

Stanford Health Care Tri-Valley is committed to serving our community by providing the highest quality of care for all of our patients. Quality of care is nationally recognized and measured in several ways.

• Accreditation by the Joint Commission: The Joint Commission is a nonprofit organization which evaluates and accredits nearly 22,000 healthcare organizations in the United States. Hospitals voluntarily accredited by The Joint Commission are committed to upholding and meeting certain performance standards, set by nationally recognized nonprofit healthcare quality organizations, such as National Quality Foundation and Agency for Healthcare Research and Quality. In order to maintain accreditation, hospitals undergo a voluntary, on-site survey performed by The Joint Commission every three years.
• Leapfrog Hospital Safety Grade Survey: The Leapfrog Hospital Survey uses national performance measures to evaluate individual hospitals on safety, quality, and efficiency. Data and findings from the Survey provides consumers with potentially life-saving information on hospital quality. The measures included on the Hospital Survey are predicated on the latest science and are selected with guidance from scientific advisors at the Armstrong Institute for Patient Safety at Johns Hopkins Medicine as well as Leapfrog's volunteer Expert Panels. With the Safety Grade, The Leapfrog Group aims to educate and encourage consumers to consider safety when selecting a hospital for themselves or their families. Safety Grades are publicly reported at www.HospitalSafetyGrade.org
• National Hospital Rating System: Care Compare, a government-run website, allows consumers to compare the quality of over 4,000 Medicare-certified hospitals across the United States, based on nationally recognized quality indicators. Consumers can see how hospitals are doing compared to national and state averages in areas of:
  • Patient experience
  • Timely & effective care
  • Readmissions, complications and death
  • Use of medical imaging
  • Payment and value of care

To access Care Compare, go to https://www.medicare.gov/care-compare/?providerType=Hospital&redirect=true

• Core Quality Measures:  Electronic clinical quality measures (eCQMs) use data electronically extracted from electronic health records to measure and track the quality of health care services.  Stanford Health Care Tri-Valley uses eCQMs to monitor Core Quality Measures to help us determine where we are providing the best care and identify opportunities for improvement.  When patients come to Stanford Health Care Tri-Valley, they can be assured that maintaining the highest quality of care for all patients is our top priority.
  • VTE-1 Venous Thromboembolism Prophylaxis – This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission
  • VTE-2 Intensive Care Unit Venous Thromboembolism Prophylaxis - This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after the initial admission (or transfer) to the Intensive Care Unit (ICU) or surgery end date for surgeries that start the day of or the day after ICU admission (or transfer)
  • STK-2 Discharged on Antithrombotic Therapy - Ischemic stroke patients prescribed or continuing to take antithrombotic therapy at hospital discharge
  • STK-6 Discharged on Statin Medication - Ischemic stroke patients who are prescribed or continuing to take statin medication at hospital discharge
  • PC-01 Elective Delivery - Patients with elective vaginal deliveries or elective cesarean births at >= 37 and < 39 weeks of gestation completed
  • PC-02 Cesarean Birth - Percentage of nulliparous women with a term, singleton baby in a vertex position delivered by cesarean birth (C-section)
  • PC-05 Exclusive Breast Milk Feeding - The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization
  • PC-06 Unexpected Complications in Term Newborns - Measures the number of infants with unexpected newborn complications among full-term newborns with no preexisting conditions

Stanford Health Care Tri-Valley always has a "crisis standards of care" document in place. This document defines our organization's plans for responding in the event that resources — such as beds, staffing, space or equipment — become scarce or unavailable to provide normal standards of care.

As part of the state's emergency planning during the current surge in COVID-19 cases, the California Department of Public Health (CDPH) now requires all acute-care hospitals, such as Stanford Health Care Tri-Valley, to share their "crisis standards of care" plan. The plan provides a set of guidelines for clinical decision-making under extreme surge conditions.

Although Stanford Health Care Tri-Valley is caring for a higher-than-normal volume of COVID-19 patients, we are currently functioning with normal surge protocols. We are carefully managing ICU capacity and collaborating with other Alameda County hospitals to ensure that all patients, not just those with COVID-19, have access to care. It has been our goal since the beginning of the pandemic to meet our community's needs and be prepared for a variety of scenarios.