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Health Care Quality FAQs

What is health care quality?

According to the Agency for Healthcare Research and Quality, health care quality is doing the right thing, at the right time, for the right person, and getting the best possible result. Health care quality reduces your risk of complications during your treatment and improves the care you receive while in the hospital.

How is health care quality measured?

Health care quality is measured in many ways. At Lawrence Memorial Hospital, we examine the outcomes achieved, such as infections, falls, mortality and readmissions to the hospital, and we evaluate how well we provide care in compliance with national evidence-based guidelines (processes). In addition, we measure more than 10 factors that contribute to a patient’s hospital experience. At LMH, we compare our data to national and state quality measures to make sure you are getting the best possible care.

How do I know if my doctor is qualified to treat my condition or to perform my procedure?

All doctors who practice at LMH are board certified or board eligible. Board certification demonstrates a physician’s exceptional expertise in a particular specialty and/or subspecialty of medical practice. LMH closely scrutinizes each physician’s medical credentials to assure that they have the training, education, licensure and current experience necessary to receive hospital privileges. If you have questions about your doctor, please contact LMH’s Quality Services Department at 785-505-3156.

How can I be sure that LMH provides quality care?

LMH is Medicare certified, licensed by the state of Kansas and accredited by The Joint Commission. Numerous hospital departments and clinics also meet rigorous certification requirements by their respective professional organization (see list below). LMH meets rigorous national quality and patient safety standards established by state and national regulatory organizations. The state and Joint Commission regularly review and evaluate our facility and staff to ensure continued compliance of their respective patient safety directives. In addition, there are other organizations that measure LMH’s performance in patient satisfaction, overall value and quality of care for specific clinical conditions. Please see our Quality Reports and Patient Safety sections for more details.

  • Sleep Disorders Center – Accreditation by the American Academy of Sleep Medicine
  • Chest Pain Center – Accreditation by Society of Cardiovascular Patient Care
  • Radiology Services – Certified by the Food and Drug Administration and the American College of Radiology
  • LMH Breast Center – Accreditation by the American College of Radiology
  • Center for Rehabilitation – Accreditation by Commission on Accreditation of Rehabilitation Facilities (CARF)
  • Cardiac Rehabilitation – Certified by the American Association of Cardiovascular and Pulmonary Rehabilitation
  • Pathology – Accreditation by College of American Pathologists

How can I compare the quality of care at LMH to that of other hospitals in my area?

All hospitals in the United States submit quality data to the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services. This center provides a national data repository which is called Hospital Compare. Access this resource and see how the quality of the care provided to patients at LMH compares to that of other hospitals and state and national averages.

Who oversees LMH quality and patient safety programs?

The LMH Board of Trustees oversees the quality, patient safety, performance improvement and risk management programs of the hospital. The Vice President of Clinical Services is the patient safety officer and is administratively responsible for the hospitals’ quality performance programs. The Organizational Quality Improvement Council (OQIC) and Medical Staff Quality Improvement Committee (MSQIC) oversee the quality performance programs and regularly report to the Quality Committee of the LMH Board of Trustees. Questions should be directed to LMH’s Quality Services Department at 785-505-3157.

Where can I get more information about health care quality?

For more information about health care quality, visit our Resources and Glossary of Terms pages.