Culture of Safety

As a not-for-profit health care system and a community resource, we believe that you should know about our quality efforts.

At Lourdes, we have an organizational commitment to quality improvement. That's why you'll find Continuous Quality Improvement (CQI) efforts throughout the organization, and why you will see Lourdes participating in quality improvement projects on both the local and national levels. We're creating a culture where everyone from the operating room staff to the receptionist in the lobby has patient safety on the forefront of their mind. All of us have the same single goal for you - returning you to good health.

Lourdes Performance Improvement and Patient Safety Program is a planned, systematic and organization-wide continuous effort to monitor and improve the performance of all care and services provided. Lourdes has implemented several multi-disciplinary Priority for Action Teams.

Priority for Action Teams

  • Nosocomial (Acquired) Infection - Prevent pneumonia in patients who cannot breathe without a respirator; prevent blood stream infections related to catheters placed in the large vein above the heart.
  • Pressure Ulcers - Eliminate bed sores by improving patient care processes and products used to prevent them.
  • Perinatal Safety Innovation Project - Promote the safety of women and their infants during the time before and after birth by improving processes related to the management of patients undergoing assistance with or induction of labor; monitoring the heart rate of unborn infants; training staff to manage obstetric crises through simulation of emergencies.
  • Surgical Complications and Surgical Sepsis - Eliminate post operative deep vein blood clots, heart attack, excessive bleeding; avoid leaving foreign object sin the patient during surgery; and eliminate infections at the operation site.

All these help us make sure that within our walls nothing prevents us from the goal of helping you heal.

Public Data

Joint Commission Quality Check

The Joint Commission has a longstanding commitment to providing meaningful information about the comparative performance of accredited organizations to the public. Accreditation is a way of evaluating quality and safety in our organization. Lourdes has undergone an unannounced, thorough on-site review of the quality and safety of care being provided and is committed to continuously meeting rigorous national standards. Our last survey was completed in 2010.

At Lourdes we are proud to have earned the Joint Commission's Gold Seal of Approval for our hospital as well as our Home Care and Hospice programs. It is an audit of the actual delivery of critical services and patient care.

To view Joint Commission Acceditation Quality Reports for Lourdes, visit the Joint Commission's Quality Check website.

New York State Department of Health Hosptial Profiles

The New York State Department of Health is dedicated to ensuring quality health care in all of the State's health care facilities. The NYSDOH strives toward this goal by measuring the care rendered to patients in comparison to a code of rules and regulations which all facilities must follow. This code involves minimum standards of care which facilities are required to provide.

View Lourdes Hospital's profile on the NYSDOH website.

Hospital Compare

The Hospital Compare website was created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS), along with the Hospital Quality Alliance (HQA).

Hospital Compare displays rates for Process of Care measures that show whether or not hospitals provide some of the care that is recommended for patients being treated for a heart attack, heart failure, pneumonia, asthma (children only) or patients having surgery. Hospitals voluntarily submit data from medical records about the treatments their patients receive for these conditions. The data include patients with Medicare, those enrolled in Medicare health plans, and those who don't have Medicare.

View information for Lourdes Hospital on Hospital Compare. You can choose do a general search, or search by medical condition or surgical procedure.

Joint Commission Gold Seal

Lourdes has been awarded the Joint Commission Gold Seal of Approval

Magent Logo

Lourdes has received
Magnet Recognition for Nursing Excellence

Commission on Cancer Logo

Outstanding Achievement Award by the American College of Surgeon’s Commission on Cancer

New York State Desginated Stroke Center

Lourdes is a New York State Designated Stroke Center

One of America’s 100 Best Hospitals for Orthopedic Surgery

One of America’s 100 Best Hospitals for Joint Replacement