Quality Transparency

keck hospital of usc

Keck Hospital of USC strives to be the trusted leader in delivering quality health care through uncompromising service excellence. As part of our mission to provide patient-centered care and deliver exceptional outcomes, we are working in tandem with several organizations to continuously monitor and improve our patient safety standards and practices.

Our collaborative efforts with these organizations — including the Hospital Quality Institute (HQI), Patient Safety Movement Foundation (PSMF) and California Hospital Association (CHA) — are geared toward making important data about our hospital’s safety standards available to our patients and the general public.

We understand the importance of access to this data, and it is our goal to keep our patients and the community well-informed so that they can make empowered and proactive decisions regarding their health care. Our safety data will be updated regularly as part of our transparency efforts and collaborative partnership with our patients and the community.

The team at Keck Hospital is dedicated to delivering exceptional, world-renowned medical care, and we are committed to following the highest safety standards to ensure the well-being of our patients.

Interpreting Patient Safety Measurements
Lower numbers represent better performance and patient safety outcomes. Additionally, Keck Hospital’s patient safety data can be compared to data that has been combined from hospitals located in California and across the country.


Central Line–Associated Bloodstream Infection (CLABSI)

Measure Period: 1/01/2017 to 12/31/2018

Keck Hospital of USC1 California Level2 National Level2
1.02 0.82 0.78


Central line–associated bloodstream infection (CLABSI): A serious infection that occurs when germs enter the bloodstream through a central line. A central line is a special intravenous (IV) catheter that allows access to a major vein close to the heart and can stay in place for weeks or months. The value shown above is a Standardized Infection Ratio (SIR), which is the ratio of observed-to-expected infections during the measure period. SIRs below 1.00 indicate that the observed number of infections during the measure period was lower than would be expected under normal conditions, whereas values above 1.00 indicate that the observed number of infections was higher than expected.2

Limitations: In the calculation of the SIR, the Centers for Disease Control and Prevention adjusts for differences between hospitals. However, patient risk factors are not taken into account. These patient-specific variables (e.g., poor skin integrity, immunosuppression) can increase the risk of developing a central line infection. Hence, the SIR for hospitals that care for more medically complex or immunosuppressed patients may not be adequately adjusted to account for those patient-specific risk factors.2

1National Healthcare Safety Network’s (NHSN) CLABSI SIR methodology
2Hospital Quality Institute (HQI)


Colon Surgical-Site Infection (SSI)

Measure Period: 1/01/2017 to 12/31/2018

Keck Hospital of USC1 California Level2 National Level2
1.15 0.96 0.91


Colon surgical-site infection (SSI): An infection (usually bacterial) that occurs after a person has colorectal surgery that occurs at the body site where the surgery took place. While some involve only the skin, others are more serious and can involve tissues under the skin, organs or implanted material. The value shown above is a Standardized Infection Ratio (SIR), which is the ratio of observed-to-expected infections during the measure period. SIRs below 1.00 indicate that the observed number of infections during the measure period was lower than would be expected under normal conditions, whereas values above 1.00 indicate that the observed number of infections was higher than expected.2

Limitations: Some, but not all, patient-specific risk factors are included in the adjustment of the SIR for these types of infections. However, not all relevant risk factors are included (e.g., trauma, emergency procedures). Hence, the SIRs for hospitals performing more complex procedures or with larger volumes of trauma or emergency procedures may not be adequately adjusted to account for those patient-specific risk factors.2

1National Healthcare Safety Network’s (NHSN) Adult Complex AR SSI SIR methodology
2Hospital Quality Institute (HQI)


Nulliparous, Term, Singleton, Vertex (NTSV) Cesarean Birth Rate

Measure Period: 1/01/2017 to 12/31/2018

Keck Hospital of USC1 California Level2 National Level2
Not Applicable 24.60 26.00


Nulliparous, Term, Singleton, Vertex (NTSV) Cesarean Birth Rate: The percentage of cesarean (surgical) births among first-time mothers who are at least 37 weeks pregnant with one baby in a head down position (not breech or transverse). Lower values indicate that fewer cesareans were performed in the hospital among primarily low-risk, first-time mothers.2

Limitations: NTSV rates do not take into account certain obstetric conditions, such as placenta previa, that may make cesarean delivery the safer route for both mother and infant.2

1Keck Hospital is not a maternity hospital and is exempted from this measure.
2Hospital Quality Institute (HQI)


Sepsis Mortality

Measure Period: 1/01/2017 to 12/31/2018

Keck Hospital of USC1 California Level2 National Level2
24.04 14.90 25.00


Sepsis mortality: Percent of patients, with a severe infection, who die in the hospital. Most sepsis cases (more than 90%) start outside the hospital. Lower percentage of death indicates better survival.2

Limitations: Use of discharge/administrative data is limiting, since such data has lower specificity for diagnoses than clinical data. In addition, without risk adjustment for differences in patient-specific factors, comparing rates among hospitals is difficult.2

1Hospital Quality Institute (HQI) Sepsis Mortality Methodology
2Hospital Quality Institute (HQI)


Venous Thromboembolism (VTE)

Measure Period: 1/01/2017 to 12/31/2018

Keck Hospital of USC1 California Level2 National Level2
0.00 3.00 3.00


Venous thromboembolism (VTE): The measure of patients who develop deep vein clots who had not received potentially preventive treatment.2

Limitations: Although not adjusted to account for patient-specific risk factors, this rate is helpful in distinguishing a hospital’s adherence to the best practice of administration of appropriate VTE prophylaxis to all appropriate patients.2

1Agency for Healthcare Research and Quality (AHRQ) Venous Thromboembolism VTE-6 Methodology
2Hospital Quality Institute (HQI)


Program Status Measures:

No
Not a maternity hospital
This hospital has a Maternity Safety Program in place. A maternity safety program provides a coordinated approach and emergency response to risks associated with pregnancy and childbirth.
Yes This hospital has a Sepsis Protocol in place. A sepsis protocol provides guidance for a coordinated approach to identification and treatment of an infection and inflammatory response that is present throughout the body.
Yes This hospital has a Respiratory Monitoring Program in place. Respiratory monitoring provides guidance for assessment of risk of respiratory depression and includes continuous monitoring of breathing and functioning of the lungs and circulatory system when indicated.