Quality & Safety

This report is intended to simulate the CEO/CMO/CNO view of whether the organization is delivering safe, effective care by tracking metrics related to mortality, safety of care, readmission, patient experience, and timely/effective care.

In my case, I had data related to 30-day readmissions, mortality, CLABSI SIR, falls with injury, and hospital-acquired pressure injury rates. However, see the Data Dictionary for more detail about limitations in the synthetic data.

Note that CLABSI, falls, and HAPI read 0.00 because this synthetic population recorded zero such events in range - a real reading, not a missing one. 30-Day Mortality Rate (risk-adjusted) reads — because this demo has no real mortality risk model at this population scale (see Data Dictionary).

30-Day Readmission Rate
0.0%
Target: 12.0% Prior yr: 0.0% Variance: -12.0% –
Reads 0.0%: a real reading from only 9 eligible discharge(s) in the trailing 3 months, below this suite's own 30-case reporting-reliability bar - not a certified population-level rate.
30-Day Readmission Rate (risk-adjusted, demo)
0.0%
Target: 12.0% Prior yr: 0.0% Variance: -12.0% –
Reads 0.0%: a real reading from only 9 eligible discharge(s) in the trailing 3 months, below this suite's own 30-case reporting-reliability bar - not a certified population-level rate.
30-Day Mortality Rate (risk-adjusted, demo)
—
Target: 3.0% Prior yr: — Variance: — n/a
No value shown: this demo has no real mortality risk-adjustment model at this population scale - too few real deaths in the months 1-12 training window to fit one reliably (see the Data Dictionary).
CLABSI Standardized Infection Ratio
0.00
Target: 1.00 Prior yr: 0.00 Variance: -1.00 –
Reads 0.00: no central-line device-days recorded in the trailing 3-month window.
Falls with Injury per 1,000 Patient Days
6.47
Target: 0.80 Prior yr: 0.00 Variance: +5.67 ▲
HAPI (Stage 2+) per 1,000 Patient Days
0.00
Target: 0.60 Prior yr: 0.00 Variance: -0.60 –
Reads 0.00: zero real hospital-acquired pressure injuries (Stage 2+) across 64 real patient-days this window.

30-Day Readmission Rate by Hospital

Trailing 3-month average.

Encounters With a 30-Day Readmission

Real index discharges, in the filtered scope, followed by a real unplanned inpatient readmission within 30 days. Click one to see the specific readmission.

Index discharge periodHospitalService line
2025-11 Community Medical Center General Medicine
2025-07 Suburban Hospital General Medicine
2025-07 Community Medical Center General Medicine
2025-07 Regional Medical Center General Medicine
2025-07 Suburban Hospital General Medicine
2025-05 Community Medical Center Cardiovascular
2025-05 Regional Medical Center General Medicine
2025-05 Suburban Hospital General Medicine
2025-02 Community Medical Center General Medicine
2024-11 Suburban Hospital General Medicine
2024-09 Suburban Hospital General Medicine
2024-06 Regional Medical Center General Medicine
2024-05 Community Medical Center General Medicine
2024-04 Community Medical Center General Medicine
2024-04 Community Medical Center General Medicine
2024-04 Regional Medical Center General Medicine
2024-03 Suburban Hospital General Medicine
2024-02 Community Medical Center General Medicine
2023-12 Community Medical Center General Medicine
2023-12 Community Medical Center General Medicine
2023-12 Suburban Hospital General Medicine
2023-10 Community Medical Center General Medicine