1. Consumer Health Health Care Facilities

2. Accreditation Outpatient Hospitals Nursing Homes Checking Quality

3. Accreditation Purpose Agencies JCAHO AAAHC Standards U.S. Centers for Medicaid and Medicare Services (CMS)

4. Accreditation Name:Pomona Valley Hospital Medical Center Address: 1798 North Garey Avenue Pomona, CA 91767 County:Los Angeles Phone Number:(909)865-9500 Web Page:www.pvhmc.org E-Mail Address:janie.ridgeway@pvhmc.org Accreditation Decision:Accreditation with Requirements for Improvement Accreditation Date:Jul 12, 2003 Current Status:Accreditation with Requirements for Improvement Effective Date:Jul 12, 2003 View 2003 Performance Report | Accreditation History for Pomona Valley Hospital Medical Center

5. Outpatient Facilities Private medical office Student health services Hospital emergency rooms Hospital outpatient clinics Community clinics Ambulatory care centers Ambulatory surgery centers

6. Outpatient Emergency Rooms Consumer Health Assessment question

7. Outpatient Emergency Rooms...the nation’s ERs are the portal of entry for as many as three out of four uninsured patients admitted to US hospitals.

8. Outpatient Emergency Rooms

11. Hospitals Over 6,000 in US Categories Community General & specialty Government Not for profit & For profit Short- / Long-term

12. Nursing Homes 17,000 nursing homes 2/3 are for-profit ½ are chains Costs $58,000,000,000 by government $34,000,000,000 by residents and families

13. Nursing Homes Medicare program for the elderly and the Medicaid program for the poor taxpayers now pay the bill for about two thirds of all nursing home care 3.5 million people will live in a nursing home over the course of a year 15 percent of all U.S. families will have a relative in a home

14. Nursing Homes 6,000,000 chronically ill and disabled older get help somehow 1.5 million over 65 in NHs 800,000 in assisted living 1.5 in independent apartments 625,000 in continuing care retirement communities

15. Escape Fire Despite enormous expenditures and sophisticated technologies, America’s health care system has been rated 37th in the world. Stephen C. Schoenbaum, MD Senior Vice President, The Commonwealth Fund The people work well, by and large, but the system often does not.

16. Escape Fire We needed consistent, reliable information We needed respect for our privacy, personal attention, and timely care We needed continuity “Why do organizations unravel?”

17. It's Time to Care About Ratings Data Receive half recommended effective care (NEJM) 57,000 avoidable deaths per year Information needed Medical errors Complication rates 10 measures of care for 3 conditions

18. Checking Quality Quality Check® Check up on your local health care organizations JCAHO Ambulatory Care Hospital Long Term Care Home Care Assisted Living Behavioral Health Care

19. Hospitals America's Best Hospitals 2003 If you're looking for the best in medical care, check out the 14th annual edition of "America's Best Hospitals." We rank 203 top medical centers in 17 specialties. US News www.usnews.com/usnews/health/hosptl/tophosp.htm

20. US News’ Honor Roll Johns Hopkins Hospital, Baltimore 32 points in 16 specialties Mayo Clinic, Rochester, Minn. 28 points in 14 specialties UCLA Medical Center, Los Angeles 24 points in 14 specialties Massachusetts General Hospital, Boston 24 points in 12 specialties Cleveland Clinic 23 points in 12 specialties Duke University Medical Center, Durham, N.C. 22 points in 13 specialties University of California, San Francisco Medical Center 21 points in 12 specialties Barnes-Jewish Hospital, St. Louis 18 points in 12 specialties

21. Summary Accreditation Outpatient Hospitals Nursing Homes Checking Quality