Quality Metrics

Quality Metrics

Tampa General Hospital is committed to providing high-quality care and sharing data about how well we follow guidelines for care. Here you will find information from reports on key quality measures that affect the patient care experience and health outcomes including patient safety indicators, surgical site infections, hospital-acquired infections, and patient satisfaction. These measures are updated as new data is collected and becomes available.

Tampa General Hospitals follows guidelines established various quality agencies and organizations to identify best practices to ensure our patients are receiving the safest and most innovative care in America. Tampa General’s Quality Commitment initiatives include participation with:

  1. Agency for Healthcare Research and Quality
  2. Institute of Healthcare Improvement
  3. National Hospital Quality Alliance
  4. American Nurses Credentialing Center Magnet Program
  5. The Joint Commission's National Patient Safety Goals and Quality Check
  6. The Centers for Medicare & Medicaid (CMS) Hospital Compare.

AHCA Quality Measures and Patient Safety Information: Hospital Quality Measures and Patient Safety Information - Tampa General Hospital

Note: The data in these reports is compiled from many original sources independent of Tampa General Hospital.

For more information, please visit the Federal Government and The State of Florida's Health Finder website. If you have questions, your care team can provide more information or direct you to Tampa General Hospital’s Quality and Patient Experience teams.

Centers for Medicare & Medicaid Services

Tampa General Hospital has been designated as a four-star hospital in the Centers for Medicare & Medicaid Services (CMS) 2021 Overall Hospital Quality Star ratings

Centers for Medicare & Medicaid Services logo

The recent rating reflects a significant and positive increase in ranking. CMS assigns star ratings to hospitals across the country based on the performances in five quality categories. The ranking system was created to help consumers easily compare hospitals to make informed decisions about their care. In determining the overall hospital star ratings, CMS looks at performance measures across five distinct areas of patient experience. This year, CMS rated over 4,500 hospitals from one to five stars, with 988 receiving the four-star distinction.

Patient Safety Indicators

The Patient Safety Indicators (PSIs) are a set of measures that screen for adverse events patients experience as a result of exposure to the health care system. These events are likely amenable to prevention by changes at the system or provider level.

Pressure Ulcers

Injury to skin and underlying tissue resulting from prolonged pressure on the skin. (Bedsores)
1 patient
out of
6,321
patients
Outcome is better than 2021 result
from: 01/01/2022 to 06/30/2022
Based on  at-risk patients.

Peri-Operative
Hemorrhage

Bleeding after a surgical procedure.
1 patient
out of
167
patients
Outcome is worse than 2021 result
from: 01/01/2022 to 06/30/2022
Based on 6,023 at-risk patients.

Peri-Operative
PE/DVT

Pulmonary embolism: A condition in which one or more arteries in the lungs become blocked by a blood clot.
Deep vein thrombosis: A blood clot in a deep vein, usually in the legs.
1 patient
out of
151
patients
Outcome is worse than 2021 result
from: 01/01/2022 to 06/30/2022
Based on 6,645 at-risk patients.

Post-Operative
Sepsis

The presence in tissues of harmful bacteria and their toxins, typically through infection of a wound
1 patient
out of
133
patients
Outcome is better than 2021 result
from: 01/01/2022 to 06/30/2022
Based on 2,802 at-risk patients.
Worse than 2021 No Change Better than 2021

Surgical Site Infections:

Surgical Site Infections (SSIs) are infections that occur after surgery in the part of the body where the surgery took place. Surgical site infections can sometimes be superficial infections involving the skin only.

Abdominal
Hysterectomy

An infection that occurs after surgery in the part of the body where the surgery took place.
0.5%
Outcome is better than 2021 result
from: 01/01/2022 to 06/30/2022
TGH performed 149 Abdominal Hysterectomies from Jan-Jun of 2022.

Colon Surgery

An infection that occurs after surgery in the part of the body where the surgery took place.
3.8%

 
from: 01/01/2022 to 06/30/2022
TGH performed 264 Colon procedures from Jan-Jun of 2022.
Worse than 2021 No Change Better than 2021

Hospital-Acquired Infections

Hospital-acquired infections are caused by bacteria presumed to be acquired in the hospital. Patients can be infected through catheters required for care, such as intravenous lines and bladder catheters. The most common types of hospital-acquired infections are Central Line-Associated Bloodstream Infections (CLABSI), pneumonia, including Ventilator-Associated Pneumonia (VAP), Catheter-Based Urinary Tract Infections (CAUTI), and Surgical Site Infections (SSI).

MRSA

Methicillin-resistant Staphylococcus aureas is a bacterium that causes infections in different parts of the body. It's tougher to treat than most strains of infections because it's resistant to some commonly used antibiotics
1 occurence
out of
5,893
patient days
Outcome is worse than 2021 result
from: 01/01/2022 to 06/30/2022
Total patients days at TGH from Jan-Jun 2022 was 159,098.

C. Diff

Clostridium Difficile results from disruption of normal healthy bacteria in the colon, often from antibiotics.
1 occurence
out of
5,893
patient days
 
from: 01/01/2022 to 06/30/2022
Total patients days at TGH from Jan-Jun 2022 was 159,098.

CAUTI

Catheter associated urinary tract infections.
1 occurrence
out of
2,044
device days
Outcome is better than 2021 result
from: 01/01/2022 to 06/30/2022
Total device days at TGH from Jan-Jun 2022 was 18,392.

CLABSI

Central line associated blood stream infections.
1 occurrence
out of
1,737
device days
Outcome is worse than 2021 result
from: 01/01/2022 to 06/30/2022
Total device days at TGH from Jan-Jun 2022 was 36,483.
Worse than 2021 No Change Better than 2021

Patient Satisfaction

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national survey that asks patients about their experience during a recent hospital stay. Tampa General Hospital performs better in overall patient satisfaction and likelihood to recommend than most hospitals in the southeast region of the U.S.

% of patients that would definitely recommend TGH

73.2%
from: 01/01/2022 to 06/30/2022
Bar chart showing for the first quarter of 2022 the percentage of patients that would definitely recommend TGH is 73 percent
Accessible Chart Description
This chart shows the TGH and National values for the metric 'Percent of patients that would definitely recommend the hospital they used'
Patient 'definitely recommend' responses
TGH 73.2%
National 68.8%

% of patients that rate TGH a 9 or 10 on a 0-10 scale

69.1%
from: 01/01/2022 to 06/30/2022
Bar chart showing for the first quarter of 2022 the percentage of patients that rate TGH a 9 or 10 on a 0-10 scale is 69 percent
Accessible Chart Description
This chart shows the TGH and National values for the metric 'Percentage of patients that rate the hospital they used a 9 or 10 on a 0-10 scale'
Patient 'rate 9 or 10 on 0-10 scale' responses
TGH 69.1%
National 69.6%