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Lodi Health Earns ‘Top Performer on Key Quality Measures®’ Recognition from The Joint Commission

key 250

Lodi Health has been recognized as a 2014 Top Performer on Key Quality Measures® by The Joint Commission, the leading accreditor of health care organizations in the United States.

Lodi Health was the only hospital in San Joaquin County to be recognized as part of The Joint Commission’s 2015 annual report “America’s Hospitals: Improving Quality and Safety,” for attaining and sustaining excellence in accountability measures performance for:

• Heart attacks
• Heart failure
• Pneumonia
• Surgical care
• Perinatal care

Lodi Health is one of only 1,043 hospitals out of more than 3,300 eligible hospitals in the United States to achieve the 2014 Top Performer distinction.

“Lodi Health is proud to be named a Top Performer as it recognized the knowledge, teamwork and dedication of our entire system,” said Lodi Health CEO Daniel Wolcott. “We understand what matters most to patients and families is the quality and care they receive, and we have made it top priority to improve patient outcomes through evidence-based care processes.”

The Top Performer program recognizes hospitals for improving performance on evidence-based interventions that increase the chances of healthy outcomes for patients with certain conditions.

Robotic-Assisted Surgery

daVinci-doctor-console-cartLodi Health now offers state-of-the-art technology with the installation of the da Vinci Surgery System at Lodi Memorial Hospital. Robotic-assisted general, gynecological and urological surgery means surgeons now have an alternative to traditional and laser surgery to perform even the most complex and delicate procedures through very small incisions and minimal down time. In addition, the single-site surgery option when possible allows patients to undergo a procedure, such as gall bladder surgery, with even less pain, no scarring and even faster recovery.

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Lodi Health Physicians

Looking for quality, local medical care? Lodi Health offers family and specialty care through its network of medical practices. With offices in Lodi, Galt, Stockton and Ione, Lodi Health Physicians meets the needs of the entire family. Specialties include surgery, pediatrics, prenatal care and more.



Scarless surgery

Click here to check out Lodi Health's single-site surgery option for scarless surgery.

Quality report card

Heart failure

What is heart failure? 450px hf

Heart failure is a condition in which the heart is not able to pump enough blood to the rest of the organs in the body. It is a chronic condition which can lead to multiple complications and poor quality of life if left untreated. Fortunately, there are numerous treatments for heart failure that allow patients to live a healthier and fuller life.

What we are measuring?

The graph above shows what percentage of patients admitted to the hospital with heart failure received all the treatments recommended for heart failure.

Why it is important?

Heart failure treatment is complex and requires a multi-disciplinary approach. Comprehensive treatment results in shorter time spent in the hospital and smaller likelihood of frequent admissions to the hospital. Additionally, a heart failure patient’s quality of life is greatly improved when the proper interventions are taken during their hospital stay.

What is Lodi Health doing to improve?

  • Comprehensive discharge planning process that assures patients see either their primary care provider or a cardiologist within two weeks of discharge with our discharge planners personally making the patient’s appointment prior to their discharge.
  • Anticoagulation clinic to specifically take care of patients needing chronic anticoagulation with warfarin.


What is pneumonia?450px pneumonia

Pneumonia is an infection of the lung that is frequently caused by bacteria. Smokers, elderly (people over the age of 65 years) and individuals with chronic lung disease and heart failure are at greater risk of developing serious complications if they get pneumonia.

What we are measuring?

The graph above shows the percentage of patients who received all the recommended treatments for pneumonia once they were admitted to the hospital.

Why it is important?

Early and effective treatment of pneumonia results in shorter hospital stays and prevents other complications from the infection.

 What is Lodi Health doing to improve?

  • Drawing blood cultures to identify the type of bacteria that is causing the infection, before administering the first dose of antibiotics.
  • Developing protocols to administer the appropriate antibiotics as soon as the patient is diagnosed.
  • Making sure that all patients who are at risk of developing pneumonia are vaccinated against the most common causes of serious pneumonias before they leave the hospital.

Surgical care improvement

What is surgical care improvement?450px scip

Undergoing surgery can put patients at greater risk of infections. The surgical care improvement programs at Lodi Memorial Hospital focus on preventing infections with effective care policies before, during and after surgery

What we are measuring?

The graph shows the percentage of patients who received all recommended interventions during their surgical procedure and hospital stay following that.

Why it is important?

Surgical infections can lead to serious complications, especially in patients with conditions like diabetes, or the elderly. Taking steps to prevent these complications will lead to shorter surgical recovery times and improved outcomes.

What is Lodi Health doing to improve?

  • Administering antibiotics before starting surgery.
  • Cleaning the skin at the surgical site with a special soap.
  • Continually promoting hand hygiene amongst our staff by making sure soap and water, and alcohol based products are readily available in all patient care areas.
  • Removing tubes or catheters as soon as safely possible after surgery.
  • Careful monitoring of patient blood sugar levels prior to, during and after surgical procedures.

Venous thromboembolism (VTE) 

What is venous thromboembolism (VTE)?450px vte

A venous thrombus is a blood clot that forms in a vein and can travel to other organs like the lungs or brain, leading to very serious complications. Such clots tend to develop in patients who are immobilized for a long period of time, for example after surgery or during long hospitalizations, have cancer, or have a genetic condition that makes them more likely to form clots. We have implemented strategies to prevent such clots in patients who are admitted to the hospital

What we are measuring?

The graph shows the percentage of patients who received all treatments to prevent venous thromboembolism while admitted to the hospital.

Why it is important?

Venous thromboembolism is often overlooked, even though it is the third most common cardiovascular illness in the United States. If not treated, it can lead to serious consequences, including death.

What is Lodi Health doing to improve?

  • We have implemented a hospital wide protocol that identifies patients at greater risk of venous thromboembolism as soon as they are admitted, and we immediately start administering medications to prevent these blood clots.


Surgical site infections (SSIs)


What is a surgical site infection?450px ssi

A surgical site infection is an infection that occurs after surgery in the part of the body where the surgery took place. It is when microorganisms from the skin or environment enter the body through the incision that the surgeon makes for the operation.

Why is it important?

Surgical site infections are the second most common type of healthcare associated infection (HAI) in the United States, and make up the greatest additional healthcare cost—between $3.5 and 10 billion per year. Most SSIs are preventable by following evidence based strategies and practices. How well we are doing is based on the standardized infection ratio (SIR). This is calculated by dividing the number of infections that happened by the number of infections that were expected, based on risk factors. The goal is to have an SIR less than one. In the graph, the red line marks an SIR of 1.0.

What is Lodi Health doing to prevent SSIs?

Before surgery, a patient will receive a bath with a special soap that kills germs on the body’s surface and helps prevent infections at the surgery site. Doctors, nurses and other healthcare providers also clean their hands and arms up to their elbows with an antiseptic agent right before the surgery. A patient may also receive antibiotics before surgery starts to help prevent infections. At Lodi Health, we perform SSI surveillance on 28 different procedures. We use surveillance definitions from the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) to track infections. Lodi Health’s approach to SSIs is to perform a thorough analysis of each infection and to use that information to promote, monitor and sustain evidence-based best practices for SSI prevention.

Central line associated bloodstream Iinfections (CLABSIs)

What is a central line associated bloodstream infection?450px ssi

Central lines are placed in patients to deliver medications, fluids, nutrients and sometimes blood products. It is a catheter that is placed into a large vein, usually in the upper portion of the chest area and sometimes in the groin. Although a central line can be necessary to treat an illness or disease, it can also lead to infection.

Why is it important?

An infection in the blood can be very dangerous and even life threatening. Central lines increase the risk of developing a bloodstream infection. Lodi Health aims to reduce and eliminate central line associated infections. How well we are doing is based on the standardized infection ratio (SIR). This is calculated by dividing the number of infections that happened by the number of infections that were expected, based in risk factors. The goal is to have an SIR less than one. In the graph above, the red line marks an SIR of 1.0.

What is Lodi Health doing to prevent CLABSIs?

Lodi Health uses special precautions and practices in the insertion and care of central lines to prevent them from becoming infected. Staff follow specific criteria when inserting the line to prevent infection and only insert them if they are medically necessary. The line is only left in for as long as it is needed. When a patient no longer needs the central line, our staff removes it.

Catheter associated urinary tract infections (CAUTIs)

What is a catheter associated urinary tract infection?450px clabsi

A urinary catheter is used when a person cannot empty his/her bladder either because something is blocking the urine flow or be-cause the bladder does not empty on its own. A catheter associated urinary tract infection (CAUTI) is when bacteria or other germs enter the urinary tract and cause an infection.

Why is it important?

While urinary catheters can be very helpful to patients, they can also be harmful. They can hurt the bladder and cause you to feel pain below your belly button and can cause a urinary tract infection (UTI). CAUTIs have been associated with increased healthcare costs and lengths of stay for patients. How well we are doing is based on the standardized infection ratio (SIR). This is calculated by dividing the number of infections that happened by the number of infections that were expected. The goal is to have an SIR less than one. In the graph above, the red line marks an SIR of 1.0.

What is Lodi Health doing to prevent CAUTIs?

At Lodi Health, we only insert urinary catheters when they are medically necessary. We take the proper precautions to ensure that our patients who have urinary catheters are at low risk for a CAUTI. We work hard to remove the urinary catheter as soon as it is no longer medically necessary, since we don’t want to put our patients at risk for infection.

Hospital Onset C. difficile Infections (HO C. diff)

What are Hospital Onset C. Difficile Infections?450px hoc

C. difficile or C. diff is a type of bacteria that can cause diarrhea and infection of the colon. This kind of bacteria is more likely to infect patients who are admitted to the hospital frequently or who have to take a lot of antibiotics.

Why is it important?

C. difficile infections affect tens of thousands of people every year, and can even result in death. It is dangerous because it can also be found in the spore form, which can live in the environment for a long period of time. C. difficile infection causes severe diarrhea which leads to fluid and salt loss, and can make a person dehydrated. It can also cause severe inflammation in the gut and create holes in the intestines, leading to infections in the abdomen. How well we are doing is based on the standardized infection ratio (SIR). This is calculated by dividing the number of infections that happened by the number of infections that were expected. The goal is to have an SIR less than one. In the graph above, the red line marks an SIR of 1.0.

What is Lodi Health doing to prevent HO C. difficile?

One of the best ways healthcare workers at Lodi Health protect patients from C. difficile infections is by washing their hands with soap and water to prevent the bacteria from spreading. Equipment and surfaces are also disinfected with a bleach product, which kills the spores. Patients who have a C. diff infection are kept in a private room to help prevent the bacteria from spreading to other rooms. There is also an Antimicrobial Stewardship Taskforce where different health professionals work together to limit the amount of antibiotics patients are on so they are at less risk for a C. diff infection.

Download report PDFS:

Click here for core measures.
Click here for infection prevention meausres.


Compassionate and Quality Care for More than 60 Years

Over the last 63 years, a lot has changed at Lodi Memorial Hospital. New buildings and wings have been erected. New technologies, like robotic-assisted surgery, have been introduced. Quality physicians and dedicated nurses have worked round the clock. Lodi Memorial Hospital became Lodi Health to encompass all of its services that provide the quality health care you need with the compassion and personal attention you want from the first day of your life and every day thereafter.

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