Performance Reports of Quality and Safety

Danbury Hospital is committed to providing you with the safest and best possible quality of care. Quality of care means we want to deliver all the right care you need, at the right time. We also want to keep you safe. Although injury can occur in healthcare, we want to avoid any injury that is preventable.

These quality and safety measurement reports are designed to give you accurate and honest information about the care we deliver at Danbury Hospital. We believe that you deserve to know this information, and that this information will help you make good healthcare decisions. As you will see, our performance is very good, but there are always opportunities to do better.

We work on improvement constantly. Visit What We're Doing to learn more about what we're currently working on to improve quality and safety at Danbury Hospital. We also use patient satisfaction information to recognize where we are doing well, and where we have opportunities for improvement.

We have selected specific measures to report that are related to both quality and safety and are nationally recognized as important. Most of these measures are checked for accuracy by organizations outside our hospital so you can be confident about the information. Also, most of these measures have comparison data to national averages or best practices so you can see how we compare

Quality and Safety Reports of Danbury Hospital

Quality Performance Reports

For quality measurement we report specific treatments and interventions related to surgical care in general and several common medical diagnoses. The medical diagnoses are:

The Surgical Care Improvement Project (SCIP)

The Surgical Care Improvement Project, or SCIP, is a set of measures determined by national experts and Medicare to reflect quality of care in surgery. Two very important complications of surgery that can be minimized by good quality care are infections, and deep venous thrombosis or thromboembolism.


Pneumonia is one of most common reasons for hospitalization. Most patients that are hospitalized with pneumonia have a bacterial infection that needs prompt treatment with antibiotics.

Congestive Heart Failure

Heart failure, also known as Congestive Heart Failure or CHF, is one of the most common reasons for hospitalization. The heart is a muscle that pumps blood, with oxygen, to the body. The muscle, or pump, can become weaker due to a variety of medical conditions, most commonly myocardial infarction (heart attack) or hypertension (high blood pressure).

Heart Attack Acute Myocardial Infarction (AMI)

Heart attacks, or Acute Myocardial Infarctions, are caused by a blockage in one or more arteries carrying oxygen to the heart. Although the management of a heart attack is complicated, there are key treatments and interventions that have been proven to improve survival, reduce complications, and preserve heart muscle.

Safety Performance Reports

For safety measurement we report on various complications of care that can be avoided or minimized:

Development of Bloodstream Infections from Central Line Catheters (CLI)

Patients in the hospital often require intravenous catheters for medications or fluid. Intravenous catheters are also referred to as central line catheters.

Some medications can only be given intravenously and some patients are unable to take in enough fluid by mouth. When the need for intravenous medication or fluid is either substantial or prolonged, larger intravenous catheters are used that are inserted through the skin like smaller catheters but are longer and are inserted farther into larger veins that can handle the volume safely and do not need replacement as often.

Medicare Reporting

Medicare, or Centers for Medicare and Medicaid Services (CMS), requires all hospitals to track and report on a number of measures on each of the conditions listed in the Quality Performance Reports below. We have selected some of those measures to report here which we believe are most critical or most challenging. Medicare sends auditors to each hospital to ensure that the reporting is accurate. We have always been found to be reporting accurately.

You may review our performance on these and all the other Medicare mandated measures by going to the Hospital Compare web site from the U.S. Department of Health and Human Services.