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Quality Information

TJC Accreditation

Official Accreditation by The Joint Commission

Deaconess Henderson Hospital is proud to be accredited by The Joint Commission. In keeping with Deaconess Henderson Hospital's high standards of providing quality healthcare, The Joint Commission strives to continuously improve the safety and quality of care provided to the public through the provision of heath care accreditation and related services that support performance improvement in health care organizations.

Inherent in the accreditation by The Joint Commission are standards that are backed and driven by the health care professional community. The principal responsibility of The Joint Commission is in service to the public and the fundamental goal of the Joint Commission's mission-related activities is improvement in organization performance.


Treating Sepsis at Deaconess Henderson Hospital

Deaconess Henderson Hospital recognizes and aggressively treats patients with Sepsis, the body’s overwhelming and life-threatening response to infection which can lead to tissue damage, organ failure and death. A multi-disciplinary team is responsible for developing protocols, processes and order sets designed to treat our patients quickly and optimally using evidence based practice. Education is provided to staff and physicians and daily surveillance of all potential Sepsis patients is conducted. Timely feedback is provided to staff and physicians in order to improve patient outcomes.

These conscientious efforts have been reflected in our Sepsis core measure compliance rates since 2016.

2016 - 27.4%
2017 - 42.4%
2018 - 66.7%


Hospital acquired Catheter-associated Urinary Tract Infection

When a urinary catheter is not put in correctly, not kept clean, or left in a patient for too long, germs can travel through the catheter and infect the bladder and kidneys. In the latest report from the Centers for Disease Control and Prevention’s National Healthcare Safety Network (NHSN), Deaconess Henderson Hospital has not had a Hospital acquired Catheter-associated Urinary Tract Infection (CAUTI) in more than two years.

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