Quality and Accreditation

Quality and Accreditation

Quality Ratings

View Lodi Hospital’s Quality Ratings. With every dose of medication, with every test, procedure and surgery, we stand behind the belief that quality is more than a concept, it’s the only way to serve our patients.

We also believe that providing a quality healthcare environment means going above and beyond to make sure that our patients are cared for in a safe environment, our employees are well-trained, and that our patients are satisfied with their care.

Lodi Hospital's Quality Report

Cleveland Clinic reports data on outcomes, volumes, and surgical and medical trends as well as a review of new medical technologies and innovations. This popular series of books is used by consumers and referring physicians to make informed decisions when choosing or recommending a specialist for medical or surgical care.

How were these quality indicators selected?

The Joint Commission, the Centers for Medicare and Medicaid Services and National Quality Forum have defined and endorsed certain quality indicators and safe practices to allow hospitals to be compared “apples to apples.” The Quality Report is “open,” meaning anyone can see how the results were obtained.

Does this quality report include data about individual physicians?

No. We are publishing hospital data only.

Why is Cleveland Clinic publishing its quality data?

  • We like what open reporting does for you. We believe that you should know how we are performing. We want patients and families to have better information about the quality of healthcare.
  • We also like what open reporting does for us. We have found that public reporting has helped us document our care more carefully, obtain more valid data and continually improve patient
  • We like what open reporting does for hospital care. We hope that our quality report will contribute to a better understanding of how to assess, report and improve hospital

What does “risk adjusted” mean?

Risk adjustment takes into account differences in patient and procedure risk factors, so that comparisons are more meaningful. Risk adjustment allows for comparison of actual performance with predicted performance, based on the average U.S. hospital.

The risk of a complication or death varies by patient and by procedure. For example, an older surgical patient who has other illnesses such as kidney failure and diabetes is at greater risk of developing complications than is a young, otherwise healthy patient.

How often will the data on this report be updated?

This report will be updated quarterly or as new data become available.

Accreditations & Awards

Lodi Hospital currently holds the following accreditations and awards:

  • Joint Commission on Accreditation of Healthcare.
  • 2021 Gold Level AORN Go Clear Award™.
  • 2023 Nurses Improving Care for Health system Elders (NICHE™) Member. The vision of NICHE is that all older adults, age 65 and over, receive age-friendly, exemplary nursing care.
  • CAP Accreditation – Laboratory.
  • On the Journey to Pathway to Excellence. The ANCC Pathway to Excellence Program® drives positive transformation of health care through nursing excellence.
Nursing Recognition

Nursing Recognition

Nursing at Cleveland Clinic Akron General Lodi Hospital Journey to Pathway to Excellence® Program

Lodi Hospital is on the Journey to the American Nurses Credentialing Center's (ANCC) Pathway to Excellence® designation, which recognizes a health care organization’s commitment to creating a positive practice environment that empowers and engages its caregivers. Lodi began the comprehensive review process in late 2022 and is projecting to complete document submission for the program in June 2024. The Pathways to Excellence® program contains six overarching standards: shared decision-making, leadership, safety, quality, well-being and professional development. Exemplifying these standards creates a positive work environment, which is proven to improve both patient care and nurse satisfaction. The ANCC Pathway to Excellence® Designation leads to a better overall hospital experience for patients, including improved quality of care, patient safety and satisfaction.

NICHE Program

Lodi Hospital has been recognized in the Early Program Stage, working toward Progressive in the Nurses Improving Care for Healthsystem Elders (NICHE) program. Lodi's NICHE steering committee's mission is to honor our hospital vision and provide the best possible care to our older adult population by keeping current with geriatric education and using evidence based protocols to care for our patients. Integrating this program into the hospital has led to the development of a wound care program and Geriatric Resource Nurses (GRN) on each care unit. Currently, there are 11 GRNs at Lodi.

Professional Practice Model

Our Professional Practice Model is a visual representation of the values, organizational structures, and processes that provide a unifying framework for the practice of nursing at Cleveland Clinic Akron General Lodi Hospital. It ensures consistency in the delivery of nursing care, and defines for all registered nurses their authority, autonomy and accountability as they care for patients and families.

Professional Practice Model - Nursing Shared Governance | Cleveland Clinic

Shared Governance at Cleveland Clinic Akron General Lodi Hospital

Shared governance is an empowering organizational model that creates a structure for shared decision-making in the clinical care of patients. When granting Magnet® Recognition and Pathway to Excellence® Program designations, the American Nurses Credentialing Center considers how well the principles of shared governance are implemented throughout an organization.

Shared Governance at Cleveland Clinic Martin Health

As a part of shared governance, each hospital establishes a structure that provides a voice to the clinical nurse and allows for bidirectional communication and shared decision-making as it relates to nursing professional practice. Each hospital needs to have at a minimum:

  • A nursing practice council
  • Unit-based councils
  • A nursing executive council

The following groups may also be a part of an individual hospital’s shared governance structure:

  • Hospital councils
  • Specialty practice councils
  • Affinity groups

Lodi Hospital Shared Governance

Nursing Practice Councils

  • Nursing Practice Council
  • Nurse Staffing Council

Unit-Based Councils

Not Yet Established

Nursing Executive Council

  • Nursing Leadership Council

Hospital Councils

  • Nursing Quality Council

Specialty Practice Councils

  • Not Applicable

Affinity Groups

  • Lodi nursing caregivers are representatives of enterprise affinity