St. Michael’s Hospital

30 Bond St., Toronto, ON

Website | 416-360-4000

  • 411
  • N/A
  • Yes
  • Graded
    B

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CBC Rating: B

Data reported by this hospital shows it gets about the same results overall as an average hospital of the same size. The rating is based on five important risk-adjusted indicators measuring how well patients do after surgery or medical treatment, as reported by the Canadian Institute for Health Information.

This hospital reports about the same number of deaths after major surgery as an average hospital of the same size.

This indicator measures the number of patients per 1,000 who die in hospital within five days of major surgery. It includes operations that take longer than two hours and usually require a general anesthetic, such as hip replacements and heart bypass surgery.

This hospital
9.09 NATIONAL AVERAGE
8.62

This hospital reports about the same number of adverse events tied to post-surgical nursing care as an average hospital of the same size.

This indicator measures the number of patients per 1,000 who develop problems tied to nursing care such as urinary tract infections, bed sores, pneumonia or broken bones. Nurses are not solely responsible but studies show a strong link to low nurse staffing levels.

This hospital
35 NATIONAL AVERAGE
35.99

This hospital reports about the same number of adverse events tied to nursing care for medical problems as an average hospital of the same size.

This indicator measures the number of patients per 1,000 who develop problems tied to nursing care such as urinary tract infections, bed sores, pneumonia or broken bones. Nurses are not solely responsible but studies show a strong link to low nurse staffing levels.

This hospital
35.45 NATIONAL AVERAGE
29.19

Data reported by this hospital shows more patients are readmitted to this hospital after surgery than to an average hospital of the same size.

This indicator measures the number of surgical patients per 100 forced to return to hospital within 30 days of discharge. Many hospitals use this measure to assess the quality of care in the hospital and in the community.

This hospital
7.13 NATIONAL AVERAGE
6.51

Data reported by this hospital shows substantially more patients are readmitted to this hospital after medical treatment than to an average hospital of the same size.

This indicator measures the number of medical patients per 100 forced to return to hospital within 30 days of discharge. Many hospitals use this measure to assess the quality of care in the hospital and in the community.

This hospital
15.22 NATIONAL AVERAGE
13.31

Source of indicator data: Canadian Institute for Health Information (CIHI).
The national average for each indicator is an average of all types of hospitals.

About this Hospital

  • Type of hospital: Teaching
  • Number of patients: 25,653
  • Average length of stay: 5.82 days
  • C. difficile infections: 4.35
  • MRSA infections: 0.1
  • ER wait time: 6.4 hours
  • Single-bed rooms: 15%
  • Care provided by registered nurses: 100%
  • Use of electronic medical records: 6.06
  • Interpreter services: Formal
  • Death rate: 85 (100 is the norm)

This is an academic health sciences centre. It was founded by the Sisters of St. Joseph in 1892 to care for the disadvantaged in the inner city of Toronto, treating them with compassion and dignity.

Patient care includes three components: critical care (including trauma), inner city health (including both mental and physical health) and specialized services (inlcuding the largest multiple sclerosis clinic in North America and the largest adult cystic fibrosis population).

In research the hospital's priority is to conduct studies that are immediately applicable to patients. Much of this has a direct impact on treatment and on public policy.

In education St. Michael's has over 3,000 students each year across all health care professions. It offers a popular inner-city course to all health care professionals. With the University of Toronto, the hospital runs the Centre of Faculty Development to ensure that teaching across the teaching hospital network is of high quality.

This profile was provided by the hospital.

the fifth estate Hospital Survey

Find out about initiatives this hospital is taking to improve care and safety. CBC gathered the information below by inviting hospitals across Canada to respond to a survey developed with the help of health care experts. CBC assessed hospitals on 12 criteria in three categories. Each red checkmark means the hospital either meets the gold standard for that indicator or performs at least as well in that area as the top 50 per cent of hospitals CBC assessed.

Regular, reliable pain assessment Yes

Best practice guidelines recommend that nurses screen patients at risk for pain at least once a shift, using a valid and reliable systematic pain assessment tool. Uncontrolled pain is considered an adverse event.

Medication reconciliation on admission 62%

Accreditation Canada, a non-profit organization that accredits hospitals, requires hospitals to compare the medications a patient is on when admitted to those that will be given in the hospital. Half the hospitals CBC assessed follow this procedure at least 84 per cent of the time.

Hand hygiene compliance 60%

Regular handwashing is considered the single most important way to reduce the spread of hospital-acquired infections. In half the hospitals CBC assessed, staff followed proper handwashing procedures at least 86 per cent of the time.

Single-bed rooms 15%

Studies have linked a higher percentage of single-bed rooms to better infection control, reduced medical errors, fewer falls, improved sleep and better patient outcomes. In half the hospitals CBC assessed, at least 25 per cent of beds are in single rooms.

Flexible visiting hours Yes

Studies show that the unrestricted presence of a family member or friend can improve safety, communication and the patient’s understanding of his care.

Cots available for family members to stay overnight Yes

Studies show that having a family member or friend stay with a patient around the clock improves safety and reduces medical mistakes.

Full meal service until 6 p.m. daily No

An extended meal service can help facilitate visits from family and friends.

Conducts and reports formal patient surveys Quarterly

Formal surveys that measure patients' views create incentives for hospitals to improve the quality of care and enhance public accountability. Some provinces have mandated the surveys.

Use of electronic medical records 6.06

Industry group HIMSS grades hospitals on electronic medical record use in eight stages. Some records may be automated at stage 0. Stage 7 hospitals are paperless. HIMSS research suggests hospital performance significantly improves at Stage 6. Half the hospitals CBC assessed scored 3.17 or higher.

Care provided by registered nurses 100%

Studies have linked higher levels of care provided by RNs to better patient outcomes. In half the hospitals CBC assessed, RNs provide at least 70 per cent of all nursing care.

Interpreter services Formal

Providing a formal interpreter service in a patient's mother tongue can improve safety, quality of care and understanding of treatment. In the U.S., the provision of formal interpretation services affects a hospital's accreditation.

Hospital board of directors discusses patient stories Always

U.S.-based Institute for Healthcare Improvement recommends that hospital boards review data on quality of care at every meeting, putting a human face on issues by discussing patient stories.

Posted: Apr 10, 2013 | Last updated: Apr 17, 2013.

The data on this page is accurate as of spring 2013.

Read the CBC methodology.

Note: CBC does not endorse and is not responsible for the content of external links.

SOURCE: Canadian Institute for Health Information, data from CBC survey sent to hospitals, provincial health ministries, health authorities

CBC hospital ratings are not medical advice or recommendation. The care provided by hospitals with higher rankings will not necessarily be better than the care offered by others. A hospital with a lower grading may excel in areas that data collection authorities and/or CBC have not considered. The information provided is merely a guide to better inform Canadians. For all medical concerns and emergencies, please see your doctor/hospital.

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