Capital Health – Hamilton Diagnostic Services Updates

Quality and Patient Safety at Capital Health

From our hospitals to our outpatient facilities, health care professionals at Capital Health are committed to delivering patient-centered care that is safe, timely, effective, and respectful of individual patient preferences, needs, and values. We base our quality outcomes on nationally recognized best practices and focus on safety, maintaining a therapeutic environment, and continuous improvement.

Councils and Committees

The Quality and Patient Safety Council, a multidisciplinary committee of Capital Health, oversees the hospital-wide quality management system and quality and patient safety initiatives to promote optimal clinical quality outcomes, patient safety, and high reliability. The council evaluates aggregate performance data and quality and patient safety outcomes to guide recommendations to the Board of Directors Quality and Safety Committee, the Capital Health management team, and Medical Executive Committee on indicators/measures for prioritization and review. The council establishes performance improvement priorities and updates the Quality and Patient Safety Plan.

Capital Health’s Patient Safety Committee (PSC) promotes a culture of safety within the organization by encouraging reports of all occurrences ranging from near misses to adverse events. Membership is composed of staff and leadership from clinical areas along with representation from the Quality and Patient Safety Department. The PSC monitors established metrics, identifies risk-reduction activities, implements strategies to promote a culture of safety, and provides education on organization-wide change. In accordance with the New Jersey Patient Safety Act, an ad hoc Patient Safety Committee comprised of staff, medical, clinical, and quality leaders review all adverse events to identify and resolve system and practice issues that may impact quality and patient safety. The committee conducts analyses of adverse events (including near-misses) and applies evidence-based best practices to reduce the probability of recurrence.

Hospital Ratings and Rankings

Evaluating hospital performance against national standards and best practices drives ongoing quality and safety improvements and empowers consumers to find the highest-value care. Transparency is central to our approach to quality and safety measurement and patient satisfaction. We are committed to providing access to reliable reporting tools to help you make informed decisions about your health care. Below are highlights of our performance in key areas as reported by several national nonprofit organizations and consumer-oriented websites.

Leapfrog

The Leapfrog Group is a nonprofit watchdog organization that serves as a voice for health care consumers and purchasers, using their collective influence to foster positive change in U.S. health care. Here are some of the areas of focus:

Nursing Staff Plans

Hospitals should have nurse staffing plans in place that ensure there are enough nurses of all types to provide direct care to patients in medical, surgical, or med-surg units each day: Achieved the standard.

Infection Prevention

Hospitals should have fewer than expected central-line associated blood stream infections: Achieved the standard.

Hospitals should regularly monitor hand hygiene practices for everyone interacting with patients and give feedback to ensure compliance: Achieved the standard.

Health Care Equity

Hospitals should examine internal data to identify any differences in processes or outcomes for patients of different races, ethnicities, and languages and put action plans in place if differences are identified: Achieved the standard.

Care Compare

Managed and paid for by the U.S. Centers for Medicare and Medicaid Services, Care Compare allows you to find and compare different types of Medicare providers (such as doctors, hospitals, nursing homes, and others) to identify those that are right for you. Some areas of focus include:

Reducing Infections

Percentage of patients who received appropriate care for severe sepsis and or septic shock: Higher than the national average and New Jersey average.

Central line-associated bloodstream infections (CLABSI) in ICUs and select wards: Better than the national benchmark.

Patient Satisfaction

Patients who gave their facility a rating of 9 or 10 on a scale of 0 (lowest) to 10 (highest) for outpatient surgery and procedures: Higher than the national average and New Jersey average.

Patients who reported they would definitely recommend the facility: Higher than the national average and New Jersey average.

Psychiatric Services

Patients with alcohol abuse who received a brief intervention during their inpatient stay: Higher than the national average and New Jersey average.

Patients who screened positive for an alcohol or drug use disorder during their inpatient stay who, at discharge, either (1) received a prescription for medications to treat their alcohol or drug use disorder OR (2) received a referral for addiction treatment: Higher than the national average and New Jersey average.

Patients who use tobacco and at discharge either received a referral for outpatient counseling and a prescription for helping them quit or had a reason for not receiving medication: Higher than the national average and New Jersey average.

Patients discharged from an inpatient psychiatric facility who received (or whose caregiver received) a complete record of inpatient psychiatric care and plans for follow-up: Higher than the national average and New Jersey average.

U.S. News & World Report

U.S. News & World Report 2026 High Performing hospital for Maternity Care

For more than 35 years, U.S. News & World Report's annual Best Hospitals rankings has been helping patients find, in consultation with their doctors, the best hospital for their health needs.

Capital Health Medical Center – Hopewell has earned the highest possible rating (High Performing) in the US News & world Report 2026 Best Hospitals for Maternity Care. This rating indicates results that are well above average on a range of objective quality measures, such as rates of unexpected complications, C-sections, and exclusive breast milk feeding.