Quality of Care

Quality. Care. The Heart and Soul of Our Mission


At Holy Spirit Hospital, delivering quality care has always come first, and always will. We’re happy to back this solemn promise with simple facts by sharing information here – openly and plainly – about the care we deliver, and our ongoing work to assure excellent care.

After 50 years of service to south central Pennsylvania, we know the pursuit of quality care never ends, and that it will always be the heart and soul of our mission.

Vision & Philosophy

Quality is meeting or exceeding the clinical expectations of our internal and external customers in addition to compliance with regulatory standards. This is accomplished through a set of activities designed to achieve measurable improvement in processes and outcomes of care. Interventions are targeted to provide safe, efficient, cost effective, patient centered and timely care.

Our Quality Vision

To provide evidence-based, patient-focused and fiscally responsive quality service across the hospital continuum. The quality focus will be embedded in daily practice, sustainable, goal-oriented, data-driven and support the mission of the organization.

Our Quality Philosophy

  • Focuses on both internal and external customers.
  • Optimizes the performance of the entire health system not just individual departments.
  • Aligns processes, technology, people, values and policies to continually improve.
  • Uses a systematic and scientific approach to continually improve and control the Health System’s processes.
  • Constantly seeks new, innovative ways of meeting customer needs and exceeding expectations.
  • Develops a culture of life-long learning.
  • Makes decisions based on knowledge, confirmed with facts and data, and is driven by an understanding of variation and statistical thinking.
  • Supports mutual respect for the dignity, knowledge and potential contribution of others.

Our Quality Experts

Dr. Tortchia

Joseph A. Torchia, MD, MMM, is the Chief Medical Officer at Holy Spirit Hospital where one of his main responsibilities is to ensure that patients receive the highest levels of care. He oversees the quality management department and is working with consultants to improve documentation processes to ensure the most appropriate patient information is provided to independent reporting agencies.

Immediately prior to working at Holy Spirit Hospital, Dr. Torchia was a private internal medicine physician who practiced for 14 years at Conner Rich Associates in Camp Hill, PA. He is certified by the American Board of Internal Medicine and is a member of the American College of Physician Executives. In 2011, he was awarded the Master of Medical Management (MMM) degree from Carnegie Mellon University.

Dr. T

Susan M. McQuade, RN, MHA, BSN, CNOR, NE-BC, is the Director of Quality and Organizational Performance at Holy Spirit Hospital. She works closely with physicians, nurses and other staff to ensure that patients receive the highest quality care.

McQuade has more than 20 years experience in the acute care setting and previously served the health system as Associate Director of Surgical Services. She holds a master’s degree in health administration from Penn State University and a master’s certificate from Villanova University in Lean Six Sigma, a popular managerial concept for process improvement. Prior to taking on her new role, she worked with the Joint Commission Center for Transforming Healthcare in developing its Targeted Solutions Tool™ for preventing Wrong Site Surgery, an innovative application that guides health care organizations through a step-by-step process to identify, measure and reduce risks in key processes that can contribute to a wrong site surgery.

Quality Data

Holy Spirit Health System tracks pertinent data to insure quality driven health care. This data is tracked internally and submitted for public reporting.

Medicare Quality Measures

Medicare establishes quality guidelines for patients treated for Pneumonia, Congestive Heart Failure (CHF), and Acute Myocardial Infarction (AMI). These guidelines are proven to improve clinical outcomes. Holy Spirit Hospital submits data to Medicare for reporting on a quarterly basis.



Holy Spirit Hospital and Comfort Care of Holy Spirit have both earned the Gold Seal of Approval™ from the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO).

Medicare Quality Measures

The Hospital Compare data was created through the efforts of the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (DHHS) along with the Hospital Quality Alliance (HQA). This information should help you, your family, and friends compare the quality of care provided in the hospitals that agree to submit data on the quality of certain services they provide for certain conditions. This data is based on adults admitted with one or more of the core parameters.

Hospital Compare has quality measures on how often hospitals provide some of the recommended care to get the best results for most patients. You will see some of the recommended care that an adult should get if being treated for a heart attack, heart failure or pneumonia, or having surgery.

Please select from the menu below to review the data related to the respective Medicare Quality Measures.

Acute Heart Attack

Heart Failure


Surgical Care Improvements

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