Open Accessibility Menu

Patient Safety & Quality

Our #1 priority is to deliver high-quality patient care in a safe environment. BCH has a comprehensive Patient Safety/Quality plan that calls on our leaders, staff and physicians to do their part in ensuring our safety and quality care exceeds national standards.

BCH seeks to provide safe and evidence-based care through consistent commitment to the regulations provided by the Centers for Medicare and Medicaid Services, the Joint Commission and the State of Colorado.

Organizational Structure

The BCH Board of Directors has a designated Board Patient Safety Committee that provides primary oversight of our Patient Safety/Quality plan. We also have a Medical Staff Executive committee responsible for overseeing the quality of services provided by physicians and medical staff; a Patient Safety Council (comprised of management council members, physician section chiefs, directors, risk management and representatives from the Division of Organizational Excellence) responsible for providing regular reports to the Board Patient Safety Committee and the Medical Staff Executive Committee; and a CEO appointed Chief Medical Officer/Patient Safety Officer that reports to the Division of Organizational Excellence. There are also more than 30 designated committees across the organization tasked with monitoring and improving patient safety initiatives.

Division of Organizational Excellence

Organizational Excellence under the direction of the CMO/Patient Safety Officer is responsible for the oversight of all BCH patient safety and quality initiatives. The DOE consists of the following departments: Clinical Education, Regulatory Readiness, Performance Excellence, Patient Safety, Decision Support, Patient Services, Spiritual Care, Infection Prevention, and Employee Health. The DOE facilitates the development of an annual BCH Patient Safety/Quality Plan and the annual patient safety/quality initiatives that are measurable and support one or more of the BCH strategic goals.

Our Quality Scores

Patient safety data on our hospital can be obtained through some external agencies, including the Colorado Hospital Association (CHA) and the CMS.

  • CHA - CHA, which provides hospitals with information and assistance on how to improve patient safety, efficiency and effectiveness, has developed a CHA report card that provides insight into the quality and safety performance of Colorado hospitals. Read more.
  • CMS - CMS, the agency that runs Medicare and Medicaid, posts results of Consumer Assessment of Health Providers and Systems (HCAHPS) surveys, which uniformly measure and publicly report patient perspectives on their inpatient care. Read more.

Speak-up Campaign

BCH is part of the “Speak Up” campaign, a nationwide initiative designed to inform hospital visitors and patients about their important role in infection prevention and overall patient safety. Customized brochures are distributed to all hospital inpatients that review important safety information and encourage individuals to “speak up” when they have safety-related questions or concerns.

Joint Commission

The Joint Commission is an independent, not-for-profit organization dedicated to continuous improvement in health care for the public. The Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.

Concerns about Quality or Safety

Boulder Community Health is committed to providing high quality, safe care for all patients. Should you have concerns about the quality or safety of your or a loved one’s care, please address it with the care team, nursing leadership or the Patient Representative. Should you have concerns about the quality or safety of your care that have not been resolved, it is your right to lodge a grievance with the Joint Commission or the State of Colorado directly, regardless of whether you have first used the hospital’s grievance process. Complaints may be filed with either of these agencies:

Colorado Department of Public Health and Environment, HFEMSD-C1
4300 Cherry Creek Drive South
Denver, Colorado 80246-1530
For more information:
303-692-2827 or 1-800-886-7689, ext. 2827

In writing to: The Office of Quality and Patient Safety
The Joint Commission
Mail: One Renaissance Boulevard
Oakbrook Terrace, Illinois 60181
Fax: 630-792-5636

File a Billing Complaint

At Boulder Community Health, we understand that health care bills can be difficult. We are here to work with you to help you understand your bill, get it paid and off your mind. If you want to dispute a charge, please follow the process below:

For date of service before October 1, 2019:

  • Hospital-related services, call Patient Financial Services at 303-415-4700
  • BCH physician bills, call CMA Physicians of BCH at 303-415-4766

For date of service after October 1, 2019:

Tips: Have your insurance card(s) and billing statements ready. Please reference the contact information at the top of each billing statement. BCH billing specialists will contact the clinic or facility where you received services to request a review of charges. We will then contact you with the findings.

If your billing issue is not resolved, our billing specialists will work with you to:

  1. Apply for financial assistance, and/or
  2. Set up a payment plan.

Thank you for partnering with us for your health care needs.