CMS-10310.Mockup 2_Surgery Measures_REV_1_15_v2

Surgery Measures – Compare Hospitals

Your Selected Hospitals			EDGEFIELD HOSPITAL	MITCHELL HOSPITAL	RIVER VIEW HOSPITAL
Surgical Care This measure shows how well hospitals are following standards of care for patients having surgery. These standards are based on medical research that has shown how hospitals can reduce the risk of wound infection after surgery by making sure patients get the right medicines at the right time on the day of their surgery. Add text or link here to explain that, for the time being there will be some quarters of data included that have not been validated.
T o view more information, select the topic(s) below and click “View Graphs” or “View Tables.”
		Outpatient surgery
	Percent of outpatients having surgery who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection (a higher percentage is better)		92%1	92%	70%
		Percent of outpatients having surgery who were given the right kind of antibiotic to help prevent infection (a higher percentage is better)	69%1	90%	97%

	Inpatient surgery
	New! Percent of inpatients having surgery who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery	85%	77%	87%
	Percent of inpatients having surgery who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection	97%	95%	88%
	Percent of inpatients having surgery who were given the right kind of antibiotic to help prevent infection	92%	93%	87%
	Percent of inpatients having surgery whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)	95%	88%	73%
	Percent of all patients having inpatient heart surgery whose blood sugar (blood glucose) is kept under good control in the days right after surgery	92%	90%	72%
	Percent of inpatients having surgery who need hair removed from the surgical area before surgery, and who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)	100%	99%	89%
	Percent of inpatients having surgery whose doctors ordered treatments to prevent blood clots after certain types of surgeries	90%	96%	81%
	Percent of inpatients having surerrey who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery	85%	19%	75%

¹ The number of cases is too small to tell how well a hospital is performing.

Outpatient Surgery

Measures based on standards of care	Compare the hospitals to this:	Compare the hospitals to this:	EDGEFIELD HOSPITAL	MITCHELL HOSPITAL	RIVER VIEW HOSPITAL
	UNITED STATES AVERAGE	TEXAS AVERAGE
Percent of outpatients having surgery who were given the right kind of antibiotic to help prevent infection (a higher percentage is better)	91%	87%	69% of 131 patients	90% of 115 patients	97% of 33 patients
Percent of outpatients having surgery who were given the right kind of antibiotic to help prevent infection (a higher percentage is better)	91%	87%	69% of 131 patients	90% of 115 patients	97% of 33 patients

¹ The number of cases is too small to tell how well a hospital is performing.

Percent of outpatients having surgery who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Why is this important?

• Hospitals can prevent surgical wound infections. Medical research shows that surgery patients who get antibiotics within the hour before their surgery are less likely to get wound infections.

• The timing is important: getting an antibiotic earlier, or after surgery begins, is not as effective. Hospital staff should make sure patients get antibiotics at the right time.

The rates displayed in the graph are from data reported for discharges October 2007 through September 2008.

Percent of outpatients having surgery who were given the right kind of antibiotic to help prevent infection

Why is this important?

• Hospitals can prevent surgical wound infections. Medical research has shown that certain antibiotics work better to prevent wound infections for certain types of surgery.

• Hospital staff should make sure patients get the antibiotic that works best for their type of surgery.

The rates displayed in the graph are from data reported for discharges October 2007 through September 2008.

Percent of outpatients having surgery who were given the right kind of antibiotic to help prevent infection

Why is this important?

• Hospitals can prevent surgical wound infections. Medical research has shown that certain antibiotics work better to prevent wound infections for certain types of surgery.

• Hospital staff should make sure patients get the antibiotic that works best for their type of surgery.

The rates displayed in the graph are from data reported for discharges October 2007 through September 2008.

Quality of Care Measures	Brief Explanation
Percent of outpatients having surgery who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection (a higher percentage is better)	Hospitals that give an antibiotic within one hour before surgery reduce the risk of wound infections. This shows how often hospitals gave antibiotics at the right time. This information is only about patients who had outpatient surgery and were not admitted to the hospital. (Outpatient surgery is sometimes called “same day surgery,” “day surgery,” or “ambulatory surgery.”)
Percent of outpatients having surgery who were given the right kind of antibiotic to help prevent infection (a higher percentage is better)	Some antibiotics work better than others to prevent wound infections for certain types of surgery. This shows how often hospitals made sure outpatients having surgery got the right kind of antibiotic for their surgery. This information is only about patients who had outpatient surgery and were not admitted to the hospital. (Outpatient surgery is sometimes called “same day surgery,” “day surgery,” or “ambulatory surgery.”)