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Surgical Care  

Children's Asthma Care

Emergency Care

Healthcare Associated Infections

Heart Attack Care

Heart Failure Care

Mortality Rates

Patient Experience

Perinatal Care

Pneumonia Care

Preventative Care

Readmission Rates

Stroke Care

Surgical Care

Use of Medical Imaging

Venous Thrombolytic Embolism Care
 
Glossary of Terms & Phrases

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Surgical Care Improvement is a national quality initiative with the purpose of improving surgical care by significantly reducing surgical complications. Of the 40 million inpatient and outpatient surgeries conducted each year, tens of thousands result in postoperative complications. The inpatient surgery initiative is focused on preventing complications in four areas that comprise 40 percent of the most common complications after major inpatient surgery: infection, blood clots, and adverse cardiac and respiratory events.  Additional data is available for outpatient surgeries in the areas of antibiotic selection and antibiotic timing.

Overall surgical care data for selected inpatient surgeries and outpatient surgeries are presented in the tables below.  For data related to specific inpatient surgeries, please go to one of the following pages:

 

 
Preventive Antibiotics Given within an Hour of a Surgical Incision -- ALL SURGERIES (Higher is Better)

99%

99%

99%

99%

100%

100%

97%

 100%
Selection of the Most Appropriate Antibiotic -- ALL SURGERIES (Higher is Better) 99% 99% 99% 99% 100% 100% 100%  100%
Discontinuation of Preventive Antibiotics within 24 Hrs of surgery -- ALL SURGERIES (Higher is Better) 98% 98% 97% 96% 98% 100% 98%  98%
Heart Surgery Patients whose Blood Sugar is kept under Good Control in the Days Right After Surgery (Higher is Better) 96%  95%  100%   100%  -  -  -
Continuation of Beta Blocker Medications for Eligible Patients (Higher is Better) 97% 97%  97%  96%  98% 100% 94%  94%
Use of Clot Prevention Measures 24 Hrs Prior to Surgery and 24 Hrs after Surgery if Appropriate (Higher is Better) 98% 98%  98%  98%  99%  99%  100%  97%
Urinary Catheter Removal by Post-Op Day 2  (Higher is Better) 97% 96% 97% 96% 99% 98% 97%  88%
Perioperative Temperature Management (Higher is Better) 100% 100% 100% 100% 100% 100% 100% 100% 
OUTPATIENT CARE
Preventive Antibiotics Given within an Hour
of a Surgical Incision
 (Higher is Better)
97% 98% 98% 99% 96% 99% 95%  -
Selection of the Most Appropriate Antibiotic 
(Higher is Better)
 97% 98% 98% 99%  97% 100  96%  -

 

Preventive Antibiotics Given within an Hour of a Surgical Incision -- ALL SURGERIES (Higher is Better) 99% 99% 99% 100% 96% 100%
Selection of the most Appropriate Antibiotic -- ALL SURGERIES (Higher is Better) 99% 99% 99% 98% 84% 100%
Discontinuation of Preventive Antibiotics within 24 Hrs of surgery -- ALL SURGERIES (Higher is Better) 98% 98% 97% 99% 92% 97%
Heart Surgery Patients whose Blood Sugar is kept under Good Control in the Days Right After Surgery (Higher is Better)

96% 

97% 

100%

- 

Continuation of Beta Blocker Medications for Eligible Patients (Higher is Better) 97%  98% 97%  97%  100% 94%
Use of Clot Prevention Measures if Appropriate 
(Higher is Better)
98%  98%  98%  96%  98%  100% 
Use of Clot Prevention Measures 24 Hrs Prior to Surgery and 24 Hrs after Surgery if Appropriate 
(Higher is Better)
98%  98%  98%  96%  98%  100% 
Urinary Catheter Removal by Post-Op Day 2  
(Higher is Better)
97% 97%  97%  97% 96%  98%
Perioperative Temperature Management 
(Higher is Better)
100% 100% 100% 100% 100% 100%
OUTPATIENT CARE 
Preventive Antibiotics Given within an Hour of a Surgical Incision (Higher is Better) 97%  98%  98%  95%  95% 100%
Selection of the Most Appropriate Antibiotic
(Higher is Better)
97%  98%  98%  97% 100%  100%

* National average, state average, MSHA and facility data are for the period from April 2012 - March 2013.   The national average and state average data are provided by Hospital Compare, a division of the U.S. Department of Health and Human Services which reports results from hospitals submitting data to the Centers for Medicare and Medicaid Services (CMS). UCMH (Unicoi County Memorial Hospital) is a newly added hospital to MSHA and their scores are not calculated in the health system’s composite score at this time.)