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Quality Measures

Surgical Care Improvement Project (SCIP)

Part of our continuing efforts at improving quality is participation in a national initiative for public reporting of quality measures promoted by the Centers for Medicare and Medicaid Services (CMS).

Process of care measures show how often hospitals give recommended treatments known to get the best results for certain surgical procedures. Information about these treatments are taken from the patients’ records and converted into a percentage. This is one way to compare the quality of care that hospitals give.

SSCBR extracts data and submits the information to CMS for the applicable process of care measures for the Surgical Care Improvement Project (SCIP). This is a specific set of guidelines in the treatment of surgical patients and preventing surgical site infections. Research has shown that following these guidelines leads to significantly better outcomes.

The results indicate how well a hospital is doing in following specific guidelines as a percentage of applicable cases and provides a comparison to the national average. Additional information regarding these measures and how other hospitals compare can be found at www.hospitalcompare.com

The tables below display how SSCBR performed on the applicable measures compared to the national average. Only the measures with more than 25 cases are displayed.

SSCBR performs AT the NATIONAL average on ALL applicable measures.

 

Actively Warmed to Maintain Body Temperature

Percent of patients whose body temperature was normal or near normal within 30 minutes before the end of surgery to 15 minutes after anesthesia ended.

  April 13 - Dec 13
SSCBR 100%
National Average 100%

 

Why is this Important? Medical research has shown that patients whose body temperatures drop during surgery have a greater risk of infection and their wounds may not heal as quickly. Patients should have their body temperature normal or near normal during the time period 30 minutes before the end of surgery to 15 minutes after anesthesia ended

Antibiotic Received - Right Kind

Percent of outpatients having surgery who received the right kind of antibiotic

  April 13 - March 14
SSCBR 98%
National Average 98%

Why is this Important?  Hospitals can prevent surgical wound infections. Medical research shows 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.

Antibiotic Received - Received at the Right Time

Percent of outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

  April 13 - March 14
SSCBR 98%
National Average 98%

Why is this Important? Hospitals can prevent surgical wound infections. Medical research shows that surgery patients who get antibiotics within the hours 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.