Massachusetts Hospital Compliance - Detail

Surgery Patients Whose Preventative Antibiotics were Stopped Within 24 hours After Surgery

Continuing antibiotics beyond 24 hours after the end of surgery does not offer any additional protection when it comes to preventing infections. But the prolonged use of antibiotics can be associated with other complications and can encourage antibiotic resistance.

Low Compliance
High Compliance
All

Massachusetts Hospitals with Low Compliance for this Procedure

Low compliance describes hospitals that followed this infection prevention procedure 79 percent of the time or less. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information. The chart below lists hospitals in order based on the number of patients sampled (hospitals serving the largest number of patients first). You can re-sort the table by clicking on the table headers.

Hospital	Compliance	Change	Patients	Change	Notes
3 of 65 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
North Adams Regional Hospital	78%	-3.0%	138	0	2
Wing Memorial Hospital and Medical Center	78%	+9.0%	32	+6
Milton Hospital Inc	59%	+15.0%	144	+9	2

Massachusetts Hospitals with High Compliance for this Procedure

High compliance describes hospitals that followed this infection prevention procedure 95 percent of the time or more. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information. The chart below lists hospitals in order based on the number of patients sampled (hospitals serving the largest number of patients first). You can re-sort the table by clicking on the table headers.

Hospital	Compliance	Change	Patients	Change	Notes
25 of 65 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
Athol Memorial Hospital (< 25)	100%	0.0%	4	-4	1
Clinton Hospital Association (< 25)	100%	0.0%	2	+1	1 and 3
Fairview Hospital	99%	0.0%	82	-5
Falmouth Hospital	99%	0.0%	462	+7	2
Baystate Medical Center	98%	+1.0%	1298	-248	2
Berkshire Medical Center Inc	98%	0.0%	526	+14
Cooley Dickinson Hospital Inc,the	98%	0.0%	281	-42	2
Heywood Hospital	98%	0.0%	208	-13
Jordan Hospital Inc	98%	0.0%	415	+6	2
Mount Auburn Hospital	98%	0.0%	807	-19	2
St Vincent Hospital	98%	0.0%	926	-40
Healthalliance Hospitals, Inc	97%	-1.0%	254	-22	2
Metrowest Medical Center	97%	+1.0%	357	-8	2
Beverly Hospital Corporation	96%	+1.0%	737	-28	2
Caritas Good Samaritan Medical Center	96%	0.0%	458	+22	2
Mercy Medical Center	96%	+1.0%	428	-30
Merrimack Valley Hospital	96%	+1.0%	143	+2
Newton-Wellesley Hospital	96%	0.0%	252	+8	2
North Shore Medical Center	96%	-1.0%	357	-13	2
Winchester Hospital	96%	+1.0%	318	+7	2
Hallmark Health System	95%	0.0%	301	-19	2
Lahey Clinic Hospital	95%	0.0%	372	-13	2
Marlborough Hospital	95%	-1.0%	146	+8
Morton Hospital & Medical Center	95%	0.0%	345	+36	2
New England Baptist Hospital	95%	+1.0%	3472	+72	2

All Massachusetts Hospitals

This chart describes the infection prevention compliance rates for this procedure for all reporting hospitals in the state. This list also includes hospitals that did not submit any data to CMS for this procedure or do not have cause to perform this procedure. The compliance level of hospitals which report a small number of cases (fewer than 25) should not be regarded as reliably predicting performance; these hospitals are displayed in italics and include Note 1. "Patients" is the number of patients for which data was submitted. The change columns describe the change in compliance and the change in the number of patients as compared to the previous quarter. Click the hospital names to access detailed information and re-sort the table by clicking on the table headers.

Hospital	Compliance	Change	Patients	Change	Notes
65 of 65 total surgical sites.
[1] The number of cases is too small (fewer than 25) to reliably tell how well a hospital is performing.
[2] The hospital indicated that the data submitted for this measure were based on a sample of cases.
[3] Data was collected during a shorter time period (fewer quarters) than the maximum possible time for this measure (One quarter equals three months.)
[4] Inaccurate information submitted and suppressed for one or more quarters.
[5] No data is available from the hospital for this measure.
Athol Memorial Hospital (< 25)	100%	0.0%	4	-4	1
Clinton Hospital Association (< 25)	100%	0.0%	2	+1	1 and 3
Fairview Hospital	99%	0.0%	82	-5
Falmouth Hospital	99%	0.0%	462	+7	2
Baystate Medical Center	98%	+1.0%	1298	-248	2
Berkshire Medical Center Inc	98%	0.0%	526	+14
Cooley Dickinson Hospital Inc,the	98%	0.0%	281	-42	2
Heywood Hospital	98%	0.0%	208	-13
Jordan Hospital Inc	98%	0.0%	415	+6	2
Mount Auburn Hospital	98%	0.0%	807	-19	2
St Vincent Hospital	98%	0.0%	926	-40
Healthalliance Hospitals, Inc	97%	-1.0%	254	-22	2
Metrowest Medical Center	97%	+1.0%	357	-8	2
Beverly Hospital Corporation	96%	+1.0%	737	-28	2
Caritas Good Samaritan Medical Center	96%	0.0%	458	+22	2
Mercy Medical Center	96%	+1.0%	428	-30
Merrimack Valley Hospital	96%	+1.0%	143	+2
Newton-Wellesley Hospital	96%	0.0%	252	+8	2
North Shore Medical Center	96%	-1.0%	357	-13	2
Winchester Hospital	96%	+1.0%	318	+7	2
Hallmark Health System	95%	0.0%	301	-19	2
Lahey Clinic Hospital	95%	0.0%	372	-13	2
Marlborough Hospital	95%	-1.0%	146	+8
Morton Hospital & Medical Center	95%	0.0%	345	+36	2
New England Baptist Hospital	95%	+1.0%	3472	+72	2
Beth Israel Deaconess Hospital - Needham	94%	-1.0%	69	-10
Beth Israel Deaconess Medical Center	94%	0.0%	609	-57	2
Cambridge Health Alliance	94%	-2.0%	174	-11	2
Cape Cod Hospital	94%	+1.0%	922	-8	2
Caritas Holy Family Hospital and Medical Center	94%	+1.0%	473	+3	2
South Shore Hospital	94%	0.0%	648	-12	2
St Anne's Hospital Corporation	94%	-4.0%	85	0	2
Baystate Mary Lane Hospital	93%	+5.0%	42	+2
Emerson Hospital	93%	+2.0%	310	-29	2
Caritas St Elizabeth's Medical Center	92%	+1.0%	474	-39	2
Massachusetts General Hospital	92%	+2.0%	375	-27	2
Noble Hospital	92%	+8.0%	62	+4
Brigham and Women's Hosptial	91%	+1.0%	411	-10	2
Nashoba Valley Medical Center (< 25)	91%	-6.0%	22	-7	1
Saints Medical Center Inc	91%	0.0%	251	-4	2
Signature Healthcare Brockton Hospital	91%	+3.0%	277	-31
Southcoast Hospital Group, Inc	91%	+1.0%	1322	+278	2
Anna Jaques Hospital	89%	-2.0%	235	-15	2
Faulkner Hospital	89%	+1.0%	143	-10	2
Tufts Medical Center	89%	-1.0%	539	+9	2
Quincy Medical Center	88%	-2.0%	97	-52	2
Caritas Norwood Hospital, Inc	86%	-6.0%	216	-3	2
Holyoke Medical Center	86%	-1.0%	138	+3	2
Milford Regional Medical Center	86%	-2.0%	251	+14	2
Baystate Franklin Medical Center	85%	+3.0%	87	0	2
Caritas Carney Hospital Inc	83%	-2.0%	102	-8	2
Harrington Memorial Hospital	83%	+2.0%	78	+3
Lowell General Hospital	83%	+2.0%	240	-17	2
Boston Medical Center Corporation	82%	-1.0%	845	+16	2
Lawrence General Hospital	82%	+1.0%	193	-2	2
Sturdy Memorial Hospital	82%	+4.0%	286	-14
Umass Memorial Medical Center Inc	82%	+2.0%	390	-4	2
North Adams Regional Hospital	78%	-3.0%	138	0	2
Wing Memorial Hospital and Medical Center	78%	+9.0%	32	+6
Milton Hospital Inc	59%	+15.0%	144	+9	2
Adcare Hospital of Worcester Inc	N/A	N/A	N/A	N/A	5
Dana-Farber Cancer Institute	N/A	N/A	N/A	N/A	5
Martha's Vineyard Hospital Inc	N/A	N/A	N/A	N/A	5
Massachusetts Eye and Ear Infirmary (< 25)	N/A	N/A	0	0	2
Nantucket Cottage Hospital	N/A	N/A	N/A	N/A	5

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