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Michigan Hospital Compliance - Detail

Surgery Patients Who Were Given an Antibiotic Within One Hour Before Surgery to Help Prevent Infection

Giving patients antibiotics right before surgery helps to boost the patient's ability to fight off contamination during surgery that could lead to infection. Studies show that patients given antibiotics either more than one hour before or after the first surgical incision is made experience higher rates of infection compared to those who are given antibiotics within one hour before surgery begins.

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Michigan 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.

HospitalComplianceChangePatientsChangeNotes
9 of 123 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.
Marlette Regional Hospital78%+5.0%51-5
Borgess-Lee Memorial Hospital (< 25)75%-8.0%4-21 and 2
Hayes Green Beach Memorial Hospital70%-1.0%630
Hillsdale Community Health Center68%+5.0%183+212
Saint Mary's Standish Community Hospital (< 25)67%0.0%301
Memorial Medical Center of West Michigan63%0.0%191+92
Midmichigan Medical Center-Clare61%-9.0%700
Beaumont Hospital, Grosse Pointe60%-31.0%314+972
Hills & Dales General Hospital (< 25)50%+30.0%8+31

Michigan 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.

HospitalComplianceChangePatientsChangeNotes
57 of 123 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.
Caro Community Hospital (< 25)100%0.0%501
Clinton Memorial Hospital100%0.0%43+1
Henry Ford Cottage Hospital (< 25)100%0.0%13+51 and 3
Ionia County Memorial Hospital (< 25)100%+25.0%2-21 and 3
Lapeer Regional Medical Center100%+1.0%409-262
North Ottawa Community Hospital100%+1.0%192+32
Spectrum Health - Reed City Campus (< 25)100%0.0%4-31 and 3
Chelsea Community Hospital99%0.0%701-32
Detroit Receiving Hospital & Univ Health Center99%+1.0%176+62
Henry Ford Macomb Hospital-Warren Campus99%+1.0%372+492
Holland Community Hospital99%0.0%476-202
Oaklawn Hospital99%+1.0%374-52
St Joseph Mercy Oakland99%0.0%452-62
Tawas St Joseph Hospital99%+2.0%215+42
Battle Creek Health System98%+1.0%817+182
Central Michigan Community Hospital98%+1.0%209-4
Cheboygan Memorial Hospital98%+2.0%125-30
Henry Ford Macomb Hospital98%0.0%1281+32
Huron Valley-Sinai Hospital98%0.0%564+32
Oakwood Annapolis Hospital98%0.0%284+192
Oakwood Southshore Medical Center98%0.0%396+82
Pennock Hospital98%0.0%24702
Providence Hospital and Medical Centers98%+1.0%1284-22
Sinai-Grace Hospital98%-1.0%481-332
St Joseph Mercy Port Huron98%+1.0%583-19
St Mary's of Michigan Medical Center98%0.0%386+132
Chippewa County War Memorial Hospital97%+9.0%129-14
Harper University Hospital97%-1.0%435-162
Henry Ford Wyandotte Hospital97%+1.0%323+12
Oakwood Hospital and Medical Center97%0.0%1407-802
Saint Joseph Mercy Saline Hospital97%0.0%30-1
St Mary Mercy Hospital97%+1.0%575-202
William Beaumont Hospital97%0.0%788+122
Genesys Regional Medical Center - Health Park96%+2.0%573+292
Lakeland Hospital, St Joseph96%+2.0%696+322
Mercy Hospital - Cadillac96%0.0%294-142
Mercy Hospital - Grayling96%0.0%154-32
Oakwood Heritage Hospital96%-2.0%160-122
Otsego Memorial Hospital96%-1.0%197-12
Saint Mary's Health Care96%+1.0%417+12
Spectrum Health United Memorial - United Campus96%-1.0%108-9
St John Hospital and Medical Center96%-1.0%1208-72
St Joseph Mercy Hospital96%0.0%581+82
University of Michigan Health System96%0.0%1604+12
William Beaumont Hospital-Troy96%+1.0%755+322
Crittenton Hospital Medical Center95%0.0%703+82
Grand View Hospital95%-2.0%39+4
Henry Ford Hospital95%+2.0%546-42
Karmanos Cancer Center95%+3.0%167-32
Memorial Healthcare95%+2.0%215-72
Mercy Health Partners, Hackley Campus95%0.0%482+33
Mercy Memorial Hospital System95%0.0%568+222
Munson Medical Center95%+7.0%586-42
Saint Joseph Mercy Livingston Hospital95%+2.0%213-22
South Haven Community Hospital95%-1.0%63-9
St Francis Hospital95%+2.0%77+3
Three Rivers Health95%+2.0%61+7

All Michigan 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.

HospitalComplianceChangePatientsChangeNotes
123 of 123 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.
Caro Community Hospital (< 25)100%0.0%501
Clinton Memorial Hospital100%0.0%43+1
Henry Ford Cottage Hospital (< 25)100%0.0%13+51 and 3
Ionia County Memorial Hospital (< 25)100%+25.0%2-21 and 3
Lapeer Regional Medical Center100%+1.0%409-262
North Ottawa Community Hospital100%+1.0%192+32
Spectrum Health - Reed City Campus (< 25)100%0.0%4-31 and 3
Chelsea Community Hospital99%0.0%701-32
Detroit Receiving Hospital & Univ Health Center99%+1.0%176+62
Henry Ford Macomb Hospital-Warren Campus99%+1.0%372+492
Holland Community Hospital99%0.0%476-202
Oaklawn Hospital99%+1.0%374-52
St Joseph Mercy Oakland99%0.0%452-62
Tawas St Joseph Hospital99%+2.0%215+42
Battle Creek Health System98%+1.0%817+182
Central Michigan Community Hospital98%+1.0%209-4
Cheboygan Memorial Hospital98%+2.0%125-30
Henry Ford Macomb Hospital98%0.0%1281+32
Huron Valley-Sinai Hospital98%0.0%564+32
Oakwood Annapolis Hospital98%0.0%284+192
Oakwood Southshore Medical Center98%0.0%396+82
Pennock Hospital98%0.0%24702
Providence Hospital and Medical Centers98%+1.0%1284-22
Sinai-Grace Hospital98%-1.0%481-332
St Joseph Mercy Port Huron98%+1.0%583-19
St Mary's of Michigan Medical Center98%0.0%386+132
Chippewa County War Memorial Hospital97%+9.0%129-14
Harper University Hospital97%-1.0%435-162
Henry Ford Wyandotte Hospital97%+1.0%323+12
Oakwood Hospital and Medical Center97%0.0%1407-802
Saint Joseph Mercy Saline Hospital97%0.0%30-1
St Mary Mercy Hospital97%+1.0%575-202
William Beaumont Hospital97%0.0%788+122
Genesys Regional Medical Center - Health Park96%+2.0%573+292
Lakeland Hospital, St Joseph96%+2.0%696+322
Mercy Hospital - Cadillac96%0.0%294-142
Mercy Hospital - Grayling96%0.0%154-32
Oakwood Heritage Hospital96%-2.0%160-122
Otsego Memorial Hospital96%-1.0%197-12
Saint Mary's Health Care96%+1.0%417+12
Spectrum Health United Memorial - United Campus96%-1.0%108-9
St John Hospital and Medical Center96%-1.0%1208-72
St Joseph Mercy Hospital96%0.0%581+82
University of Michigan Health System96%0.0%1604+12
William Beaumont Hospital-Troy96%+1.0%755+322
Crittenton Hospital Medical Center95%0.0%703+82
Grand View Hospital95%-2.0%39+4
Henry Ford Hospital95%+2.0%546-42
Karmanos Cancer Center95%+3.0%167-32
Memorial Healthcare95%+2.0%215-72
Mercy Health Partners, Hackley Campus95%0.0%482+33
Mercy Memorial Hospital System95%0.0%568+222
Munson Medical Center95%+7.0%586-42
Saint Joseph Mercy Livingston Hospital95%+2.0%213-22
South Haven Community Hospital95%-1.0%63-9
St Francis Hospital95%+2.0%77+3
Three Rivers Health95%+2.0%61+7
Community Health Center of Branch County94%+3.0%189-12
Marquette General Hospital94%0.0%383-362
Mount Clemens Regional Medical Center94%+2.0%844+512
St John Macomb-Oakland Hospital-Macomb Center94%0.0%1152+232
St John River District Hospital94%-3.0%112-42
West Shore Medical Center94%-1.0%97-82
Bay Regional Medical Center93%0.0%895+312
Botsford Hospital93%-1.0%519-42
Dickinson County Memorial Hospital93%+1.0%203-18
Hurley Medical Center93%+2.0%502-332
McLaren Regional Medical Center93%+1.0%591+212
Mercy Health Partners, Mercy Campus93%-1.0%955-132
Poh Medical Center93%0.0%152-52
Spectrum Health - Butterworth Campus93%+1.0%81202
Garden City Hospital, Osteopathic92%-2.0%375+6
Gratiot Medical Center92%+2.0%209+22
Midmichigan Medical Center-Midland92%+3.0%424-42
Northern Michigan Regional Hospital92%0.0%418+12
Portage Health Hospital92%0.0%169+12
Allegiance Health91%0.0%419+212
Borgess Medical Center91%-2.0%408+122
Covenant Medical Center, Inc91%+4.0%563-242
Emma L Bixby Medical Center91%+6.0%183+82
Gerber Memorial Hospital91%+1.0%183-20
Metro Health Hospital91%+1.0%328-52
Bronson Methodist Hospital90%+1.0%1378-882
Carson City Hospital90%+3.0%161+2
Port Huron Hospital90%+4.0%534+642
Zeeland Community Hospital90%-1.0%189-82
Alpena General Hospital89%-2.0%283+152
Ingham Regional Medical Center89%+4.0%766+452
Mecosta County Medical Center89%+1.0%210-62
Sturgis Hospital88%+2.0%130-3
Allegan General Hospital87%-2.0%181+21
Doctor's Hospital of Michigan85%+3.0%68-152
Community Hospital84%+5.0%126-17
West Branch Regional Medical Center82%0.0%254+102
Edward W Sparrow Hospital81%-1.0%1232-312
Huron Medical Center80%+5.0%137+232
McKenzie Memorial Hospital (< 25)80%+11.0%10-31
Marlette Regional Hospital78%+5.0%51-5
Borgess-Lee Memorial Hospital (< 25)75%-8.0%4-21 and 2
Hayes Green Beach Memorial Hospital70%-1.0%630
Hillsdale Community Health Center68%+5.0%183+212
Saint Mary's Standish Community Hospital (< 25)67%0.0%301
Memorial Medical Center of West Michigan63%0.0%191+92
Midmichigan Medical Center-Clare61%-9.0%700
Beaumont Hospital, Grosse Pointe60%-31.0%314+972
Hills & Dales General Hospital (< 25)50%+30.0%8+31
Brighton HospitalN/AN/AN/AN/A5
Bronson Lakeview HospitalN/AN/AN/AN/A5
Bronson Vicksburg HospitalN/AN/AN/AN/A5
Deckerville Community HospitalN/AN/AN/AN/A5
Eaton Rapids Medical CenterN/AN/AN/AN/A5
Harbor Beach Community HospitalN/AN/AN/AN/A5
Healthsource SaginawN/AN/AN/AN/A5
Henry Ford West Bloomfield HospitalN/AN/AN/AN/A5
Herrick Memorial HospitalN/AN/AN/AN/A5
Midmichigan Medical Center-GladwinN/AN/AN/AN/A5
Northstar Health SystemN/AN/AN/AN/A5
Oakland Regional Hospital (< 25)N/AN/A002 and 3
Schoolcraft Memorial HospitalN/AN/AN/AN/A5
Southeast Michigan Surgical Hospital (< 25)N/AN/A002 and 3
Spectrum Health United Memorial - Kelsey CampusN/AN/AN/AN/A5
St John North Shores Hospital (< 25)N/AN/A003
Straith Hospital For Special SurgeryN/AN/AN/AN/A5