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New Mexico 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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New Mexico 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
8 of 42 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.
Holy Cross Hospital A Div of Taos Health Systems73%+8.0%91+17
Cibola General Hospital (< 25)67%0.0%301, 2, and 3
Roswell Regional Hospital65%+3.0%245+392
Miners' Colfax Medical Center64%+9.0%55+132
Artesia General Hospital (< 25)50%0.0%201
Northern Navajo Phs Indian Hospital (< 25)25%0.0%401, 2, and 3
Roosevelt General Hospital (< 25)0%0.0%301
Union County General Hospital (< 25)0%-50.0%3+11, 2, and 3

New Mexico 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
9 of 42 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.
Alta Vista Regional Hospital99%+3.0%73-82
Carlsbad Medical Center -tcu98%0.0%195-6
Espanola Hospital98%0.0%5602
Heart Hospital of New Mexico98%0.0%340+42
Lea Regional Hospital98%0.0%226+6
Lovelace Westside Hospital98%+1.0%105+12
Memorial Medical Center Inc97%0.0%474-122
San Juan Regional Medical Center Inc96%+1.0%31302
Rehoboth McKinley Christian Health Ser95%+3.0%112+15

All New Mexico 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
42 of 42 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.
Alta Vista Regional Hospital99%+3.0%73-82
Carlsbad Medical Center -tcu98%0.0%195-6
Espanola Hospital98%0.0%5602
Heart Hospital of New Mexico98%0.0%340+42
Lea Regional Hospital98%0.0%226+6
Lovelace Westside Hospital98%+1.0%105+12
Memorial Medical Center Inc97%0.0%474-122
San Juan Regional Medical Center Inc96%+1.0%31302
Rehoboth McKinley Christian Health Ser95%+3.0%112+15
Lovelace Women's Hospital93%+2.0%249-22
Mountain View Regional Medical Center93%-1.0%410-6
St Vincent Hospital93%+1.0%295-22
University of New Mexico Hospital93%+19.0%354+112
Lovelace Medical Center92%+10.0%218-202
Los Alamos Medical Center90%+10.0%51-9
Physicians Medical Center of Santa Fe LLC89%+6.0%108-3
Eastern New Mexico Medical Center88%+5.0%200-82
Gila Regional Medical Center88%+1.0%226-1
Mimbres Memorial Hospital (< 25)88%-6.0%1701 and 2
Gerald Champion Regional Medical Cente85%-1.0%213-102
Lincoln County Medical Center85%-3.0%34+1
Plains Regional Medical Center Clovis85%-3.0%205+82
Presbyterian Hospital85%-1.0%597-152
Gallup Indian Medical Center (< 25)82%+11.0%17-41
Holy Cross Hospital A Div of Taos Health Systems73%+8.0%91+17
Cibola General Hospital (< 25)67%0.0%301, 2, and 3
Roswell Regional Hospital65%+3.0%245+392
Miners' Colfax Medical Center64%+9.0%55+132
Artesia General Hospital (< 25)50%0.0%201
Northern Navajo Phs Indian Hospital (< 25)25%0.0%401, 2, and 3
Roosevelt General Hospital (< 25)0%0.0%301
Union County General Hospital (< 25)0%-50.0%3+11, 2, and 3
Acoma Canoncito Laquna Phs HospitalN/AN/AN/AN/A5
Crownpoint Phs Indian HospitalN/AN/AN/AN/A5
Dr Dan C Trigg Memorial Hospital (< 25)N/AN/A003
Guadalupe County HospitalN/AN/AN/AN/A5
Mescalero Phs Indian HospitalN/AN/AN/AN/A5
Nor Lea General HospitalN/AN/AN/AN/A5
Santa Fe Phs Indian HospitalN/AN/AN/AN/A5
Sierra Vista Hospital (< 25)N/AN/A003
Socorro General Hospital (< 25)N/AN/A003
Zuni Comprehensive Community Health CenterN/AN/AN/AN/A5