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New Mexico Hospital Compliance - Detail

Surgery Patients Who Were Given the Right Kind of Antibiotic to Help Prevent Infection

Choosing the appropriate antibiotic is critical because it must be effective in preventing infections caused by bacteria likely to be present around the surgical site. Antibiotic selection therefore varies depending on the type of surgery. Guidelines for appropriate antibiotic selection have been developed by the CDC.

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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
6 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.
Cibola General Hospital (< 25)67%0.0%301, 2, and 3
Union County General Hospital (< 25)67%+17.0%3+11, 2, and 3
Artesia General Hospital (< 25)50%0.0%201
Northern Navajo Phs Indian Hospital (< 25)50%0.0%401, 2, and 3
Mimbres Memorial Hospital (< 25)41%-6.0%1701 and 2
Roosevelt General Hospital (< 25)0%0.0%301

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
21 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.
Dr Dan C Trigg Memorial Hospital (< 25)100%0.0%101 and 3
Gallup Indian Medical Center (< 25)100%+15.0%16-41
Lovelace Westside Hospital100%0.0%105+12
Physicians Medical Center of Santa Fe LLC100%0.0%108-3
Heart Hospital of New Mexico99%-1.0%345+43
Lovelace Women's Hospital99%0.0%248-42
Rehoboth McKinley Christian Health Ser99%+1.0%111+14
Lea Regional Hospital98%0.0%225+5
Los Alamos Medical Center98%+5.0%50-6
Memorial Medical Center Inc98%+1.0%485-122
Mountain View Regional Medical Center98%+1.0%412-4
Presbyterian Hospital98%0.0%598-112
Carlsbad Medical Center -tcu97%0.0%195-6
Lincoln County Medical Center97%+3.0%34+1
Plains Regional Medical Center Clovis97%0.0%211+92
University of New Mexico Hospital97%0.0%356+562
Alta Vista Regional Hospital96%+1.0%75-72
Espanola Hospital96%0.0%5602
Holy Cross Hospital A Div of Taos Health Systems96%0.0%85+17
San Juan Regional Medical Center Inc96%-1.0%316+22
St Vincent Hospital96%0.0%295-32

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.
Dr Dan C Trigg Memorial Hospital (< 25)100%0.0%101 and 3
Gallup Indian Medical Center (< 25)100%+15.0%16-41
Lovelace Westside Hospital100%0.0%105+12
Physicians Medical Center of Santa Fe LLC100%0.0%108-3
Heart Hospital of New Mexico99%-1.0%345+43
Lovelace Women's Hospital99%0.0%248-42
Rehoboth McKinley Christian Health Ser99%+1.0%111+14
Lea Regional Hospital98%0.0%225+5
Los Alamos Medical Center98%+5.0%50-6
Memorial Medical Center Inc98%+1.0%485-122
Mountain View Regional Medical Center98%+1.0%412-4
Presbyterian Hospital98%0.0%598-112
Carlsbad Medical Center -tcu97%0.0%195-6
Lincoln County Medical Center97%+3.0%34+1
Plains Regional Medical Center Clovis97%0.0%211+92
University of New Mexico Hospital97%0.0%356+562
Alta Vista Regional Hospital96%+1.0%75-72
Espanola Hospital96%0.0%5602
Holy Cross Hospital A Div of Taos Health Systems96%0.0%85+17
San Juan Regional Medical Center Inc96%-1.0%316+22
St Vincent Hospital96%0.0%295-32
Eastern New Mexico Medical Center94%+2.0%202-102
Gila Regional Medical Center94%0.0%220+1
Lovelace Medical Center94%0.0%248-142
Gerald Champion Regional Medical Cente91%+1.0%212-112
Roswell Regional Hospital91%+1.0%249+402
Miners' Colfax Medical Center88%-6.0%48+132
Cibola General Hospital (< 25)67%0.0%301, 2, and 3
Union County General Hospital (< 25)67%+17.0%3+11, 2, and 3
Artesia General Hospital (< 25)50%0.0%201
Northern Navajo Phs Indian Hospital (< 25)50%0.0%401, 2, and 3
Mimbres Memorial Hospital (< 25)41%-6.0%1701 and 2
Roosevelt General Hospital (< 25)0%0.0%301
Acoma Canoncito Laquna Phs HospitalN/AN/AN/AN/A5
Crownpoint Phs Indian HospitalN/AN/AN/AN/A5
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