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Virginia 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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Virginia 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 81 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.
Inova Fair Oaks Hospital78%-3.0%301-32
Bon Secours - Richmond Community Hospital (< 25)75%-5.0%4-11
Halifax Regional Hospital75%+1.0%134-8
Riverside Walter Reed Hospital50%+12.0%125+7
Russell County Medical Center (< 25)40%+15.0%5+11 and 2
Lee Regional Medical Center (< 25)29%+4.0%7+31

Virginia 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
55 of 81 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.
Carilion Giles Memorial Hospital (< 25)100%0.0%6-11 and 3
Sentara Bayside Hospital100%0.0%164-152
Shore Memorial Hospital100%+2.0%62-2
Southern Virginia Regional Medical Center (< 25)100%+9.0%18-51 and 2
Southside Community Hospital100%+2.0%43-42
Alleghany Regional Hospital99%0.0%162-20
Bon Secours - St Francis Medical Center99%+1.0%696-1
Centra Health99%+1.0%115702
Cjw Medical Center99%0.0%594-12
Mary Immaculate Hospital99%+1.0%857-102
Memorial Hospital of Martinsville & Henry County99%0.0%224-32
Prince William Hospital99%+1.0%301+42
Sentara Careplex Hospital99%0.0%384-152
Sentara Leigh Hospital99%0.0%1432+1192
Sentara Virginia Beach General Hospital99%+1.0%726-342
Southampton Memorial Hospital99%-1.0%82-62
University of Virginia Medical Center99%0.0%413+32
Virginia Hospital Center - Arlington99%+1.0%786-422
Wellmont Lonesome Pine Hospital99%+2.0%72+12
Wythe County Community Hospital99%0.0%255+242
Augusta Medical Center98%+1.0%697+182
Bon Secours - Memorial Regional Medical98%0.0%787-802
Carilion Franklin Memorial Hospital98%-2.0%44-72
Carilion Medical Center98%+1.0%2306-362
Danville Regional Medical Center98%+1.0%297-332
John Randolph Medical Center`98%+1.0%53-13
Johnston Memorial Hospital98%0.0%353+20
Lewis-Gale Medical Center98%+1.0%500-32
Martha Jefferson Hospital98%0.0%312-192
Riverside Tappahannock Hosp Inc98%+1.0%104-8
Sentara Norfolk Genl Hosp98%0.0%1061-622
Shenandoah Memorial Hospital98%0.0%131+18
Winchester Medical Center Inc98%0.0%632-242
Bon Secours - Depaul Medical Center97%0.0%332-362
Chesapeake General Hospital97%+1.0%287+52
Culpeper Memorial Hospital Inc97%0.0%231+172
Henrico Doctors' Hospital97%0.0%825+562
Montgomery Regional Hospital, Inc97%-1.0%239-2
Reston Hospital Center97%+5.0%381-252
Virginia Commonwealth University Health System97%-1.0%610-1172
Bon Secours - Maryview Medical Center96%0.0%559+232
Bon Secours - St Marys Hospital of Richmond96%0.0%1400-142
Carilion New River Valley Medical Center96%0.0%244-362
Community Mem Healthcenter96%-3.0%84-142
Inova Fairfax Hospital96%-1.0%551-232
Inova Mount Vernon Hospital96%+1.0%226-92
Rappahannock Genl Hosp96%+3.0%80-1
Riverside Regional Medical Center96%0.0%430-172
Sentara Obici Hospital96%+1.0%515+122
Sentara Williamsburg Regional Medical Center96%0.0%392-142
Clinch Valley Medical Center95%-2.0%107-242
Inova Alexandria Hospital95%-1.0%424-52
Mary Washington Hospital95%+1.0%699-42
Potomac Hospital95%-1.0%200-12
Warren Memorial Hosp95%0.0%59-12

All Virginia 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
81 of 81 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.
Carilion Giles Memorial Hospital (< 25)100%0.0%6-11 and 3
Sentara Bayside Hospital100%0.0%164-152
Shore Memorial Hospital100%+2.0%62-2
Southern Virginia Regional Medical Center (< 25)100%+9.0%18-51 and 2
Southside Community Hospital100%+2.0%43-42
Alleghany Regional Hospital99%0.0%162-20
Bon Secours - St Francis Medical Center99%+1.0%696-1
Centra Health99%+1.0%115702
Cjw Medical Center99%0.0%594-12
Mary Immaculate Hospital99%+1.0%857-102
Memorial Hospital of Martinsville & Henry County99%0.0%224-32
Prince William Hospital99%+1.0%301+42
Sentara Careplex Hospital99%0.0%384-152
Sentara Leigh Hospital99%0.0%1432+1192
Sentara Virginia Beach General Hospital99%+1.0%726-342
Southampton Memorial Hospital99%-1.0%82-62
University of Virginia Medical Center99%0.0%413+32
Virginia Hospital Center - Arlington99%+1.0%786-422
Wellmont Lonesome Pine Hospital99%+2.0%72+12
Wythe County Community Hospital99%0.0%255+242
Augusta Medical Center98%+1.0%697+182
Bon Secours - Memorial Regional Medical98%0.0%787-802
Carilion Franklin Memorial Hospital98%-2.0%44-72
Carilion Medical Center98%+1.0%2306-362
Danville Regional Medical Center98%+1.0%297-332
John Randolph Medical Center`98%+1.0%53-13
Johnston Memorial Hospital98%0.0%353+20
Lewis-Gale Medical Center98%+1.0%500-32
Martha Jefferson Hospital98%0.0%312-192
Riverside Tappahannock Hosp Inc98%+1.0%104-8
Sentara Norfolk Genl Hosp98%0.0%1061-622
Shenandoah Memorial Hospital98%0.0%131+18
Winchester Medical Center Inc98%0.0%632-242
Bon Secours - Depaul Medical Center97%0.0%332-362
Chesapeake General Hospital97%+1.0%287+52
Culpeper Memorial Hospital Inc97%0.0%231+172
Henrico Doctors' Hospital97%0.0%825+562
Montgomery Regional Hospital, Inc97%-1.0%239-2
Reston Hospital Center97%+5.0%381-252
Virginia Commonwealth University Health System97%-1.0%610-1172
Bon Secours - Maryview Medical Center96%0.0%559+232
Bon Secours - St Marys Hospital of Richmond96%0.0%1400-142
Carilion New River Valley Medical Center96%0.0%244-362
Community Mem Healthcenter96%-3.0%84-142
Inova Fairfax Hospital96%-1.0%551-232
Inova Mount Vernon Hospital96%+1.0%226-92
Rappahannock Genl Hosp96%+3.0%80-1
Riverside Regional Medical Center96%0.0%430-172
Sentara Obici Hospital96%+1.0%515+122
Sentara Williamsburg Regional Medical Center96%0.0%392-142
Clinch Valley Medical Center95%-2.0%107-242
Inova Alexandria Hospital95%-1.0%424-52
Mary Washington Hospital95%+1.0%699-42
Potomac Hospital95%-1.0%200-12
Warren Memorial Hosp95%0.0%59-12
Inova Loudoun Hospital94%+1.0%286+32
Twin County Regional Hospital94%+1.0%141+4
Pulaski Community Hospital93%+2.0%57-1
Bedford Memorial Hospital92%-4.0%25-1
Fauquier Hosp92%-4.0%299+12
Norton Community Hospital92%+5.0%36-22
Rockingham Memorial Hospital91%+3.0%451-392
Smyth County Community Hospital88%+3.0%121-142
Mountain View Regional Medical Center82%-2.0%66-8
Southside Regional Medical Center81%-2.0%212+12
Buchanan General Hospital (< 25)80%0.0%5-51 and 2
Inova Fair Oaks Hospital78%-3.0%301-32
Bon Secours - Richmond Community Hospital (< 25)75%-5.0%4-11
Halifax Regional Hospital75%+1.0%134-8
Riverside Walter Reed Hospital50%+12.0%125+7
Russell County Medical Center (< 25)40%+15.0%5+11 and 2
Lee Regional Medical Center (< 25)29%+4.0%7+31
Bath County Community HospitalN/AN/AN/AN/A5
Carilion Stonewall Jackson HospitalN/AN/AN/AN/A5
Dickenson Community HospitalN/AN/AN/AN/A5
Eastern State HospitalN/AN/AN/AN/A5
Page Memorial Hospital, IncN/AN/AN/AN/A5
Patrick Hospital, LLCN/AN/AN/AN/A5
Stafford Hospital CenterN/AN/AN/AN/A5
Tazewell Community Hosp (< 25)N/AN/A003
Western State HospitalN/AN/AN/AN/A5