Hospital Performance Report

Summary of Hospital Quality Measures

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Southern Ocean Medical Center
http://www.meridianhealth.com

Hospital is not licensed to perform CABG surgery.

Recommended Care/Process of Care Measures Higher Score is Better
	Hospital Overall Score	State Median	State Top 10%
Heart Attack (detail)		95	100
Pneumonia (detail)	96	99	100
Surgical Care Improvement (detail)	98	99	100
Heart Failure (detail)	100	100	100

Outcome of Care Measures: Mortality Inpatient Quality Indicator (IQI) Lower Rate is Better
	Hospital Rate	National Average Rate (2016)	Statewide Average Rate (2018)
Heart Attack	1.6	5.1	5
Pneumonia	1.6	2.8	2.5
Heart Failure	1.6	2.7	2.7
Stroke	2.2	7.4	6

Patient Safety Indicators Lower Rate is Better
	Hospital Rate	National averages (2016)	Statewide number of adverse events (2018)	Statewide average rates (2018)
Retained Surgical Item or Unretrieved Device Fragment	1	694	17	NA
Iatrogenic pneumo thorax	0.4	0.2	104	0.2
In Hospital Fall with Hip Fracture	0	0.1	29	0.1
Post-operative hemorrhage or hematoma	0.8	2.3	382	2.3
Post-operative pulmonary embolism (PE) or deep vein thrombosis (DVT)	5.3	3.4	684	4
Post-operative sepsis	2.3	4	247	3.2
Post-operative wound dehiscence	0	0.7	27	0.6
Unrecognized Abdominopelvic Accidental Puncture or Laceration	0.8	1.1	93	0.8
Birth Trauma+	0	4.6	225	2.4
Obstetric trauma - vaginal delivery with instrument+	0^	109.9	451	112.1
Obstetric trauma - vaginal delivery without instrument+	14.8	17.3	842	14.4
+ Observed rate (not risk-adjusted) Not applicable - Rate is not applicable for "Retained Surgical Item or Unretrieved Device Fragment Count" and "Transfusion Reaction". Both indicators are measured using volume instead of rate. ^ Rate is based on less than 30 cases/patients and should be taken with caution

Healthcare Associated Infections (HAIs)
	Hospital to National Comparison‡	Standardized Infection Ratio (SIR)	NJ Statewide to National Comparison
Abdominal Hysterectomy Surgical Site Infections, 2018	---	0	Similar
Catheter-Associated Urinary Tract Infections (CAUTI), 2018	Similar	0.46	Lower
Central Line-Associated Bloodstream Infections (CLABSI), 2018	Similar	0.52	Lower
Colon Surgical Site Infections, 2018	Similar	0.95	Lower
Knee Arthroplasty Surgical Site Infections, 2018	---	0	Similar
Overall Surgical Site Infections, 2018	Similar	0.87	Lower
‡ Each hospital is compared to the National Ratio=1. --- Standardized Infection Ratio (SIR) is not calculated because the Expected is < 1 Lower - indicates hospital infections are LOWER than infections seen nationally. Similar - indicates hospital infections are SIMILAR to infections seen nationally.

Health System: Meridian Health

Outpatient measures for all hospitals [pdf 20k]

Healthcare Associated Infections (HAI) for all hospitals