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Surgical Infection Prevention Data

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  • 1. Surgical Infection Prevention (SIP) DataTimeperiod: July 2005 - June 2006SIP 1 - Prophylactic antibiotic received within 1 hour prior to surgical incision Facilities with denom TOTAL NAME 30+ FACILITIES % 1 Coronary Artery Bypass Surgery (CABG) 67 197 34.0% 2 Cardiac Surgery 51 197 25.9% 3 Hip Arthroplasty 139 197 70.6% 4 Knee Arthroplasty 139 197 70.6% 5 Colon Surgery 114 197 57.9% 6 Hysterectomy 138 197 70.1% 7 Vascular Surgery 62 197 31.5% 8 All Reportable Surgeries Overall* 118 197 59.9%* Facilities with denominator 210 and higherSIP 3 - Prophylactic antibiotics discontinued within 24 hours after surgery endtime* - This measure changed to within 48 hours effective January 1, 2006 Facilities with denom TOTAL NAME 30+ FACILITIES % 1 Coronary Artery Bypass Surgery (CABG)* 66 197 33.5% 2 Cardiac Surgery* 49 197 24.9% 3 Hip Arthroplasty 137 197 69.5% 4 Knee Arthroplasty 137 197 69.5% 5 Colon Surgery 105 197 53.3% 6 Hysterectomy 137 197 69.5% 7 Vascular Surgery 59 197 29.9% 8 All Reportable Surgeries Overall* 115 197 58.4%* Facilities with denominator 210 and higher
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  • 3. Overview of Specifications of MeasuresTimeperiod: July 2005 - June 2006SIP 1 - Prophylactic antibiotic received within 1 hour prior to surgical incision Surgery Type Facilities with denom 30+ Total Facilities %1 Coronary Artery Bypass Surgery (CABG) 67 197 34.0%2 Cardiac Surgery 51 197 25.9%3 Hip Arthroplasty 139 197 70.6%4 Knee Arthroplasty 139 197 70.6%5 Colon Surgery 114 197 57.9%6 Hysterectomy 138 197 70.1%7 Vascular Surgery 62 197 31.5%8 All Reportable Surgeries Overall 168 197 85.3%SIP 3 - Prophylactic antibiotics discontinued within 24 hours after surgery end time* This measure changed to within 48 hours effective January 1, 2006 Surgery Type Facilities with denom 30+ Total Facilities %1 Coronary Artery Bypass Surgery (CABG)* 66 197 33.5%2 Cardiac Surgery* 49 197 24.9%3 Hip Arthroplasty 137 197 69.5%4 Knee Arthroplasty 137 197 69.5%5 Colon Surgery 105 197 53.3%6 Hysterectomy 137 197 69.5%7 Vascular Surgery 59 197 29.9%8 All Reportable Surgeries Overall 168 197 85.3%Source: AHCA, Florida Center for Health Information and Policy Analysis Displayed on Hospital Compare Page 3 of 4
  • 4. as of December 14, 2006 Surgical Care Improvement/Surgical Infection Prevention Performance Measure Description Criterion Met or Rate Calculation Measure Acceptable AlternativeProphylactic Surgical patients who Documentation of patient Numerator: Surgical patientsAntibiotic Received received prophylactic receiving selected who received prophylacticWithin 1 Hour Prior antibiotics within 1 hour surgery. Exceptions antibiotics within 1 hour ofto Surgical Incision prior to surgical incision include patients who: surgical incision (2 hours if receiving vancomycin or a • Had a principal or fluoroquinolone for prophylaxis) secondary diagnosis suggestion of preoperative Denominator: All selected infectious disease surgical patients age 18 and older with no evidence of prior • Were receiving infection antibiotics within 24 hours of arrival • Had colon surgery and received oral prophylactic antibiotics onlyProphylactic Surgical patients whose Documentation of patient Numerator: Surgical patientsAntibiotics prophylactic antibiotics were receiving selected whose prophylactic antibioticsDiscontinued discontinued within24 hours surgery. Exceptions were discontinued within 24hoursWithin 24 Hours after surgery end time (48 include patients who: after surgery end time (48 hours ifAfter Surgery End hours if CABG or Other CABG or Other Cardiac Surgery) • Had a principal orTime Cardiac Surgery) secondary diagnosis suggestive of preoperative Denominator: All selected infectious disease surgical patients age 18 and older • Were receiving antibiotics within 24 hours of arrival or more than 24 hours prior to surgery • Did not receive any prophylactic antibiotics • Were diagnosed with and treated for infections within two days after surgery date • Had other procedures of interest during separate surgical episodes during this hospital stay Page 4 of 4