Prophylactic antibiotic received within one hour
This measure is reported by the Centers for Medicare and Medicaid Services (CMS) to help consumers evaluate hospital performance as it relates to surgical care and infection prevention. It is measuring the percentage of surgical patients without evidence of an existing infection who were given prophylactic (preventive) antibiotics within one hour prior to the beginning of surgery.
What does it mean and why is it important?
All surgeries carry the risk of infection. These infections can sometimes be serious and even life threatening. Prophylactic antibiotic treatment before surgery is important to reduce the chance of infection and to improve surgical outcomes. The timing of the antibiotic is also important. If the antibiotics are given too far in advance (more than an hour before surgery), they may not be as effective at preventing infection during surgery.
What is our score?
Our most recent score is 100%, which means that 100 percent of certain surgical patients received prophylactic antibiotics within an hour before their surgery began.
The target score is 99%. The threshold, or acceptable score, is 98%. Any score below 98% is considered below threshold. Exceptional performance is 100%.
This means that our score for the most recent evaluation period is exceptional.
What are we doing to improve our performance?
We make it a goal to continually improve our performance, our patient outcomes, and our care delivery. We do not currently have quality improvement programs in place to improve upon this measure specifically, but we are always striving to provide the best possible care.
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