240-964-7000
12500 Willowbrook Road
Cumberland, Maryland 21502
Superior Care...Surprisingly Close

    

Surgical Care Improvement Project

Scientific evidence indicates that certain measures are the best practice for the prevention of infections and other complications after many surgeries. These quality measures show some of the standards of care provided when appropriate for adults who have surgery.

WMHS reports our application of the Core Measures to both the Maryland Health Care Commission and the Centers for Medicare & Medicaid Services (CMS), which publish the data on their websites. Since all hospitals across the country submit this information, the level of care provided at WMHS can easily be compared to the care provided by other hospitals in Maryland and the U.S.

To learn more about how the application of Core Measures at WMHS compares to other hospitals in the U.S., visit www.hospitalcompare.hhs.gov.

WMHS is committed to our mission of superior care for all we serve and strives continually to improve patient care. We review our application of the Core Measure indicators frequently to see where we can improve our processes. The columns on the left reflect the current data published on the Maryland Health Care Commission’s Hospital Guide website (mhcc.maryland.gov/consumerinfo/hospitalguide/index.htm).

The columns on the right show our preliminary data for subsequent quarters. This information is used for trending purposes only. These results have not gone through the final statistical analysis used by the State of Maryland and CMS before publication on their websites.

Percent of Hospital Patients Receiving Standard of Care (Final)
July 2012–June 2013
Preliminary Data from WMHS For Trending Purposes

Standard of Care

WMHS

Maryland

2nd QTR 13

3rd QTR 13 4th QTR 13

Surgery Patients Given Antibiotics One Hour Prior to Surgery
Research shows surgery patients who get antibiotics one hour before their operation are less likely to get wound infections.

100%

98%

100%

100% 100%

Surgery Patients Who Received Appropriate Preventive Antibiotic for their Surgery
Certain antibiotics are recommended to help prevent wound infection for particular types of surgery

100%

99%

100%

100% 100%

Surgery Patients Whose Preventive Antibiotics Are Stopped within 24 Hours After Surgery
While the likelihood of infection after surgery is reduced by taking antibiotics, it is not necessary to take for more than 24 hours for most routine surgeries.

100%

98%

99.44%

100% 100%

Heart Surgery Patients Whose Blood Sugar is Kept under Good Control in the Days after Surgery.
Even if surgery patients do not have diabetes, keeping their blood sugar under good control after surgery lowers the risk of infection and other problems.

98%

95%

94.87%

100% 100%

Surgery Patients Needing Hair Removal Had Hair Removed By A Safer Method.
When hair needs to be removed from the surgical site before surgery, a safer method of hair removal should be used. Example: electric clippers or hair removal cream instead of a razor.

100%

100%

100%

100% 100%

Surgery Patients Taking Heart Drugs Called Beta Blockers Before Surgery Who Were Kept on the Beta Blockers Just Before and After Their Surgery
The risk of cardiac problems associated with surgery can be reduced when patients remain on medications to control heart rhythm and blood pressure.

99%

97%

100%

100% 100%

Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots for Certain Types of Surgeries
Certain surgeries can increase the risk of blood clots forming in the veins. Preventive treatments (called prophylaxis) can be ordered by the doctor to decrease this risk. Examples include blood thinning medications, elastic support stockings, or mechanical air stockings that promote circulation in the legs.

99%

99%

100%

100% 100%

Surgery Patients Who Received Treatment to Prevent Blood Clots Before or After Surgery
Treatments to prevent blood clots must be given at the right time to prevent clots from forming after selected surgeries

98%

98%

99.46%

100% 99.32%

Additional information about the patient experience of care at all Maryland hospitals can be found in the Maryland Health Care Commissions’ Hospital Guide at mhcc.maryland.gov/consumerinfo/hospitalguide/index.htm
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