The Joint Commission and the Centers for Medicare & Medicaid Services (CMS) require hospitals to monitor the care and treatment that they give to patients that have surgery.
These measures represent evidence-based best practices for caring for surgical patients and are part of a nationwide quality improvement effort.
We report performance on the two measures below:
For this measure, we look at how well we meet recommendations for delivering the appropriate treatment for the prevention of blood clots in surgical patients.
To measure how well we meet recommendations for reducing the risk of surgical infections we track our ability to comply with three important guidelines.