Home / Quality Report of MCDUFFIE REGIONAL MEDICAL CENTER at THOMSON, GA

MCDUFFIE REGIONAL MEDICAL CENTER Quality Report

MCDUFFIE REGIONAL MEDICAL CENTER
521 HILL STREET, SW
THOMSON, GA 30824

MCDUFFIE county
Phone: 706-597-5201
Acute Care Hospitals
Ownership: Government - Hospital District or Authority
Accreditation: Yes
Emergency Service: Yes

Please use the following conditions to evaluate the quality of this hospital.

Heart Attack

1. Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

MCDUFFIE REGIONAL MEDICAL CENTER
100%
Average for the State of Georgia
79%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 1 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Heart Attack Patients Given Beta Blocker at Discharge

MCDUFFIE REGIONAL MEDICAL CENTER
67%
Average for the State of Georgia
86%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 3 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

3. Heart Attack Patients Given Beta Blocker at Arrival

MCDUFFIE REGIONAL MEDICAL CENTER
50%
Average for the State of Georgia
85%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 4 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

4. Heart Attack Patients Given Aspirin at Discharge

MCDUFFIE REGIONAL MEDICAL CENTER
100%
Average for the State of Georgia
86%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 2 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

5. Heart Attack Patients Given Aspirin at Arrival

MCDUFFIE REGIONAL MEDICAL CENTER
50%
Average for the State of Georgia
91%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 4 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

MCDUFFIE REGIONAL MEDICAL CENTER
100%
Average for the State of Georgia
87%
National Average of Hospitals submitting data:
83%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 3 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

2. Heart Failure Patients Given Discharge Instructions

MCDUFFIE REGIONAL MEDICAL CENTER
59%
Average for the State of Georgia
62%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%

3. Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function

MCDUFFIE REGIONAL MEDICAL CENTER
84%
Average for the State of Georgia
80%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%

4. Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)

MCDUFFIE REGIONAL MEDICAL CENTER
73%
Average for the State of Georgia
81%
National Average of Hospitals submitting data:
82%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 11 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

Pneumonia

1. Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics

MCDUFFIE REGIONAL MEDICAL CENTER
95%
Average for the State of Georgia
88%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 80 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)

MCDUFFIE REGIONAL MEDICAL CENTER
52%
Average for the State of Georgia
82%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 65 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

MCDUFFIE REGIONAL MEDICAL CENTER
73%
Average for the State of Georgia
82%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 15 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

4. Pneumonia Patients Given Oxygenation Assessment

MCDUFFIE REGIONAL MEDICAL CENTER
98%
Average for the State of Georgia
99%
National Average of Hospitals submitting data:
99%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 119 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

5. Pneumonia Patients Given Initial Antibiotic(s) within 4 Hours After Arrival

MCDUFFIE REGIONAL MEDICAL CENTER
84%
Average for the State of Georgia
76%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%
Notes:
  1. Sample size: 115 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

MCDUFFIE REGIONAL MEDICAL CENTER
70%
Average for the State of Georgia
63%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 67 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

7. Pneumonia Patients Assessed and Given Influenza Vaccination

MCDUFFIE REGIONAL MEDICAL CENTER
70%
Average for the State of Georgia
59%
National Average of Hospitals submitting data:
70%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 20 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

Surgical Infection Prevention

1. Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision

MCDUFFIE REGIONAL MEDICAL CENTER
11%
Average for the State of Georgia
71%
National Average of Hospitals submitting data:
78%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 27 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  3. Rate reflects fewer than the maximum possible quarters of data for the measure.

2. Surgery Patients who Received the Appropriate Preventative Antibiotic(s) for Their Surgery

MCDUFFIE REGIONAL MEDICAL CENTER
93%
Average for the State of Georgia
88%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 29 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery

MCDUFFIE REGIONAL MEDICAL CENTER
9%
Average for the State of Georgia
73%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 23 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.
  4. Rate reflects fewer than the maximum possible quarters of data for the measure.


Note: The data on this site only reflect the aspects of "Heart Attack", "Heart Failure", "Pneumonia", and "Surgical Infection Prevention". These are important indicators of the hospital quality. However, they are not the comprehensive evaluation. learn more...