Home / Quality Report of MEMORIAL HOSPITAL AND MANOR at BAINBRIDGE, GA

MEMORIAL HOSPITAL AND MANOR Quality Report

MEMORIAL HOSPITAL AND MANOR
1500 E SHOTWELL STREET
BAINBRIDGE, GA 39819

DECATUR county
Phone: 229-246-3500
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)

MEMORIAL HOSPITAL AND MANOR
50%
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: 4 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

2. Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival

MEMORIAL HOSPITAL AND MANOR
50%
Average for the State of Georgia
37%
National Average of Hospitals submitting data:
34%
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. Heart Attack Patients Given Beta Blocker at Discharge

MEMORIAL HOSPITAL AND MANOR
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: 7 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

4. Heart Attack Patients Given Beta Blocker at Arrival

MEMORIAL HOSPITAL AND MANOR
80%
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: 10 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

5. Heart Attack Patients Given Aspirin at Discharge

MEMORIAL HOSPITAL AND MANOR
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: 7 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

6. Heart Attack Patients Given Aspirin at Arrival

MEMORIAL HOSPITAL AND MANOR
100%
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: 11 patients
  2. The number of cases is too small (n<25) for purposes of reliably predicting hospital's performance.

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

MEMORIAL HOSPITAL AND MANOR
73%
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: 22 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

MEMORIAL HOSPITAL AND MANOR
56%
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

MEMORIAL HOSPITAL AND MANOR
77%
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)

MEMORIAL HOSPITAL AND MANOR
82%
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%

Pneumonia

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

MEMORIAL HOSPITAL AND MANOR
64%
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%

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

MEMORIAL HOSPITAL AND MANOR
82%
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%

3. Pneumonia Patients Given Smoking Cessation Advice/Counseling

MEMORIAL HOSPITAL AND MANOR
53%
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.

4. Pneumonia Patients Given Oxygenation Assessment

MEMORIAL HOSPITAL AND MANOR
100%
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%

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

MEMORIAL HOSPITAL AND MANOR
77%
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%

6. Pneumonia Patients Assessed and Given Pneumococcal Vaccination

MEMORIAL HOSPITAL AND MANOR
40%
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%

7. Pneumonia Patients Assessed and Given Influenza Vaccination

MEMORIAL HOSPITAL AND MANOR
46%
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: 13 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

MEMORIAL HOSPITAL AND MANOR
62%
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: 66 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

MEMORIAL HOSPITAL AND MANOR
97%
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: 60 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

MEMORIAL HOSPITAL AND MANOR
100%
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: 59 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.


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...