Home / Quality Report of MIMBRES MEMORIAL HOSPITAL at DEMING, NM

MIMBRES MEMORIAL HOSPITAL Quality Report

MIMBRES MEMORIAL HOSPITAL
900 W ASH
DEMING, NM 88031

LUNA county
Phone: 505-546-2761
Acute Care Hospitals
Ownership: Proprietary
Accreditation: No
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)

MIMBRES MEMORIAL HOSPITAL
0%
Average for the State of New Mexico
74%
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. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Heart Attack Patients Given Beta Blocker at Discharge

MIMBRES MEMORIAL HOSPITAL
86%
Average for the State of New Mexico
82%
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.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

3. Heart Attack Patients Given Beta Blocker at Arrival

MIMBRES MEMORIAL HOSPITAL
75%
Average for the State of New Mexico
74%
National Average of Hospitals submitting data:
87%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 8 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. Heart Attack Patients Given Aspirin at Discharge

MIMBRES MEMORIAL HOSPITAL
100%
Average for the State of New Mexico
85%
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.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

5. Heart Attack Patients Given Aspirin at Arrival

MIMBRES MEMORIAL HOSPITAL
78%
Average for the State of New Mexico
90%
National Average of Hospitals submitting data:
93%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 9 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.

Heart Failure

1. Heart Failure Patients Given Smoking Cessation Advice/Counseling

MIMBRES MEMORIAL HOSPITAL
38%
Average for the State of New Mexico
59%
National Average of Hospitals submitting data:
83%
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.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

2. Heart Failure Patients Given Discharge Instructions

MIMBRES MEMORIAL HOSPITAL
3%
Average for the State of New Mexico
32%
National Average of Hospitals submitting data:
63%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 75 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

MIMBRES MEMORIAL HOSPITAL
35%
Average for the State of New Mexico
66%
National Average of Hospitals submitting data:
84%
Top 10%' of Hospitals submitting data scored equal to or higher than:
99%
Notes:
  1. Sample size: 91 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

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

MIMBRES MEMORIAL HOSPITAL
36%
Average for the State of New Mexico
75%
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.
  3. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Pneumonia

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

MIMBRES MEMORIAL HOSPITAL
92%
Average for the State of New Mexico
90%
National Average of Hospitals submitting data:
90%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 40 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)

MIMBRES MEMORIAL HOSPITAL
92%
Average for the State of New Mexico
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: 63 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

MIMBRES MEMORIAL HOSPITAL
38%
Average for the State of New Mexico
61%
National Average of Hospitals submitting data:
81%
Top 10%' of Hospitals submitting data scored equal to or higher than:
100%
Notes:
  1. Sample size: 16 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

MIMBRES MEMORIAL HOSPITAL
100%
Average for the State of New Mexico
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: 83 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

MIMBRES MEMORIAL HOSPITAL
77%
Average for the State of New Mexico
75%
National Average of Hospitals submitting data:
80%
Top 10%' of Hospitals submitting data scored equal to or higher than:
93%
Notes:
  1. Sample size: 75 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

MIMBRES MEMORIAL HOSPITAL
13%
Average for the State of New Mexico
58%
National Average of Hospitals submitting data:
71%
Top 10%' of Hospitals submitting data scored equal to or higher than:
94%
Notes:
  1. Sample size: 55 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.

Surgical Infection Prevention

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

MIMBRES MEMORIAL HOSPITAL
33%
Average for the State of New Mexico
68%
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.

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

MIMBRES MEMORIAL HOSPITAL
11%
Average for the State of New Mexico
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: 19 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.

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

MIMBRES MEMORIAL HOSPITAL
100%
Average for the State of New Mexico
82%
National Average of Hospitals submitting data:
74%
Top 10%' of Hospitals submitting data scored equal to or higher than:
95%
Notes:
  1. Sample size: 26 patients
  2. Measure reflects the hospital's indication that its submission was based on a sample of its relevant discharges.


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...