Acmh Hospital – Performance Insights
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7245438524Performance Insights
A deep dive into clinical strengths and weaknesses. We analyze comprehensive patient outcomes across key performance categories—including Mortality, Patient Safety, and Timely Care—to grade how well this facility performs in specific medical areas compared to national benchmarks.
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural Measure
Hospital-Level Total Hip Arthroplasty/Total Knee Arthroplasty Patient-Reported Outcome-Based Performance Measure
Septic Shock 3-Hour Bundle
Septic Shock 6-Hour Bundle
Appropriate care for severe sepsis and septic shock
Global Malnutrition Composite Score
Emergency department volume
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better
Average (median) time transfer patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Left before being seen
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Severe Sepsis 3-Hour Bundle
Severe Sepsis 6-Hour Bundle
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis
Rate of complications for hip/knee replacement patients
Number of Cases Too Small
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate
No Different Than the National Rate
Death rate for heart attack patients
Number of Cases Too Small
Death rate for CABG surgery patients
Not Available
Death rate for COPD patients
No Different Than the National Rate
Death rate for heart failure patients
No Different Than the National Rate
Death rate for pneumonia patients
No Different Than the National Rate
Death rate for stroke patients
Number of Cases Too Small
Pressure ulcer rate
No Different Than the National Rate
Death rate among surgical inpatients with serious treatable complications
Number of Cases Too Small
Iatrogenic pneumothorax rate
No Different Than the National Rate
In-hospital fall-associated fracture rate
No Different Than the National Rate
Postoperative hemorrhage or hematoma rate
No Different Than the National Rate
Postoperative acute kidney injury requiring dialysis rate
No Different Than the National Rate
Postoperative respiratory failure rate
No Different Than the National Rate
Perioperative pulmonary embolism or deep vein thrombosis rate
No Different Than the National Rate
Postoperative sepsis rate
No Different Than the National Rate
Postoperative wound dehiscence rate
No Different Than the National Rate
Abdominopelvic accidental puncture or laceration rate
No Different Than the National Rate
CMS Medicare PSI 90: Patient safety and adverse events composite
No Different Than the National Value
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit
Not Available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit
Not Available
Central Line Associated Bloodstream Infection: Number of Device Days
Not Available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases
Not Available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases
Not Available
Central Line Associated Bloodstream Infection (ICU + select Wards)
Not Available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit
No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit
No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days
No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases
No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases
No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)
No Different than National Benchmark
SSI - Colon Surgery: Lower Confidence Limit
Not Available
SSI - Colon Surgery: Upper Confidence Limit
Not Available
SSI - Colon Surgery: Number of Procedures
Not Available
SSI - Colon Surgery: Predicted Cases
Not Available
SSI - Colon Surgery: Observed Cases
Not Available
SSI - Colon Surgery
Not Available
SSI - Abdominal Hysterectomy: Lower Confidence Limit
Not Available
SSI - Abdominal Hysterectomy: Upper Confidence Limit
Not Available
SSI - Abdominal Hysterectomy: Number of Procedures
Not Available
SSI - Abdominal Hysterectomy: Predicted Cases
Not Available
SSI - Abdominal Hysterectomy: Observed Cases
Not Available
SSI - Abdominal Hysterectomy
Not Available
MRSA Bacteremia: Lower Confidence Limit
Not Available
MRSA Bacteremia: Upper Confidence Limit
Not Available
MRSA Bacteremia: Patient Days
Not Available
MRSA Bacteremia: Predicted Cases
Not Available
MRSA Bacteremia: Observed Cases
Not Available
MRSA Bacteremia
Not Available
Clostridium Difficile (C.Diff): Lower Confidence Limit
Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit
Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days
Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases
Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases
Better than the National Benchmark
Clostridium Difficile (C.Diff)
Better than the National Benchmark