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DELTA COUNTY                                                            C


            MEMORIAL HOSPITAL
                                                                                 FALL 2016





             1501 E. 3rd Street
             Delta, CO 81416-2297


                                                            AVG.           BEST
                                           HOSPITAL'S   PERFORMING      PERFORMING    DATA
         MEASURE                             SCORE        HOSPITAL       HOSPITAL     SOURCE
         Dangerous object left in
         patient’s body                        0            0.025          0.000      CMS
         Patient falls                       0.703          0.389          0.000      CMS

                                                                                      2016
                                              Not                                     Leapfrog
         MRSA Infection                                     0.876          0.000
                                           Available                                  Hospital
                                                                                      Survey
         C. diff. Infection                  1.637          0.901          0.000      CMS


         Dangerous bed sores                  0.37          0.44            0.03      CMS
         Death from treatable serious         Not          136.84          70.79      CMS
         complications                     Available

         Surgical wound splits open           2.25          2.31            1.18      CMS

         Accidental cuts and tears            1.42          1.43            0.32      CMS

                                                                                      2016
         Doctors order medications             20           73.47           100       Leapfrog
         through a computer                                                           Hospital
                                                                                      Survey
                                                                                      2016
                                          Declined to                                 Leapfrog
         Handwashing                                        28.34          30.00
                                             Report                                   Hospital
                                                                                      Survey

         Communication with nurses             4            3.32             5        CMS

         Communication with doctors            4            2.95             5        CMS


         Responsiveness of hospital staff      4            2.91             5        CMS






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