ASC Directory / CCN 01C0001043

SURGERY CENTER OF DECATUR LP

DECATUR, AL 35601

CCN 01C0001043NPI 1962513788Measurement year: 2024
QUALITY MEASURES

CMS Quality Reporting (2024)

MeasureDescriptionValue
ASC-1Patient burnNot reported
ASC-2Patient fallNot reported
ASC-3Wrong site, wrong side, wrong patient, wrong procedure, wrong implantNot reported
ASC-4All-cause hospital transfer/admission0.049
ASC-9Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average-risk patients3.24
ASC-11Cataracts: improvement in patient visual function within 90 days following cataract surgeryNot reported
ASC-12 RSHVASC-12 RSHV9.2
ASC-12 Total CasesASC-12 Total Cases312
ASC-12 Interval Lower LimitASC-12 Interval Lower Limit6.6
ASC-12 Interval Upper LimitASC-12 Interval Upper Limit12.8
ASC-12 Performance CategoryASC-12 Performance CategoryNo Different Than the National Rate
ASC-13Normothermia outcome100.00
ASC-14Unplanned anterior vitrectomy0.142
ASC-17 RSHVASC-17 RSHV2.3
ASC-17 Total CasesASC-17 Total Cases221
ASC-17 Interval Lower LimitASC-17 Interval Lower Limit1.5
ASC-17 Interval Upper LimitASC-17 Interval Upper Limit3.5
ASC-17 Performance CategoryASC-17 Performance CategoryNo Different Than the National Rate
ASC-18 RSHVASC-18 RSHV5.3
ASC-18 Total CasesASC-18 Total Cases45
ASC-18 Interval Lower LimitASC-18 Interval Lower Limit3.3
ASC-18 Interval Upper LimitASC-18 Interval Upper Limit8.3
ASC-18 Performance CategoryASC-18 Performance CategoryNo Different Than the National Rate
ASC-19 RSHVASC-19 RSHV1
ASC-19 Total CasesASC-19 Total Cases125
ASC-19 Interval Lower LimitASC-19 Interval Lower Limit0.5
ASC-19 Interval Upper LimitASC-19 Interval Upper Limit1.7
ASC-19 Performance CategoryASC-19 Performance CategoryNo Different than expected

Source: CMS Ambulatory Surgical Center Quality Reporting (dataset 4jcv-atw7). Measures reflect the most recent reporting period available.