ASC Directory / CCN 05C0001321

EL MIRADOR SURGERY CENTER LLC DBA EL MIRADOR SURGERY CENTER

PALM SPRINGS, CA 92262

CCN 05C0001321NPI 1821429978Measurement year: 2024
QUALITY MEASURES

CMS Quality Reporting (2024)

MeasureDescriptionValue
ASC-1Patient burn0.000
ASC-2Patient fall0.010
ASC-3Wrong site, wrong side, wrong patient, wrong procedure, wrong implant0.000
ASC-4All-cause hospital transfer/admission0.051
ASC-9Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average-risk patients77.08
ASC-11Cataracts: improvement in patient visual function within 90 days following cataract surgeryNot reported
ASC-12 RSHVASC-12 RSHV10.1
ASC-12 Total CasesASC-12 Total Cases1155
ASC-12 Interval Lower LimitASC-12 Interval Lower Limit7.6
ASC-12 Interval Upper LimitASC-12 Interval Upper Limit13.5
ASC-12 Performance CategoryASC-12 Performance CategoryNo Different Than the National Rate
ASC-13Normothermia outcome99.54
ASC-14Unplanned anterior vitrectomy0.241
ASC-17 RSHVASC-17 RSHV2.4
ASC-17 Total CasesASC-17 Total Cases42
ASC-17 Interval Lower LimitASC-17 Interval Lower Limit1.5
ASC-17 Interval Upper LimitASC-17 Interval Upper Limit3.9
ASC-17 Performance CategoryASC-17 Performance CategoryNo Different Than the National Rate
ASC-18 RSHVASC-18 RSHV4.5
ASC-18 Total CasesASC-18 Total Cases47
ASC-18 Interval Lower LimitASC-18 Interval Lower Limit2.9
ASC-18 Interval Upper LimitASC-18 Interval Upper Limit6.9
ASC-18 Performance CategoryASC-18 Performance CategoryNo Different Than the National Rate
ASC-19 RSHVASC-19 RSHV0.9
ASC-19 Total CasesASC-19 Total Cases34
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.