ASC Directory / CCN 06C0001095

ROCKY MOUNTAIN SURGERY CENTER LLC

ENGLEWOOD, CO 80110

CCN 06C0001095NPI 1073613162Measurement year: 2024
QUALITY MEASURES

CMS Quality Reporting (2024)

MeasureDescriptionValue
ASC-1Patient burn0.000
ASC-2Patient fall0.000
ASC-3Wrong site, wrong side, wrong patient, wrong procedure, wrong implant0.021
ASC-4All-cause hospital transfer/admission0.208
ASC-9Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average-risk patients89.58
ASC-11Cataracts: improvement in patient visual function within 90 days following cataract surgeryNot reported
ASC-12 RSHVASC-12 RSHV9.3
ASC-12 Total CasesASC-12 Total Cases487
ASC-12 Interval Lower LimitASC-12 Interval Lower Limit6.8
ASC-12 Interval Upper LimitASC-12 Interval Upper Limit12.7
ASC-12 Performance CategoryASC-12 Performance CategoryNo Different Than the National Rate
ASC-13Normothermia outcome100.00
ASC-14Unplanned anterior vitrectomy0.000
ASC-17 RSHVASC-17 RSHV3.5
ASC-17 Total CasesASC-17 Total Cases183
ASC-17 Interval Lower LimitASC-17 Interval Lower Limit2.3
ASC-17 Interval Upper LimitASC-17 Interval Upper Limit5.4
ASC-17 Performance CategoryASC-17 Performance CategoryNo Different Than the National Rate
ASC-18 RSHVASC-18 RSHVNot reported
ASC-18 Total CasesASC-18 Total CasesNot reported
ASC-18 Interval Lower LimitASC-18 Interval Lower LimitNot reported
ASC-18 Interval Upper LimitASC-18 Interval Upper LimitNot reported
ASC-18 Performance CategoryASC-18 Performance CategoryNot reported
ASC-19 RSHVASC-19 RSHV1.1
ASC-19 Total CasesASC-19 Total Cases82
ASC-19 Interval Lower LimitASC-19 Interval Lower Limit0.7
ASC-19 Interval Upper LimitASC-19 Interval Upper Limit2
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.