ASC Directory / CCN 24C0001089

M HEALTH FAIRVIEW

ST PAUL, MN 55104

CCN 24C0001089NPI 1639553779Measurement year: 2024
QUALITY MEASURES

CMS Quality Reporting (2024)

MeasureDescriptionValue
ASC-1Patient burn0.000
ASC-2Patient fall0.013
ASC-3Wrong site, wrong side, wrong patient, wrong procedure, wrong implant0.006
ASC-4All-cause hospital transfer/admission0.210
ASC-9Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average-risk patients98.33
ASC-11Cataracts: improvement in patient visual function within 90 days following cataract surgeryNot reported
ASC-12 RSHVASC-12 RSHV11.2
ASC-12 Total CasesASC-12 Total Cases403
ASC-12 Interval Lower LimitASC-12 Interval Lower Limit8
ASC-12 Interval Upper LimitASC-12 Interval Upper Limit15.4
ASC-12 Performance CategoryASC-12 Performance CategoryNo Different Than the National Rate
ASC-13Normothermia outcome89.95
ASC-14Unplanned anterior vitrectomy1.228
ASC-17 RSHVASC-17 RSHV2.4
ASC-17 Total CasesASC-17 Total Cases112
ASC-17 Interval Lower LimitASC-17 Interval Lower Limit1.6
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 RSHV5.1
ASC-18 Total CasesASC-18 Total Cases141
ASC-18 Interval Lower LimitASC-18 Interval Lower Limit3.3
ASC-18 Interval Upper LimitASC-18 Interval Upper Limit7.6
ASC-18 Performance CategoryASC-18 Performance CategoryNo Different Than the National Rate
ASC-19 RSHVASC-19 RSHV1.2
ASC-19 Total CasesASC-19 Total Cases161
ASC-19 Interval Lower LimitASC-19 Interval Lower Limit0.7
ASC-19 Interval Upper LimitASC-19 Interval Upper Limit2.1
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.