ASC Directory / CCN 45C0001267

NMC SURGERY CENTER LP DBA THE SURGERY CENTER OF NACOGDOCHES

NACOGDOCHES, TX 75965

CCN 45C0001267NPI 1225064736Measurement year: 2024
QUALITY MEASURES

CMS Quality Reporting (2024)

MeasureDescriptionValue
ASC-1Patient burn0.019
ASC-2Patient fall0.019
ASC-3Wrong site, wrong side, wrong patient, wrong procedure, wrong implant0.000
ASC-4All-cause hospital transfer/admission0.130
ASC-9Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average-risk patients81.25
ASC-11Cataracts: improvement in patient visual function within 90 days following cataract surgeryNot reported
ASC-12 RSHVASC-12 RSHV10
ASC-12 Total CasesASC-12 Total Cases542
ASC-12 Interval Lower LimitASC-12 Interval Lower Limit7.4
ASC-12 Interval Upper LimitASC-12 Interval Upper Limit14
ASC-12 Performance CategoryASC-12 Performance CategoryNo Different Than the National Rate
ASC-13Normothermia outcome100.00
ASC-14Unplanned anterior vitrectomyNot reported
ASC-17 RSHVASC-17 RSHV2
ASC-17 Total CasesASC-17 Total Cases214
ASC-17 Interval Lower LimitASC-17 Interval Lower Limit1.3
ASC-17 Interval Upper LimitASC-17 Interval Upper Limit3.1
ASC-17 Performance CategoryASC-17 Performance CategoryNo Different Than the National Rate
ASC-18 RSHVASC-18 RSHV7
ASC-18 Total CasesASC-18 Total Cases115
ASC-18 Interval Lower LimitASC-18 Interval Lower Limit4.8
ASC-18 Interval Upper LimitASC-18 Interval Upper Limit10.3
ASC-18 Performance CategoryASC-18 Performance CategoryNo Different Than the National Rate
ASC-19 RSHVASC-19 RSHV0.9
ASC-19 Total CasesASC-19 Total Cases195
ASC-19 Interval Lower LimitASC-19 Interval Lower Limit0.5
ASC-19 Interval Upper LimitASC-19 Interval Upper Limit1.5
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.