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Sylvan Grove Hospital

1050 McDonough Rd
Jackson, GA 30233-1524
(770) 775-7861
Services Offered:
Hospital
Sylvan Grove Hospital serves Butts County, GA
  • Hospital
  • Licenses
  • Hospital
  • General Information
    Emergency Service is Provided
    Owned by a Hospital District or Authority
    Surgical Care Improvement Project Process of Care Measures
    Sylvan Grove Hospital exceeds average state scores in 0 of 11 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 11 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)
     
     
     
     
    Not Available
    88.38%
    Not Available
    Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)
     
     
     
     
    Not Available
    92.4%
    Not Available
    Patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery
     
     
     
     
    Not Available
    88.89%
    Not Available
    Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery
     
     
     
     
    Not Available
    87.42%
    Not Available
    Surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream - not a razor)
     
     
     
     
    Not Available
    98.98%
    Not Available
    Heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery
     
     
     
     
    Not Available
    93.9%
    Not Available
    Surgery patients who were given the right kind of antibiotic to help prevent infection
     
     
     
     
    Not Available
    96.32%
    Not Available
    Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)
     
     
     
     
    Not Available
    92.42%
    Not Available
    Surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection
     
     
     
     
    Not Available
    94.67%
    Not Available
    Surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries
     
     
     
     
    Not Available
    90.79%
    Not Available
    Surgery patients whose urinary catheters were removed on the first or second day after surgery.
     
     
     
     
    Not Available
    84.92%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    Pneumonia Process of Care Measures
    Sylvan Grove Hospital exceeds average state scores in 6 of 6 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 6 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Pneumonia Patients Given Smoking Cessation Advice/Counseling
     
     
     
     
    100%
    95.6%
    100%
    Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)
     
     
     
     
    100%
    91.22%
    100%
    Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
     
     
     
     
    100%
    94.18%
    100%
    Pneumonia Patients Assessed and Given Pneumococcal Vaccination
     
     
     
     
    100%
    92.77%
    100%
    Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics
     
     
     
     
    100%
    94.69%
    100%
    Pneumonia Patients Assessed and Given Influenza Vaccination
     
     
     
     
    100%
    88.73%
    100%
    0%
    20%
    40%
    60%
    80%
    100%
    Heart Attack or Chest Pain Process of Care Measures
    Sylvan Grove Hospital exceeds average state scores in 0 of 9 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 9 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
     
     
     
     
    Not Available
    91.11%
    Not Available
    Heart Attack Patients Given PCI Within 90 Minutes Of Arrival
     
     
     
     
    Not Available
    81.14%
    Not Available
    Heart Attack Patients Given Smoking Cessation Advice/Counseling
     
     
     
     
    Not Available
    98.91%
    Not Available
    Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival (higher numbers are better)
     
     
     
     
    Not Available
    44.24%
    Not Available
    Heart Attack Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival
     
     
     
     
    Not Available
    37.44%
    Not Available
    Heart Attack Patients Given Aspirin at Discharge
     
     
     
     
    Not Available
    94.12%
    Not Available
    Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival (higher numbers are better)
     
     
     
     
    Not Available
    94.24%
    Not Available
    Heart Attack Patients Given Beta Blocker at Discharge
     
     
     
     
    Not Available
    91.54%
    Not Available
    Heart Attack Patients Given Aspirin at Arrival
     
     
     
     
    Not Available
    95.42%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    Heart Attack or Chest Pain Process of Care Measures (Timeliness)
    Sylvan Grove Hospital exceeds average state scores in 0 of 3 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 3 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0 minutes
    21.07 minutes
    42.14 minutes
    63.22 minutes
    84.29 minutes
    105.36 minutes
    Average number of minutes before outpatients with chest pain or possible heart attack got an ECG (a lower number of minutes is better)
     
     
     
     
    Not Available
    19.05 minutes
    Not Available
    Average number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital (a lower number of minutes is better)
     
     
     
     
    Not Available
    105.36 minutes
    Not Available
    0 minutes
    21.07 minutes
    42.14 minutes
    63.22 minutes
    84.29 minutes
    105.36 minutes
    Heart Failure Process of Care Measures
    Sylvan Grove Hospital exceeds average state scores in 3 of 4 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 4 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Heart Failure Patients Given Smoking Cessation Advice/Counseling
     
     
     
     
    100%
    96.55%
    100%
    Heart Failure Patients Given Discharge Instructions
     
     
     
     
    100%
    85.54%
    100%
    Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
     
     
     
     
    Not Available
    92.22%
    Not Available
    Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function
     
     
     
     
    100%
    94.53%
    100%
    0%
    20%
    40%
    60%
    80%
    100%
    Children's Asthma Process of Care Measures
    Sylvan Grove Hospital exceeds average state scores in 0 of 3 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 3 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Children Who Received Reliever Medication While Hospitalized for Asthma
     
     
     
     
    Not Available
    99.67%
    Not Available
    Children and their Caregivers Who Received a Home Management Plan of Care Document While Hospitalized for Asthma
     
     
     
     
    Not Available
    94.5%
    Not Available
    Children Who Received Systemic Corticosteroid Medication (oral and IV Medication That Reduces Inflammation and Controls Symptoms) While Hospitalized for Asthma
     
     
     
     
    Not Available
    99.5%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    Hospital Death (Mortality) Rates Outcome of Care Measures
    Sylvan Grove Hospital exceeds average state scores in 0 of 3 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 3 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Heart Failure Death (Mortality) Rates
     
     
     
     
    Not Available
    11.49%
    Not Available
    Heart Attack Death (Mortality) Rates
     
     
     
     
    Not Available
    16.41%
    Not Available
    Pneumonia (PN) 30-Day Mortality Rate
     
     
     
     
    Not Available
    12.78%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    Hospital Readmission Rates Outcome of Care Measures
    Sylvan Grove Hospital exceeds average state scores in 0 of 3 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 3 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Heart Attack Readmission Rates
     
     
     
     
    Not Available
    19.38%
    Not Available
    Heart Failure Readmission Rates
     
     
     
     
    Not Available
    24.41%
    Not Available
    Pneumonia Readmission Rates
     
     
     
     
    Not Available
    18.3%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    Use of Medical Imaging (tests like Mammograms, MRIs, and CT scans)
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram. (A number that is much lower than 8% may mean there's not enough follow-up. A number much higher than 14% may mean there's too much unnecessary follow-up.)
     
     
     
     
    Not Available
    9.03%
    Not Available
    Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy. (If a number is high, it may mean the facility is doing too many unnecessary MRIs for low back pain.)
     
     
     
     
    Not Available
    32.42%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    Combination CT Scans
    Provider Score
    State Average
    Region Average
    Measure
    0
    0.2
    0.4
    0.6
    0.8
    1
    Outpatient CT scans of the chest that were "combination" (double) scans. (The range for this measure is 0 to 1. A number very close to 1 may mean that too many patients are being given a double scan when a single scan is all they need.)
     
     
     
     
    Not Available
    0.12
    Not Available
    Outpatient CT scans of the abdomen that were "combination" (double) scans. (The range for this measure is 0 to 1. A number very close to 1 may mean that too many patients are being given a double scan when a single scan is all they need.)
     
     
     
     
    Not Available
    0.17
    Not Available
    0
    0.2
    0.4
    0.6
    0.8
    1
    Survey of Patients' Hospital Experiences
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Patients who gave a rating of "9" or "10" (high)
     
     
     
     
    Not Available
    66.26%
    Not Available
    Patients who gave a rating of "7" or "8" (medium)
     
     
     
     
    Not Available
    23.99%
    Not Available
    Patients who gave a rating of "6" or lower (low)
     
     
     
     
    Not Available
    9.76%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    How often did nurses communicate well with patients?
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Nurses "always" communicated well
     
     
     
     
    Not Available
    76.22%
    Not Available
    Nurses "usually" communicated well
     
     
     
     
    Not Available
    17.76%
    Not Available
    Nurses "sometimes" or "never" communicated well
     
     
     
     
    Not Available
    6.01%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    How often was patients pain well controlled?
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Pain was "always" well controlled
     
     
     
     
    Not Available
    69.9%
    Not Available
    Pain was "usually" well controlled
     
     
     
     
    Not Available
    22.24%
    Not Available
    Pain was "sometimes" or "never" well controlled
     
     
     
     
    Not Available
    7.86%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    How often was the area around patients rooms kept quiet at night?
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Always quiet at night
     
     
     
     
    Not Available
    64.19%
    Not Available
    Usually quiet at night
     
     
     
     
    Not Available
    26.62%
    Not Available
    Sometimes or "never" quiet at night
     
     
     
     
    Not Available
    9.19%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    Would patients recommend the hospital to friends and family?
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    "YES", patients would definitely recommend the hospital
     
     
     
     
    Not Available
    67.78%
    Not Available
    "YES", patients would probably recommend the hospital
     
     
     
     
    Not Available
    25.91%
    Not Available
    "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)
     
     
     
     
    Not Available
    6.31%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    How often did staff explain about medicines before giving them to patients?
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Staff "always" explained
     
     
     
     
    Not Available
    60.49%
    Not Available
    Staff "usually" explained
     
     
     
     
    Not Available
    17.26%
    Not Available
    Staff "sometimes" or "never" explained
     
     
     
     
    Not Available
    22.25%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    Were patients given information about what to do during their recovery at home?
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Yes, staff "did" give patients this information
     
     
     
     
    Not Available
    80.24%
    Not Available
    No, staff "did not" give patients this information
     
     
     
     
    Not Available
    19.76%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    How often did patients receive help quickly from hospital staff?
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Patients "always" received help as soon as they wanted
     
     
     
     
    Not Available
    62.9%
    Not Available
    Patients "usually" received help as soon as they wanted
     
     
     
     
    Not Available
    24.53%
    Not Available
    Patients "sometimes" or "never" received help as soon as they wanted
     
     
     
     
    Not Available
    12.58%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    How often did doctors communicate well with patients?
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Doctors "always" communicated well
     
     
     
     
    Not Available
    81.91%
    Not Available
    Doctors "usually" communicated well
     
     
     
     
    Not Available
    13.5%
    Not Available
    Doctors "sometimes" or "never" communicated well
     
     
     
     
    Not Available
    4.6%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    How often were the patients rooms and bathrooms kept clean?
    Provider Score
    State Average
    Region Average
    Measure
    0%
    20%
    40%
    60%
    80%
    100%
    Room was "always" clean
     
     
     
     
    Not Available
    70.17%
    Not Available
    Room was "usually" clean
     
     
     
     
    Not Available
    19.52%
    Not Available
    Room was "sometimes" or "never" clean
     
     
     
     
    Not Available
    10.32%
    Not Available
    0%
    20%
    40%
    60%
    80%
    100%
    Hospital Acquired Conditions
    Sylvan Grove Hospital exceeds average state scores in 0 of 8 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 8 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0
    0.11
    0.23
    0.34
    0.45
    0.57
    Foreign object retained after surgery (per 1,000 surgical discharges)
     
     
     
     
    Not Available
    0.01
    Not Available
    Air embolism (per 1,000 medical and surgical discharges)
     
     
     
     
    Not Available
    0
    Not Available
    Blood incompatibility (per 1,000 medical and surgical discharges)
     
     
     
     
    Not Available
    Not Available
    Not Available
    Pressure ulcer stages III and IV (per 1,000 medical and surgical discharges)
     
     
     
     
    Not Available
    0.1
    Not Available
    Falls and trauma (per 1,000 medical and surgical discharges)
     
     
     
     
    Not Available
    0.57
    Not Available
    Vascular catheter-associated infection (per 1,000 medical and surgical discharges)
     
     
     
     
    Not Available
    0.27
    Not Available
    Catheter-associated urinary tract infection (per 1,000 medical and surgical discharges)
     
     
     
     
    Not Available
    0.2
    Not Available
    Manifestations of poor glycemic control (per 1,000 medical and surgical discharges)
     
     
     
     
    Not Available
    0.03
    Not Available
    0
    0.11
    0.23
    0.34
    0.45
    0.57
    Serious Complications
    Sylvan Grove Hospital exceeds average state scores in 0 of 6 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 6 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0
    24.23
    48.46
    72.69
    96.92
    121.15
    Death Among Surgical Inpatients with Serious Treatable Complications (per 1,000 patient discharges)
     
     
     
     
    Not Available
    121.15
    Not Available
    Iatrogenic Pneumothorax (per 1,000 patient discharges)
     
     
     
     
    Not Available
    0.37
    Not Available
    Postoperative Respiratory Failure (per 1,000 patient discharges)
     
     
     
     
    Not Available
    10.36
    Not Available
    Postoperative Pulmonary Embolism or Deep Vein Thrombosis (per 1,000 patient discharges)
     
     
     
     
    Not Available
    4.99
    Not Available
    Postoperative Wound Dehiscence (per 1,000 patient discharges)
     
     
     
     
    Not Available
    2.25
    Not Available
    Accidental Puncture or Laceration (per 1,000 patient discharges)
     
     
     
     
    Not Available
    2.09
    Not Available
    0
    24.23
    48.46
    72.69
    96.92
    121.15
    Deaths for Certain Conditions
    Sylvan Grove Hospital exceeds average state scores in 0 of 2 areas.
    Sylvan Grove Hospital exceeds average region scores in 0 of 2 areas.
    Provider Score
    State Average
    Region Average
    Measure
    0
    0.9
    1.8
    2.7
    3.6
    4.5
    Abdominal Aortic Aneurysm Repair Mortality (per 100 patient discharges)
     
     
     
     
    Not Available
    4.5
    Not Available
    Hip Fracture Mortality (per 100 patient discharges)
     
     
     
     
    Not Available
    2.95
    Not Available
    0
    0.9
    1.8
    2.7
    3.6
    4.5
    Additional Quality Measures available on Medicare.gov
    Licenses
    US DHHS Hospital
    License No. 111319
    Issued by U.S. Department of Health & Human Services
    Medicare
    Issued by Medicare

    Data Quality Survey

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