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Confidential © Copyright 2014 Health Grades, Inc. All Rights Reserved. May not be reproduced or redistributed without the express permission of Health Grades, Inc.

Table 1 provides a list of patient safety events prioritized by their national occurrence rate (rate per 1,000). While all patient safety events should be avoided, the Healthgrades 2014 report on patient safety has identified a set of three key avoidable patient safety events. These events have a combination of both a high rate per 1,000 and a relatively high number of events:

Respiratory failure following surgery

Bloodstream infection following surgery

Deep blood clots in the lungs or legs following surgery

Before undertaking quality improvement efforts, hospitals should undergo an in-depth analysis of their unique data and patient safety performance. Hospitals can then focus on the high-incidence events first to maximize the impact of any quality improvement initiative.

Table 1. Total Number of Patient Safety Events, Cases and Rates per 1,000 for 14 PSIs (2010-2012)

Patient Safety Event

Number of Patients

Included for PSI

Evaluation

Rate per

1,000

Number of

Events

Number of events of foreign objects left in body during a procedure N/A N/A 947

Death following a serious complication after surgery 170,419 107.99 18,403

Respiratory failure following surgery 3,761,343 17.89 67,285

Bloodstream infection following surgery 1,170,162 15.17 17,746

Deep blood clots in the lungs or legs following surgery 9,095,290 5.86 53,325

Breakdown of abdominal incision site 1,117,691 3.02 3,376

Excessive bruising or bleeding as a consequence of a procedure or surgery

9,111,522 1.82 16,566

Accidental cut, puncture, perforation or hemorrhage during medical care

34,144,165 1.76 59,945

Death in procedures where mortality is usually very low 2,022,917 1.56 3,149

Electrolyte and fluid imbalance following surgery 4,908,334 0.92 4,518

Collapsed lung due to a procedure or surgery in or around the chest 32,516,799 0.43 13,840

Catheter-related bloodstream infections acquired at the hospital 23,399,340 0.22 5,123

Pressure sores or bed sores acquired in the hospital 10,812,502 0.21 2,221

Hip fracture following surgery 5,114,655 0.07 369

Totals 266,813

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How Healthgrades Determines Patient Safety Excellence Award Recipients Healthgrades Patient Safety Excellence Award™ recognizes the 381 hospitals out of 4,729 evaluated that have the lowest occurrences of 13 of 14 serious, potentially preventable complications and adverse events during a patient’s hospital stay.

To evaluate hospital patient safety, Healthgrades uses Medicare inpatient data from the Medicare Provider Analysis and Review (MedPAR) database purchased from the Centers for Medicare and Medicaid Services (CMS). We evaluate all short-term acute care hospitals in the MedPAR file for three years (2010 through 2012. In addition, Healthgrades uses the QI Windows® Software (version 4.4) developed by the Agency for Healthcare Research and Quality (AHRQ).

For most patient safety indicators (PSIs), the AHRQ software uses advanced statistical algorithms that can predict the number of patient safety incidents that are likely to occur at a hospital based on the types of patients treated at that hospital. This is the expected rate.

We analyze 14 AHRQ-defined PSIs, each of which represents a serious, potentially preventable complication. Table 3 provides AHRQ’s translation for each of the 14 PSIs, as well as its description used in Healthgrades reports.*

Table 2. Patient Safety Indicators and Translation

Patient Safety Indicator Translated in Healthgrades Reports as…

Death Rate Among Surgical Inpatients With

Serious Treatable Complications

Death following a serious complication after surgery

Death Rate in Low-Mortality Diagnosis

Related Groups (DRGs)

Death in procedures where mortality is usually very

low

Pressure Ulcer Rate Pressure sores or bed sores acquired in the hospital

Iatrogenic Pneumothorax Rate

Collapsed lung due to a procedure or surgery in or

around the chest

Central Venous Catheter-Related

Bloodstream Infection Rate

Catheter-related bloodstream infections acquired at

the hospital

Postoperative Hip Fracture Rate Hip fracture following surgery

Postoperative Hemorrhage or Hematoma

Rate

Excessive bruising or bleeding as a consequence of a

procedure or surgery

Postoperative Physiologic and Metabolic

Derangement Rate

Electrolyte and fluid imbalance following surgery

Postoperative Respiratory Failure Rate Respiratory failure following surgery

Postoperative Pulmonary Embolism or Deep

Vein Thrombosis Rate

Deep blood clots in the lungs or legs following

surgery

Postoperative Sepsis Rate Bloodstream infection following surgery

Postoperative Wound Dehiscence Rate Breakdown of abdominal incision site

Accidental Puncture or Laceration Rate Accidental cut, puncture, perforation or hemorrhage

during medical care

Foreign Object Left During Surgery or

Procedure

Foreign objects left in body during a surgery or

procedure (reported as number of events)

*Healthgrades ratings reflect 14 PSIs, 13 of which are presented as rates and are used to determine Patient Safety Excellence Award recipients. One PSI, Foreign Object Left During Surgery or Procedure, is not used in award determination because it is a count as opposed to a rate.

8


To be eligible for the Healthgrades Patient Safety Excellence Award™, a hospital must meet clinical quality thresholds, have zero occurrences of PSI Foreign Object Left During Surgery or Procedure, and have data on at least seven out of eight core PSIs.

Clinical Quality Threshold – Eligible hospitals must be in the top 80% of hospitals for clinical quality as ranked by average z-score across the conditions and procedures that Healthgrades evaluates using Medicare data. Hospitals that have patient safety data but no Healthgrades ratings, such as cancer centers, are also eligible.

Zero Occurrences of PSI Foreign Object Left During Surgery or Procedure – Eligible hospitals must not have any occurrences of the PSI: Foreign Object Left During Surgery or Procedure. A hospital is ineligible for this award if even one patient has experienced this adverse event.

Data for Seven of Eight Core PSIs – Healthgrades identifies a core set of eight PSIs that are serious, but potentially preventable, complications related to medical or surgical inpatient hospital care. This core set of PSIs is included in the CMS Inpatient Quality Reporting program and represents events that are most amenable to prevention when hospitals make changes. Eligible hospitals may have data for all 13 PSIs, but they must have data for at least seven of the eight core PSIs (see Table 3).

To recognize hospitals that provide excellent patient safety, Healthgrades:

1. Creates a composite patient safety z-score.

2. Calculates a significance level associated with each composite patient safety z-score.

3. Identifies those hospitals with a “Better than Expected” overall patient safety significance level (using a 90% confidence interval) as Patient Safety Excellence Award recipients.

Table 3. Healthgrades Core Set of Eight PSIs and Translation

Patient Safety Indicator Translated in Healthgrades Reports as…

Pressure Ulcer Rate Pressure sores or bed sores acquired in the hospital

Iatrogenic Pneumothorax Rate Collapsed lung due to a procedure or surgery in or

around the chest

Central Venous Catheter-Related

Bloodstream Infection Rate

Catheter-related bloodstream infections acquired at

the hospital

Postoperative Hip Fracture Rate Hip fracture following surgery

Postoperative Respiratory Failure Rate Respiratory failure following surgery

Postoperative Pulmonary Embolism or

Deep Vein Thrombosis Rate

Deep blood clots in the lungs or legs following surgery

Postoperative Wound Dehiscence Rate Breakdown of abdominal incision site

Accidental Puncture or Laceration Rate Accidental cut, puncture, perforation or hemorrhage

during medical care

For more information, please see Healthgrades Patient Safety Ratings and Patient Safety Excellence Award™ 2014 Methodology at www.healthgrades.com/quality.

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10


Healthgrades Patient Safety Excellence Award™ Recipients 2014 The following hospitals are recipients of the Healthgrades Patient Safety Excellence Award in 2014. Some of the award recipients have multiple locations. In these cases, Healthgrades analyzes the results for all locations and recognizes each of the facilities as a recipient of the award. Information on the award recipients and the rating methodology is available at www.healthgrades.com.

Table 4. Healthgrades Patient Safety Excellence Award Recipients 2014

State Healthgrades Patient Safety Excellence Award Recipients 2014 City

Alabama Huntsville Hospital Huntsville

Including: Huntsville Hospital for Women and Children Huntsville

Jack Hughston Memorial Hospital Phenix City

Arizona Arizona Spine and Joint Hospital Mesa

Arrowhead Hospital Glendale

Banner Boswell Medical Center Sun City

Banner Del E. Webb Medical Center Sun City West

Banner Heart Hospital Mesa

Scottsdale Healthcare - Osborn Medical Center Scottsdale

Scottsdale Healthcare - Shea Medical Center Scottsdale

Scottsdale Healthcare - Thompson Peak Hospital Scottsdale

Surgical Specialty Hospital of Arizona Phoenix

Verde Valley Medical Center Cottonwood

Arkansas Arkansas Heart Hospital Little Rock

Arkansas Surgical Hospital North Little Rock

Saline Memorial Hospital Benton

Washington Regional Medical Center Fayetteville

California Alhambra Hospital Medical Center Alhambra

Bakersfield Heart Hospital Bakersfield

Bakersfield Memorial Hospital Bakersfield

Beverly Hospital Montebello

Centinela Hospital Medical Center Inglewood

Chino Valley Medical Center Chino

Desert Valley Hospital Victorville

Dominican Hospital Santa Cruz

Downey Regional Medical Center Downey

East Valley Hospital Medical Center Glendora

Enloe Medical Center Chico


11



California (cont) French Hospital Medical Center San Luis Obispo

Garden Grove Hospital and Medical Center Garden Grove

Glendale Memorial Hospital and Health Center Glendale

Good Samaritan Hospital Los Angeles

Hollywood Presbyterian Medical Center Los Angeles

Huntington Beach Hospital Huntington Beach

John Muir Medical Center - Concord Concord

John Muir Medical Center - Walnut Creek Walnut Creek

Kaiser Foundation Hospital - Roseville Roseville

Kaiser Permanente Antioch Medical Center Antioch

Kaiser Permanente Baldwin Park Medical Center Baldwin Park

Kaiser Permanente Downey Medical Center Downey

Kaiser Permanente Fresno Medical Center Fresno

Kaiser Permanente Hayward Medical Center Hayward

Including: Kaiser Permanente Fremont Medical Center Fremont

Kaiser Permanente Riverside Medical Center Riverside

Kaiser Permanente San Diego Medical Center - Kaiser Foundation San Diego

Kaiser Permanente San Jose Medical Center San Jose

Kaiser Permanente South Sacramento Medical Center Sacramento

La Palma Intercommunity Hospital La Palma

Los Angeles Community Hospital at Los Angeles Los Angeles

Including: Los Angeles Community Hospital at Norwalk Norwalk

Mark Twain Medical Center San Andreas

Memorial Hospital of Gardena Gardena

Oroville Hospital Oroville

Palm Drive Hospital Sebastopol

Paradise Valley Hospital National City

Petaluma Valley Hospital Petaluma

Providence Little Company of Mary Medical Center Torrance Torrance

Saddleback Memorial Medical Center - Laguna Hills Laguna Hills

Including: Saddleback Memorial Medical Center San Clemente San Clemente

Saint Francis Medical Center Lynwood

Saint John's Health Center Santa Monica

Saint Vincent Medical Center Los Angeles

San Dimas Community Hospital San Dimas

Santa Rosa Memorial Hospital Santa Rosa

12



California (cont) Sequoia Hospital Redwood City

Sherman Oaks Hospital Sherman Oaks

Sonoma Valley Hospital Sonoma

Sonora Regional Medical Center Sonora

Southwest Healthcare System - Rancho Springs Medical Center Murrieta

Including: Southwest Healthcare System - Inland Valley Medical Center Wildomar

St. Mary Medical Center Long Beach

St. Jude Medical Center Fullerton

Sutter Coast Hospital Crescent City

Sutter Surgical Hospital - North Valley Yuba City

Temple Community Hospital Los Angeles

Tri - City Regional Medical Center Hawaiian Gardens

West Anaheim Medical Center Anaheim

White Memorial Medical Center Los Angeles

Whittier Hospital Medical Center Whittier

Colorado Animas Surgical Hospital Durango

Exempla Saint Joseph Hospital Denver

McKee Medical Center Loveland

North Colorado Medical Center Greeley

OrthoColorado Hospital Lakewood

Porter Adventist Hospital Denver

Poudre Valley Hospital Fort Collins

Yampa Valley Medical Center Steamboat Springs

Connecticut Griffin Hospital Derby

Saint Francis Care Hartford

Delaware Saint Francis Hospital Wilmington

District of Columbia Sibley Memorial Hospital Washington

Florida Coral Gables Hospital Coral Gables

Fishermen's Hospital Marathon

Florida Hospital Orlando Orlando

Including: Florida Hospital - Altamonte Altamonte Springs

Florida Hospital - Apopka Apopka

Celebration Health Celebration

Holy Cross Hospital Fort Lauderdale

Leesburg Regional Medical Center Leesburg

Mayo Clinic Jacksonville

13



Florida (cont) Metropolitan Hospital of Miami Miami

Sacred Heart Hospital On the Emerald Coast Miramar Beach

Saint Luke's Hospital Jacksonville

Saint Vincent's Medical Center Jacksonville

The Villages Regional Hospital The Villages

Georgia Emory Johns Creek Hospital Johns Creek

Floyd Medical Center Rome

Habersham County Medical Center Demorest

Hughston Hospital Columbus

Meadows Regional Medical Center Vidalia

Phoebe Sumter Medical Center Americus

St. Mary's Health Care System Athens

West Georgia Medical Center Lagrange

Idaho Northwest Specialty Hospital Post Falls

Illinois Advocate Good Samaritan Hospital Downers Grove

Advocate Lutheran General Hospital Park Ridge

Advocate South Suburban Hospital Hazel Crest

Alexian Brothers Medical Center Elk Grove Village

Centegra Hospital - McHenry McHenry

Elmhurst Memorial Hospital Elmhurst

Good Samaritan Regional Health Center Mount Vernon

Hopedale Medical Complex Hopedale

Mendota Community Hospital Mendota

Methodist Medical Center of Illinois Peoria

Morris Hospital and Healthcare Centers Morris

Presence St. Mary’s Hospital Kankakee

Riverside Medical Center Kankakee

Saint Joseph’s Hospital Breese

Swedish Covenant Hospital Chicago

Indiana Adams Memorial Hospital Decatur

Elkhart General Hospital Elkhart

Franciscan St. Francis Health - Mooresville Mooresville

Indiana Orthopaedic Hospital Indianapolis

Indiana University Health Ball Memorial Hospital Muncie

Indiana University Health Methodist Hospital Indianapolis

Including: Indiana University Health University Hospital Indianapolis

Indiana University Health North Hospital Carmel

14



Indiana (cont) Lutheran Health Network - The Orthopedic Hospital Fort Wayne

Major Hospital Shelbyville

Parkview Hospital Fort Wayne

Including: Parkview North Hospital Fort Wayne

Parkview Ortho Hospital Fort Wayne

Saint Joseph Regional Medical Center Mishawaka

St. Vincent Carmel Hospital Carmel

St. Vincent Heart Center of Indiana Indianapolis

Unity Medical and Surgical Hospital Mishawaka

Iowa Allen Memorial Hospital Waterloo

Genesis Medical Center West - Davenport Davenport

Iowa Lutheran Hospital Des Moines

Mary Greeley Medical Center Ames

Mercy Medical Center - Dubuque Dubuque

Mercy Medical Center - North Iowa Mason City

Pella Regional Health Center Pella

Saint Anthony Regional Hospital Carroll

Kansas Great Bend Regional Hospital Great Bend

Heartland Spine and Specialty Hospital Overland Park

Kansas City Orthopaedic Institute Leawood

Kansas Heart Hospital Wichita

Kansas Surgery & Recovery Center Wichita

Newton Medical Center Newton

Salina Surgical Hospital Salina

Shawnee Mission Medical Center Shawnee Mission

Via Christi Hospital on Saint Francis Wichita

Kentucky Baptist Health Lexington Lexington

T.J. Samson Community Hospital Glasgow

Louisiana Louisiana Heart Hospital Lacombe

Ochsner Medical Center New Orleans

Including: Ochsner Medical Center- West Bank Campus Gretna

Ochsner Hospital - Elmwood Harahan

Ochsner Medical Center - Baton Rouge Baton Rouge

Our Lady of Lourdes Regional Medical Center Lafayette

P. and S. Surgical Hospital Monroe

Specialists Hospital Shreveport Shreveport

Thibodaux Regional Medical Center Thibodaux

15



Maine Cary Medical Center Caribou

Mercy Hospital Portland

Miles Memorial Hospital Damariscotta

Maryland Holy Cross Hospital Silver Spring

MedStar St. Mary's Hospital Leonardtown

University of Maryland St. Joseph Medical Center Towson

Massachusetts Baystate Medical Center Springfield

Metrowest Medical Center Framingham

Including: Leonard Morse Hospital Natick

New England Baptist Hospital Boston

Newton - Wellesley Hospital Newton

Norwood Hospital Norwood

Saint Elizabeth's Medical Center Brighton

Southcoast Hospitals Group - Charlton Memorial Fall River

Including: Southcoast Hospitals Group - St. Luke's Hospital New Bedford

Southcoast Hospitals Group - Tobey Hospital Wareham

Michigan Allegiance Health Jackson

Beaumont Hospital - Troy Troy

Botsford Hospital Farmington Hills

Chelsea Community Hospital Chelsea

Covenant Medical Center Saginaw

Garden City Hospital Garden City

Huron Medical Center Bad Axe

Lakeland Hospital Saint Joseph Saint Joseph

Including: Lakeland Medical Center Niles Niles

Marquette General Hospital Marquette

McLaren Bay Region Bay City

Otsego Memorial Hospital Gaylord

ProMedica Bixby Hospital Adrian

ProMedica Herrick Hospital Tecumseh

Saint Mary Mercy Hospital Livonia

Spectrum Health Zeeland Community Hospital Zeeland

Spectrum Health- Butterworth Hospital Grand Rapids

Including: Spectum Health - Blodgett Hospital Grand Rapids

University of Michigan Health System Ann Arbor

16



Minnesota Chippewa County-Montevideo Hospital and Medical Clinic Montevideo

Essentia Health - St. Mary's Medical Center Duluth

Grand Itasca Clinic and Hospital Grand Rapids

Healtheast Saint John's Hospital Maplewood

Lakeview Hospital Stillwater

Mercy Hospital Coon Rapids

New Ulm Medical Center New Ulm

North Memorial Medical Center Robbinsdale

Owatonna Hospital Owatonna

Rice Memorial Hospital Willmar

Saint Joseph's Hospital Saint Paul

Mississippi Forrest General Hospital Hattiesburg

Greenwood Leflore Hospital Greenwood

Hancock Medical Center Bay Saint Louis

Missouri Citizens Memorial Hospital Bolivar

Northeast Regional Medical Center Kirksville

Including: Grim - Smith Hospital and Clinic Kirksville

Ozarks Medical Center West Plains

Montana Billings Clinic Billings

Great Falls Clinic Medical Center Great Falls

Health Center Northwest Kalispell

Saint Patrick Hospital Missoula

Nebraska Alegent Creighton Health Immanuel Medical Center Omaha

Good Samaritan Hospital Kearney

Great Plains Regional Medical Center North Platte

Lincoln Surgical Hospital Lincoln

Midwest Surgical Hospital Omaha

Nebraska Heart Institute and Heart Hospital Lincoln

Nebraska Orthopaedic Hospital Omaha

Nebraska Spine Hospital Omaha

The Nebraska Medical Center Omaha

New Hampshire Franklin Regional Hospital Franklin

Frisbie Memorial Hospital Rochester

New Jersey AtlantiCare Regional Medical Center - Atlantic City Atlantic City

Including: AtlantiCare Regional Medical Center - Mainland Pomona

Bayshore Community Hospital Holmdel

17



New Jersey (cont) Clara Maass Medical Center Belleville

Englewood Hospital & Medical Center Englewood

Libertyhealth - Jersey City Medical Center Jersey City

New Mexico Rehoboth McKinley Christian Health Care Services Gallup

San Juan Regional Medical Center Farmington

New York Albany Medical Center Hospital Albany

Benedictine Hospital Kingston

Community Memorial Hospital Hamilton

Franklin Hospital Valley Stream

Hospital for Special Surgery New York

Huntington Hospital Huntington

Our Lady of Lourdes Memorial Hospital Binghamton

St. Luke's Cornwall Hospital Newburgh

North Carolina CarolinaEast Medical Center New Bern

Carolinas Medical Center - Northeast Concord

Duke Health Raleigh Hospital Raleigh

Frye Regional Medical Center Hickory

Hugh Chatham Memorial Hospital Elkin

Kings Mountain Hospital Kings Mountain

New Hanover Regional Medical Center Wilmington

Including: Cape Fear Hospital Wilmington

North Carolina Specialty Hospital Durham

Rex Hospital Raleigh

Saint Luke’s Hospital Columbus

Stanly Regional Medical Center Albemarle

The Moses H. Cone Memorial Hospital Greensboro

Including: Wesley Long Community Hospital Greensboro

Annie Penn Memorial Hospital Reidsville

Vidant Roanoke-Chowan Hospital Ahoskie

Ohio Crystal Clinic Orthopaedic Center Akron

Dublin Methodist Hospital Dublin

Euclid Hospital Euclid

Grandview Medical Center Dayton

Highland District Hospital Hillsboro

Kettering Medical Center Kettering

Marion General Hospital Marion

18



Ohio (cont) Mercy Health - Anderson Hospital Cincinnati

Mercy Health - Western Hills Hospital Cincinnati

Mount Carmel New Albany Surgical Hospital New Albany

O'Bleness Memorial Hospital Athens

Pomerene Hospital Millersburg

ProMedica Toledo Hospital Toledo

Riverside Methodist Hospital Columbus

Samaritan Regional Health System Ashland

Including: Peoples Hospital Mansfield

St. John Medical Center Westlake

Union Hospital Dover

University Hospitals Geauga Medical Center Chardon

Wayne HealthCare Greenville

Oklahoma McBride Orthopedic Hospital Oklahoma City

Medical Center of Southeastern Oklahoma Durant

Oklahoma Center for Orthopaedic & Multi - Specialty Surgeries Oklahoma City

Oklahoma Heart Hospital Oklahoma City

Oklahoma Heart Hospital South Oklahoma City

Oklahoma Surgical Hospital Tulsa

Saint John Broken Arrow Broken Arrow

Tulsa Spine and Specialty Hospital Tulsa

Oregon Kaiser Sunnyside Medical Center Clackamas

Mercy Medical Center Roseburg

Providence Saint Vincent Medical Center Portland

Saint Charles Medical Center - Redmond Redmond

Pennsylvania Doylestown Hospital Doylestown

Dubois Regional Medical Center Du Bois

Excela Health Frick Hospital Mount Pleasant

Excela Health Latrobe Hospital Latrobe

Geisinger - Community Medical Center Scranton

Mount Nittany Medical Center State College

OSS Orthopaedic Hospital York

Regional Hospital of Scranton Scranton

Saint Vincent Health Center Erie

Soldiers and Sailors Memorial Hospital Wellsboro

Surgical Specialty Center at Coordinated Health Allentown

19



Rhode Island Kent Hospital Warwick

South Carolina AnMed Health Medical Center Anderson

Sisters of Charity Providence Hospitals Columbia

Spartanburg Regional Medical Center Spartanburg

Waccamaw Community Hospital Murrells Inlet

South Dakota Avera Heart Hospital of South Dakota Sioux Falls

Avera Sacred Heart Hospital Yankton

Avera St. Luke's Hospital Aberdeen

Black Hills Surgical Hospital Rapid City

Siouxland Surgery Center Dakota Dunes

Tennessee Franklin Woods Community Hospital Johnson City

Jackson - Madison County General Hospital Jackson

Saint Thomas West Hospital Nashville

Texas Baptist Beaumont Hospital Beaumont

Baylor Jack and Jane Hamilton Heart and Vascular Hospital Dallas

Baylor Medical Center at Uptown Dallas

Baylor Orthopedic and Spine Hospital at Arlington Arlington

Baylor Surgical Hospital at Fort Worth Fort Worth

CHRISTUS Spohn Hospital Alice Alice

CHRISTUS Spohn Hospital Kleberg Kingsville

East Texas Medical Center Athens Athens

Fort Duncan Regional Medical Center Eagle Pass

Good Shepherd Medical Center Longview

Grace Medical Center Lubbock

Harlingen Medical Center Harlingen

Hendrick Medical Center Abilene

Hill Country Memorial Hospital Fredericksburg

Houston Methodist West Hospital Houston

Houston Physicians' Hospital Webster

Kell West Regional Hospital Wichita Falls

Matagorda Regional Medical Center Bay City

Memorial Hermann Katy Hospital Katy

Methodist Ambulatory Surgery Hospital - Northwest San Antonio

Methodist Hospital for Surgery Addison

North Central Surgical Center Dallas

Northwest Hills Surgical Hospital Austin

20



Texas (cont) Quail Creek Surgical Hospital Amarillo

San Angelo Community Medical Center San Angelo

Scott and White Hospital - Llano Llano

Scott and White Memorial Hospital Temple

Including: McLane Children's Hospital- Scott & White Temple

Shannon Medical Center San Angelo

Including: Shannon Medical Center - St. John's San Angelo

South Texas Spine & Surgical Hospital San Antonio

South Texas Surgical Hospital Corpus Christi

St. Anthony's Hospital Houston

St. David's Medical Center Austin

Including: Heart Hospital of Austin Austin

St. David's Georgetown Hospital Georgetown

Texas Health Harris Methodist Azle Azle

Texas Health Harris Methodist Hospital Hurst - Euless - Bedford Bedford

Texas Health Harris Methodist Hospital Southlake Southlake

Texas Health Presbyterian Hospital Rockwall Rockwall

Texas Orthopedic Hospital Houston

Texas Spine and Joint Hospital Tyler

The Hospital at Westlake Medical Center Austin

University General Hospital Houston

USMD Hospital at Arlington Arlington

Utah Lakeview Hospital Bountiful

Logan Regional Hospital Logan

The Orthopedic Specialty Hospital Murray

Vermont Central Vermont Medical Center Berlin

Porter Medical Center Middlebury

Rutland Regional Medical Center Rutland

Virginia Augusta Health Fishersville

Bon Secours - Maryview Medical Center Portsmouth

Carilion New River Valley Medical Center Christiansburg

Inova Alexandria Hospital Alexandria

Inova Loudoun Hospital Leesburg

Johnston Memorial Hospital Abingdon

Sentara Williamsburg Regional Medical Center Williamsburg

Shenandoah Memorial Hospital Woodstock

21



Washington Kittitas Valley Community Hospital Ellensburg

Providence Holy Family Hospital Spokane

Providence Sacred Heart Medical Center Spokane

Providence Saint Mary Medical Center Walla Walla

West Virginia Fairmont General Hospital Fairmont

Mon General Hospital Morgantown

Weirton Medical Center Weirton

Wisconsin Aurora BayCare Medical Center Green Bay

Aurora Memorial Hospital Burlington Burlington

Aurora Saint Luke’s Medical Center Milwaukee

Including: Saint Luke’s Medical Center Cudahy

Aurora Sinai Medical Center Milwaukee

Columbus Community Hospital Columbus

Mayo Clinic Health System - Northland Barron

Memorial Medical Center Ashland

Mercy Medical Center Oshkosh

Oakleaf Surgical Hospital Eau Claire

Richland Hospital Richland Center

Saint Mary's Hospital Madison

Saint Vincent Hospital Green Bay

Sauk Prairie Memorial Hospital Prairie Du Sac

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