1_AttachmentJ-17MSSCIPHospital.pdf

Provider ID Hospital Name Address City State ZIP Code

250007 Biloxi Regional Medical Center Po Box 128/150 Reynoir Street Biloxi MS 39533 250009 Magnolia Regional Health Center 611 Alcorn Drive Corinth MS 38834 250019 Memorial Hospital At Gulfport 4500 13th St-P O Box 1810 Gulfport MS 39502 250036 George County Hospital 859 Winter Street Lucedale MS 39452 250038 Madison County Medical Center 1421 East Peace St Canton MS 39046 250058 South Central Reg Med Ctr 1220 Jefferson St Box 607 Laurel MS 39440 250067 Clay County Medical Center 835 Medical Center Dr West Point MS 39773 250077 Wayne General Hospital 950 Matthew Drive Waynesboro MS 39367 250078 Forrest General Hospital 6051 Us Highway 49 Hattiesburg MS 39404 250099 Greenwood Leflore Hospital 1401 River Rd Drawer 1410 Greenwood MS 38930 250123 Garden Park Medical Center 15200 Community Road Gulfport MS 39501 250128 Tri Lake Medical Center 303 Medical Center Drive Batesville MS 38606 250138 River Oaks Hospital 1030 River Oaks Blvd Jackson MS 39208

MS Hospitals Targeted for Improvement Based on Surgical Care Improvement Plan (SCIP) Quality Measures "SCIP Infection-1" and "SCIP-Infection 3." "SCIP-Infection 1" measures "prophylactic antibiotic received within 1 hour prior to surgical incision." "SCIP-Infection 3" measures "prophylactic antibiotic discontinued within 24 hours after surgery time ends."

NOTE: For more information about CMS' quality measures for hospitals, please visit the Hospital Compare tool at http://www.hospitalcompare.hhs.gov.

The QIO may recruit up to 15% of the total number of providers they will work with from among providers not included in the J-17. The QIO must submit the criteria used to select these providers in their proposal to CMS. In no case may the total number of providers exceed the maximum number of providers as specified in Table B nor may the number of providers not identified in the J-17 exceed 15% of the total number of the providers the QIO recruits to work with.