1_AttachmentJ-17OKSCIPHospital.pdf

Provider ID Hospital Name Address City State ZIP Code

370001 Hillcrest Medical Center 1120 South Utica Avenue Tulsa OK 74104 370018 Jane Phillips Medical Center 3500 East Frank Phillips Boulevard Bartlesville OK 74006 370023 Duncan Regional Hospital, Inc 1407 Whisenant Drive Duncan OK 73533 370040 Eastern Oklahoma Medical Center 105 Wall Street Poteau OK 74953 370056 Comanche County Memorial Hospital 3401 West Gore Boulvard Lawton OK 73505 370089 Tahlequah City Hospital 1400 East Downing Street Tahlequah OK 74465 370097 Southwestern Medical Center 5602 Southwest Lee Boulevard Lawton OK 73505 370100 Choctaw Memorial Hospital 1405 East Kirk Road Hugo OK 74743 370171 W W Hastings Indian Hospital 100 S Bliss Tahlequah OK 74464 370190 Cancer Treatment Center Of America 10109 East 79th Street South Tulsa OK 74133 370200 Seminole Medical Center 2401 Wrangler Boulevard Seminole OK 74868 370210 Oklahoma Surgical Hospital, Llc 2408 East 81st Street, Suite 300 Tulsa OK 74137 370212 Okla Center For Orthopaedic & Multi-Sp 330 Southwest 80th Street Oklahoma City OK 73139 371331 Drumright Regional Hospital 610 West Bypass Drumright OK 74030

OK 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.