1_AttachmentJ-17SCSCIPHospital.pdf

Provider ID Hospital Name Address City State ZIP Code

420005 Mcleod Medical Center - Dillon 301 E Jackson St Dillon SC 29536 420019 Chester Regional Medical Center 1 Medical Park Drive Chester SC 29706 420020 Georgetown Memorial Hospital 606 Black River Rd Drawer 1718 Georgetown SC 29440 420036 Springs Memorial Hospital 800 W Meeting St Lancaster SC 29720 420038 Laurens County Healthcare System Us Hwy 76 Po Drawer 976 Clinton SC 29325 420039 Wallace Thomson Hospital 322 W South St Po Box 789 Union SC 29379 420054 Marlboro Park Hospital 1138 Cheraw Highway Bennettsville SC 29512 420062 Chesterfield General Hospital 711 Chesterfield Highway Cheraw SC 29520 420085 Grand Strand Reg Med Center 809 82nd Parkway Box 7500 Myrtle Beach SC 29577 420101 Coastal Carolina Medical Center 1000 Medical Center Drive Hardeeville SC 29927

SC 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.