Southeast Georgia Health System, Inc

Doing business as Southeast Georgia Health System- Brunswick Campus

Hospital in Brunswick, GA, Medicare certification number 110025. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 110025The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Government - Hospital District or Authority
Control type: Hospital district or authority
Participating since: Jul 1, 1966
Last certification: Sep 26, 2024
Beds: 300
Overall star rating: 2 of 5Care Compare
Most recent change of ownership: May 1, 2015 (2 total)
Address: 2415 Parkwood Drive
Brunswick, GA 31520
(912) 466-7000

NPI records for this facility (CCN to NPI Mapping) 1

Southeast Georgia Health System, Inc.

dba Southeast Georgia Health System - Brunswick Campus
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.3 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.46 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 2.94 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.08 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.2 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.27 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.77 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.6 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.15 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 461

Page 1 of 19Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Maged Edward Abdelmalik, M.D.
- Internal Medicine Physician
- Folkston, GA
- NPI 1770558470
Amir Farzad Abdoly, DO
- Cardiovascular Disease Physician
- Brunswick, GA
- NPI 1861938383
Kingsley Otsioren Abode-Iyamah, M.D.
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1578859484
Viral Acharya, MD
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1639331176
Colm Acuff, DO
- Emergency Medicine Physician
- Enumclaw, WA
- NPI 1487605671
Brian D Adcock, PA
- Physician Assistant
- Brunswick, GA
- NPI 1194725788
Leon C Adelman, M.D.
- Emergency Medicine Physician
- Bowie, MD
- NPI 1962649616
Andrew Omoh Agbi, D.O
- Emergency Medicine Physician
- Wellington, FL
- NPI 1255663431
Amin Nima Aghaebrahim, M.D.
- Vascular Neurology Physician
- Jacksonville, FL
- NPI 1558504423
Nicholas J. Agresti, MD
- Gastroenterology Physician
- Jacksonville, FL
- NPI 1669634010
Aftab Ahmad, MD
- Internal Medicine Physician
- Brunswick, GA
- NPI 1902807381
Baylee Ahnert
- Family Nurse Practitioner
- Brunswick, GA
- NPI 1760287924
Jordan Ahnert, APRN
- Cardiovascular Disease Physician
- Brunswick, GA
- NPI 1124500939
Rafael Alba Yunen, MD
- Critical Care Medicine (Internal Medicine) Physician
- Brunswick, GA
- NPI 1497901987
Vorbes Aleger, M.D.
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1790944700
William R. Alexander IV, D.O.
- Hospitalist Physician
- Tifton, GA
- NPI 1639303589
Aleem Azal Ali, MD
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1578125100
Vivian L Allen, APRN-BC
- Adult Health Nurse Practitioner
- Brunswick, GA
- NPI 1912089590
Tannis Alligood, MD
- Family Medicine Physician
- Nahunta, GA
- NPI 1265457717
Natalie Amerson, NP-C
- Family Nurse Practitioner
- Darien, GA
- NPI 1043862923
Phillip P Amodeo, M.D.
- Neurology Physician
- Brunswick, GA
- NPI 1609064146
Jayda Skye Anderson
- Certified Registered Nurse Anesthetist
- Brunswick, GA
- NPI 1003645524
Vincent K. Arlauskas, M.D.
- Surgery Physician
- Brunswick, GA
- NPI 1841357563
Martin R Artman, MD
- Family Medicine Physician
- Brunswick, GA
- NPI 1104890284
Toluwalase Ashimolowo, MD
- Diagnostic Radiology Physician
- Arlington, TX
- NPI 1205223765

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.88
- State average 1.07 (computed here)
- National average 1.06
- No different than the national rate
- 809 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.26
- State average 1.07 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected165.27
- State average 175.6 (computed here)
- National average 173.3
- No different than the national rate
- 56 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.8
- State average 8.69 (computed here)
- National average 8.6
- No different than the national rate
- 113 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.7
- State average 12.11 (computed here)
- National average 11.9
- No different than the national rate
- 128 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11
- State average 10.84 (computed here)
- National average 11.1
- No different than the national rate
- 480 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.7
- State average 15.21 (computed here)
- National average 15.2
- No different than the national rate
- 576 patients
- Period from 07/01/2022
Death rate for stroke patients Worse18.5
- State average 12.45 (computed here)
- National average 11.9
- Worse than the national rate
- 265 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.1
- State average 4.08 (computed here)
- National average 3.9
- No different than the national rate
- 3,038 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.2
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 5,924 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.29
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 5,818 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.56
- State average 3.81 (computed here)
- National average 3.52
- No different than the national rate
- 1,002 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.55
- State average 1.8 (computed here)
- National average 1.67
- No different than the national rate
- 288 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.87
- State average 2.36 (computed here)
- National average 2.34
- No different than the national rate
- 946 patients
- Period from 07/01/2022
Postoperative respiratory failure rate Worse21.77
- State average 10.26 (computed here)
- National average 9.42
- Worse than the national rate
- 302 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected6.74
- State average 5.77 (computed here)
- National average 5.27
- No different than the national rate
- 269 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.94
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 268 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.15
- State average 0.68 (computed here)
- National average 0.63
- No different than the national rate
- 4,560 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected5
- State average 4.65 (computed here)
- National average 4.1
- No different than the national rate
- 82 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.42
- State average 0.39
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.3
- State average 0.61
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.27
- State average 0.26
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.65
- State average 0.69
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0.89
- State average 1.41
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.92
- State average 1
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 12
- State average 5.62 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 12.4
- State average 6.41 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.96
- State average 0.97
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 67
- State average 69.4 (computed here)
- National average 74.05 (computed here)
- 51 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 95
- State average 92.46 (computed here)
- National average 92.79 (computed here)
- 212 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 41
- State average 63
- National average 65
- 133 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 182
- State average 169
- National average 168
- 402 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 180
- State average 162
- National average 162
- 383 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 475
- State average 308
- National average 257
- 13 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 91
- State average 96.72 (computed here)
- National average 96.1 (computed here)
- 234 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 80
- State average 89
- National average 93
- 105 patients
- Period from 01/01/2024
Head CT results 96
- State average 70
- National average 69
- 26 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 78
- State average 76
- National average 78
- 2,764 patients
- Period from 10/01/2024
Left before being seen 2
- State average 2
- National average 2
- 61,691 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 13
- State average 15
- National average 15
- 2,740 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 70
- State average 73
- National average 73
- 27 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 50
- State average 84
- National average 87
- 14 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 69
- State average 80
- National average 81
- 133 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 69
- State average 92
- National average 93
- 68 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.5
- State average 14.35 (computed here)
- National average 14.4
- No different than the national rate
- 170 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.3
- State average 21.19 (computed here)
- National average 21.3
- No different than the national rate
- 844 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -9.1
- State average 5.31 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 116 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 9.8
- State average 12.52 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 555 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 20.3
- State average 12.69 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 618 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.1
- State average 17.41 (computed here)
- National average 17.3
- No different than the national rate
- 850 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.2
- State average 5.23 (computed here)
- National average 5.4
- No different than the national rate
- 207 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11.1
- State average 10.62 (computed here)
- National average 10.7
- No different than the national rate
- 207 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.6
- State average 5.93 (computed here)
- National average 5.8
- No different than the national rate
- 85 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.3
- State average 19.84 (computed here)
- National average 20
- No different than the national rate
- 207 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.8
- State average 12.97 (computed here)
- National average 13
- No different than the national rate
- 1,295 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.97 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 767 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 5

Other hospitals near Brunswick, GA

No other hospitals are listed in Brunswick, GA; these share its ZIP code area (315xx).

Hospital Authority of Jeff Davis County Georgia Hazlehurst
Jeff Davis Hospital Hazlehurst
Memorial Satilla Health 1900 Tebeau Street, Waycross
Memorial Satilla Health 2500 Satilla Pkwy, Waycross
Southeast Georgia Health System -- Camden Campus Saint Marys
St Simons-by-the-Sea Saint Simons Island
Wayne Memorial Hospital 865 South First Street, Jesup
Wayne Memorial Hospital 865 South First St, Jesup

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.