Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
1400 SOUTH DOBSON ROAD, MESA, AZ 85202
Phone
(480) 412-3000
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
2 /5
CMS Overall Rating
p7
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
7
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
2
5
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 8 of 11 measures reported
7
1
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 10 of 12 measures reported
10 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 207 discharges
1.0183 p61
Heart Failure 333 discharges
0.9760 p34
Pneumonia 619 discharges
1.1307 p96
COPD 130 discharges
1.0177 p67
Hip/Knee Replacement
— Not reported
CABG Surgery
1.0219 p58
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

9.0 p0
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
5.0 p47
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
2.5 p3
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
1.5 p1
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
0.0 p0
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.1307
Value-Based Purchasing
9.0 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 0.4090

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE Number of Cases Too Small
Hybrid_HWM 3.70 No Different Than the National Rate 2,049
MORT_30_AMI 12.60 No Different Than the National Rate 198
MORT_30_CABG 2.70 No Different Than the National Rate 71
MORT_30_COPD 8.70 No Different Than the National Rate 109
MORT_30_HF 11.90 No Different Than the National Rate 295
MORT_30_PN 19.30 Worse Than the National Rate 593
MORT_30_STK 14.00 No Different Than the National Rate 398
PSI_03 0.87 No Different Than the National Rate 7,258
PSI_04 167.82 No Different Than the National Rate 187
PSI_06 0.30 No Different Than the National Rate 7,992
PSI_08 0.27 No Different Than the National Rate 8,024
PSI_09 2.68 No Different Than the National Rate 2,444
PSI_10 2.77 No Different Than the National Rate 748
PSI_11 13.32 No Different Than the National Rate 752
PSI_12 3.14 No Different Than the National Rate 2,494
PSI_13 5.25 No Different Than the National Rate 687
PSI_14 2.09 No Different Than the National Rate 544
PSI_15 1.45 No Different Than the National Rate 1,636
PSI_90 1.23 No Different Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 69%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6%
H_COMP_1_U_P: Nurses "usually" communicated well 25%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 80%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 17%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 64%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 8%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 28%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 64%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 8%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 28%
H_COMP_2_A_P: Doctors "always" communicated well 67%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 9%
H_COMP_2_U_P: Doctors "usually" communicated well 24%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 1
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 74%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 7%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 19%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 64%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 10%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 26%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 62%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 11%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 27%
H_COMP_5_A_P: Staff "always" explained 48%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 28%
H_COMP_5_U_P: Staff "usually" explained 24%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 1
H_MED_FOR_A_P: Staff "always" explained new medications 64%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 14%
H_MED_FOR_U_P: Staff "usually" explained new medications 22%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 33%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 41%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 26%
H_COMP_6_N_P: No, staff "did not" give patients this information 19%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 81%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 23%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 77%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 16%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 84%
H_CLEAN_HSP_A_P: Room was "always" clean 51%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 23%
H_CLEAN_HSP_U_P: Room was "usually" clean 26%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 1
H_QUIET_HSP_A_P: "Always" quiet at night 49%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 14%
H_QUIET_HSP_U_P: "Usually" quiet at night 37%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 13%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 26%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 61%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 2
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 10%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 61%
H_RECMND_PY: "YES", patients would probably recommend the hospital 29%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 2
H_STAR_RATING: Summary star rating 2

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.578 No Different than National Benchmark
HAI_1_CIUPPER 1.396 No Different than National Benchmark
HAI_1_DOPC 23557.000 No Different than National Benchmark
HAI_1_ELIGCASES 21.735 No Different than National Benchmark
HAI_1_NUMERATOR 20.000 No Different than National Benchmark
HAI_1_SIR 0.920 No Different than National Benchmark
HAI_2_CILOWER 0.331 Better than the National Benchmark
HAI_2_CIUPPER 0.951 Better than the National Benchmark
HAI_2_DOPC 20769.000 Better than the National Benchmark
HAI_2_ELIGCASES 24.104 Better than the National Benchmark
HAI_2_NUMERATOR 14.000 Better than the National Benchmark
HAI_2_SIR 0.581 Better than the National Benchmark
HAI_3_CILOWER 0.242 Better than the National Benchmark
HAI_3_CIUPPER 0.990 Better than the National Benchmark
HAI_3_DOPC 577.000 Better than the National Benchmark
HAI_3_ELIGCASES 15.344 Better than the National Benchmark
HAI_3_NUMERATOR 8.000 Better than the National Benchmark
HAI_3_SIR 0.521 Better than the National Benchmark
HAI_4_CILOWER N/A No Different than National Benchmark
HAI_4_CIUPPER 2.052 No Different than National Benchmark
HAI_4_DOPC 168.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.460 No Different than National Benchmark
HAI_4_NUMERATOR 0.000 No Different than National Benchmark
HAI_4_SIR 0.000 No Different than National Benchmark
HAI_5_CILOWER 0.495 No Different than National Benchmark
HAI_5_CIUPPER 1.485 No Different than National Benchmark
HAI_5_DOPC 195099.000 No Different than National Benchmark
HAI_5_ELIGCASES 14.597 No Different than National Benchmark
HAI_5_NUMERATOR 13.000 No Different than National Benchmark
HAI_5_SIR 0.891 No Different than National Benchmark
HAI_6_CILOWER 0.317 Better than the National Benchmark
HAI_6_CIUPPER 0.540 Better than the National Benchmark
HAI_6_DOPC 189503.000 Better than the National Benchmark
HAI_6_ELIGCASES 129.422 Better than the National Benchmark
HAI_6_NUMERATOR 54.000 Better than the National Benchmark
HAI_6_SIR 0.417 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV very high Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER Electronic Clinical Quality Measure
HH_HYPO 1.0 Electronic Clinical Quality Measure
HH_ORAE 0.0 Electronic Clinical Quality Measure
IMM_3 93.0 Healthcare Personnel Vaccination
OP_18a 277.0 Emergency Department
OP_18b 267.0 Emergency Department
OP_18c 484.0 Emergency Department
OP_18d Emergency Department
OP_22 2.0 Emergency Department
OP_23 Emergency Department
OP_29 93.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 11.0 Electronic Clinical Quality Measure
SEP_1 49.0 Sepsis Care
SEP_SH_3HR 56.0 Sepsis Care
SEP_SH_6HR 67.0 Sepsis Care
SEV_SEP_3HR 79.0 Sepsis Care
SEV_SEP_6HR 93.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 Electronic Clinical Quality Measure
VTE_2 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -0.80 Average Days per 100 Discharges
EDAC_30_HF 6.50 Average Days per 100 Discharges
EDAC_30_PN 37.40 More Days Than Average per 100 Discharges
Hybrid_HWR 15.10 No Different Than the National Rate
OP_32 13.10 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 1.20 No Different than expected
READM_30_AMI 13.70 No Different Than the National Rate
READM_30_CABG 10.80 No Different Than the National Rate
READM_30_COPD 18.50 No Different Than the National Rate
READM_30_HF 19.40 No Different Than the National Rate
READM_30_HIP_KNEE Number of Cases Too Small
READM_30_PN 18.20 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.04

Financial Health (Cost Report — FY 2023)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Show 91 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.19 metrics.cost_to_charge_ratio
Cost Report Current Ratio 3.88 metrics.current_ratio
Cost Report Employees per Bed 4.21 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $68,666,157 metrics.fund_balance
Cost Report Net Income ($) $143,071,458 metrics.net_income
Cost Report Net Patient Revenue ($) $936,694,500 metrics.net_patient_revenue
Cost Report Operating Margin (%) 14.3% metrics.operating_margin
Cost Report Total Assets ($) $554,127,696 metrics.total_assets
Cost Report Total Costs ($) $717,526,744 metrics.total_costs
Cost Report Total Liabilities ($) $485,461,539 metrics.total_liabilities
Cost Report Total Margin (%) 15.1% metrics.total_margin
Cost Report Uncompensated Care (%) 3.6% metrics.uncompensated_care_pct
General Information Address 1400 SOUTH DOBSON ROAD Address
General Information City/Town MESA City/Town
General Information Count of Facility MORT Measures 7 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 8 Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 Count of Facility Safety Measures
General Information Count of Facility TE Measures 10 Count of Facility TE Measures
General Information Count of MORT Measures Better 0 Count of MORT Measures Better
General Information Count of MORT Measures No Different 7 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 Count of MORT Measures Worse
General Information Count of READM Measures Better 0 Count of READM Measures Better
General Information Count of READM Measures No Different 7 Count of READM Measures No Different
General Information Count of READM Measures Worse 1 Count of READM Measures Worse
General Information Count of Safety Measures Better 2 Count of Safety Measures Better
General Information Count of Safety Measures No Different 5 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish MARICOPA County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 030065 Facility ID
General Information Facility Name BANNER DESERT MEDICAL CENTER Facility Name
General Information Hospital overall rating 2 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Private Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Y Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State AZ State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (480) 412-3000 Telephone Number
General Information ZIP Code 85202 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.62 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.38 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.97 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.78 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.60 measures.ssi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 0.41 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 Start Date
Medicare Spending per Beneficiary Value 1.04 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.02 0.9995 p61 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 12.4% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 207 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 27 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 12.6% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.02 1.0000 p58 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 9.4% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 9.6% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.02 0.9969 p67 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.7% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 130 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 26 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.0% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.98 0.9983 p34 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 18.7% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 333 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 59 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 18.2% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.13 0.9955 p96 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.8% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 619 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 119 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.9% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 5.00 5.00 p47 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 1.50 8.75 p1 person_community_score
Value-Based Purchasing Safety 2.50 10.00 p3 safety_score
Value-Based Purchasing Total Performance Score 9.00 29.50 p0 total_performance_score
Methodology

Full methodology →