Hospital

PHOENIX INDIAN MEDICAL CENTER

CCN: 030078 · PHOENIX, AZ 85016 · MARICOPA County

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

Overview

Address
4212 NORTH 16TH STREET, PHOENIX, AZ 85016
Phone
(602) 263-1200
Hospital Type
Acute Care
Ownership
Government (Federal)
Emergency Services
No
—
Star rating not available
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.

Safety of Care 2 of 8 measures reported
2
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 1 of 11 measures reported
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 3 of 12 measures reported
3 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 does not have excess readmissions triggering HRRP penalties.
Acute Myocardial Infarction (Heart Attack)
— Not reported
Heart Failure
— Not reported
Pneumonia
— Not reported
COPD
— Not reported
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
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 above the national median, suggesting a positive payment adjustment.

85.7 p99
Total Performance Score
National median: 29.5
Safety 25% weight
30.0 p99
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
25.7 p98
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
30.0 p99
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)
Not Penalized
Value-Based Purchasing
85.7 TPS
Above national median
HAC Reduction
No Reduction
HAC Score: 0.3662

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 — — —
Hybrid_HWM 4.20 No Different Than the National Rate 59
MORT_30_AMI — — —
MORT_30_CABG — — —
MORT_30_COPD — Number of Cases Too Small —
MORT_30_HF — Number of Cases Too Small —
MORT_30_PN — Number of Cases Too Small —
MORT_30_STK — — —
PSI_03 1.23 No Different Than the National Rate 221
PSI_04 — — —
PSI_06 0.21 No Different Than the National Rate 290
PSI_08 0.36 No Different Than the National Rate 299
PSI_09 2.29 No Different Than the National Rate 74
PSI_10 — — —
PSI_11 — — —
PSI_12 3.45 No Different Than the National Rate 78
PSI_13 — — —
PSI_14 — Number of Cases Too Small —
PSI_15 1.05 No Different Than the National Rate 27
PSI_90 1.18 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 83% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 1% —
H_COMP_1_U_P: Nurses "usually" communicated well 16% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 5
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 91% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 0% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 9% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 80% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 2% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 18% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 78% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 2% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 20% —
H_COMP_2_A_P: Doctors "always" communicated well 84% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 2% —
H_COMP_2_U_P: Doctors "usually" communicated well 14% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 5
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 87% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 2% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 11% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 84% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 1% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 15% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 82% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 2% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 16% —
H_COMP_5_A_P: Staff "always" explained 63% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 15% —
H_COMP_5_U_P: Staff "usually" explained 22% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 4
H_MED_FOR_A_P: Staff "always" explained new medications 78% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 4% —
H_MED_FOR_U_P: Staff "usually" explained new medications 18% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 49% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 26% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 25% —
H_COMP_6_N_P: No, staff "did not" give patients this information 11% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 89% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 4
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 15% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 85% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 9% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 91% —
H_CLEAN_HSP_A_P: Room was "always" clean 73% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 9% —
H_CLEAN_HSP_U_P: Room was "usually" clean 18% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 3
H_QUIET_HSP_A_P: "Always" quiet at night 62% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 10% —
H_QUIET_HSP_U_P: "Usually" quiet at night 28% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 4
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 3% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 20% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 77% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 5
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 1% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 75% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 24% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 5
H_STAR_RATING: Summary star rating — 4

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 — —
HAI_1_CIUPPER — —
HAI_1_DOPC 123.000 —
HAI_1_ELIGCASES 0.094 —
HAI_1_NUMERATOR 0.000 —
HAI_1_SIR — —
HAI_2_CILOWER — —
HAI_2_CIUPPER — —
HAI_2_DOPC 463.000 —
HAI_2_ELIGCASES 0.346 —
HAI_2_NUMERATOR 0.000 —
HAI_2_SIR — —
HAI_3_CILOWER — —
HAI_3_CIUPPER — —
HAI_3_DOPC 20.000 —
HAI_3_ELIGCASES 0.661 —
HAI_3_NUMERATOR 3.000 —
HAI_3_SIR — —
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 5.000 —
HAI_4_ELIGCASES 0.050 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER — —
HAI_5_CIUPPER — —
HAI_5_DOPC 7176.000 —
HAI_5_ELIGCASES 0.218 —
HAI_5_NUMERATOR 0.000 —
HAI_5_SIR — —
HAI_6_CILOWER 0.015 No Different than National Benchmark
HAI_6_CIUPPER 1.502 No Different than National Benchmark
HAI_6_DOPC 7176.000 No Different than National Benchmark
HAI_6_ELIGCASES 3.284 No Different than National Benchmark
HAI_6_NUMERATOR 1.000 No Different than National Benchmark
HAI_6_SIR 0.305 No Different than National Benchmark

Timely & Effective Care

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

Measure Score Condition
EDV — 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 — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 84.0 Healthcare Personnel Vaccination
OP_18a — Emergency Department
OP_18b — Emergency Department
OP_18c — Emergency Department
OP_18d — Emergency Department
OP_22 — Emergency Department
OP_23 — Emergency Department
OP_29 — Colonoscopy care
OP_31 — Cataract surgery outcome
SAFE_USE_OF_OPIOIDS — Electronic Clinical Quality Measure
SEP_1 91.0 Sepsis Care
SEP_SH_3HR — Sepsis Care
SEP_SH_6HR — Sepsis Care
SEV_SEP_3HR 100.0 Sepsis Care
SEV_SEP_6HR 90.0 Sepsis Care
STK_02 — 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 — —
EDAC_30_HF — Number of Cases Too Small
EDAC_30_PN — Number of Cases Too Small
Hybrid_HWR 14.40 No Different Than the National Rate
OP_32 — —
OP_35_ADM — —
OP_35_ED — —
OP_36 — —
READM_30_AMI — —
READM_30_CABG — —
READM_30_COPD — Number of Cases Too Small
READM_30_HF — Number of Cases Too Small
READM_30_HIP_KNEE — —
READM_30_PN — Number of Cases Too Small

Medicare Spending Per Beneficiary

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

Value
0.83

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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Source Metric Value National Median Pctl. Raw key
Cost Report Employees per Bed 10.13 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Net Income ($) $-251,817,583 — metrics.net_income
Cost Report Total Costs ($) $151,467,730 — metrics.total_costs
General Information Address 4212 NORTH 16TH STREET — Address
General Information City/Town PHOENIX — City/Town
General Information Count of Facility MORT Measures Not Available — 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 1 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 2 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 3 — Count of Facility TE Measures
General Information Count of MORT Measures Better Not Available — Count of MORT Measures Better
General Information Count of MORT Measures No Different Not Available — Count of MORT Measures No Different
General Information Count of MORT Measures Worse Not Available — 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 1 — Count of READM Measures No Different
General Information Count of READM Measures Worse 0 — Count of READM Measures Worse
General Information Count of Safety Measures Better 0 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 2 — 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 No — Emergency Services
General Information Facility ID 030078 — Facility ID
General Information Facility Name PHOENIX INDIAN MEDICAL CENTER — Facility Name
General Information Hospital overall rating Not Available — Hospital overall rating
General Information Hospital overall rating footnote 16 — Hospital overall rating footnote
General Information Hospital Ownership Government - Federal — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation — — Meets criteria for birthing friendly designation
General Information MORT Group Footnote 5 — 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 (602) 263-1200 — Telephone Number
General Information ZIP Code 85016 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.18 — measures.cdi.sir
HAC Reduction Program measures — ssi — sir 3.33 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score 0.37 — 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 0.83 — Value
Value-Based Purchasing Efficiency & Cost Reduction 30.00 2.50 p99 efficiency_score
Value-Based Purchasing Person & Community Engagement 25.67 8.75 p98 person_community_score
Value-Based Purchasing Safety 30.00 10.00 p99 safety_score
Value-Based Purchasing Total Performance Score 85.67 29.50 p99 total_performance_score
Methodology

Full methodology →