Hospital

KAISER FOUNDATION HOSPITAL-SANTA CLARA

CCN: 050071 · SANTA CLARA, CA 95051 · SANTA CLARA County

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

Overview

Address
700 LAWRENCE EXPRESSWAY, SANTA CLARA, CA 95051
Phone
(408) 236-6400
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
★★★★★
CMS Overall Rating
p30
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 6 of 8 measures reported
1
5
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 2 of 11 measures reported
2
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 6 of 12 measures reported
6 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)
0.9883 p41
Heart Failure
1.0683 p85
Pneumonia
— Not reported
COPD
— Not reported
Hip/Knee Replacement 0 discharges
— 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 below the national median, suggesting a negative payment adjustment.

20.8 p18
Total Performance Score
National median: 29.5
Safety 25% weight
9.4 p45
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
11.3 p68
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: 1.0683
Value-Based Purchasing
20.8 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 0.5070

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 4.40 No Different Than the National Rate 170
MORT_30_AMI — Number of Cases Too Small —
MORT_30_CABG — Number of Cases Too Small —
MORT_30_COPD — Number of Cases Too Small —
MORT_30_HF — Number of Cases Too Small —
MORT_30_PN 17.90 No Different Than the National Rate 25
MORT_30_STK 11.50 No Different Than the National Rate 25
PSI_03 0.34 No Different Than the National Rate 819
PSI_04 — Number of Cases Too Small —
PSI_06 0.20 No Different Than the National Rate 910
PSI_08 0.26 No Different Than the National Rate 1,036
PSI_09 2.50 No Different Than the National Rate 178
PSI_10 1.57 No Different Than the National Rate 83
PSI_11 11.73 No Different Than the National Rate 74
PSI_12 4.53 No Different Than the National Rate 235
PSI_13 5.31 No Different Than the National Rate 94
PSI_14 1.75 No Different Than the National Rate 37
PSI_15 1.01 No Different Than the National Rate 181
PSI_90 1.02 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 73% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6% —
H_COMP_1_U_P: Nurses "usually" communicated well 21% —
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 4% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 16% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 71% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 23% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 67% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 6% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 27% —
H_COMP_2_A_P: Doctors "always" communicated well 80% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 4% —
H_COMP_2_U_P: Doctors "usually" communicated well 16% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 4
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 79% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 4% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 17% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 75% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 5% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 20% —
H_COMP_5_A_P: Staff "always" explained 56% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 23% —
H_COMP_5_U_P: Staff "usually" explained 21% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 2
H_MED_FOR_A_P: Staff "always" explained new medications 72% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9% —
H_MED_FOR_U_P: Staff "usually" explained new medications 19% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 39% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 38% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 23% —
H_COMP_6_N_P: No, staff "did not" give patients this information 12% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 88% —
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 13% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 87% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 11% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 89% —
H_CLEAN_HSP_A_P: Room was "always" clean 71% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 9% —
H_CLEAN_HSP_U_P: Room was "usually" clean 20% —
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 46% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 17% —
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) 7% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 70% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 5% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 73% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 22% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 4
H_STAR_RATING: Summary star rating — 3

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 0.481 No Different than National Benchmark
HAI_1_CIUPPER 1.334 No Different than National Benchmark
HAI_1_DOPC 18486.000 No Different than National Benchmark
HAI_1_ELIGCASES 18.127 No Different than National Benchmark
HAI_1_NUMERATOR 15.000 No Different than National Benchmark
HAI_1_SIR 0.827 No Different than National Benchmark
HAI_2_CILOWER 0.734 No Different than National Benchmark
HAI_2_CIUPPER 1.972 No Different than National Benchmark
HAI_2_DOPC 12972.000 No Different than National Benchmark
HAI_2_ELIGCASES 12.895 No Different than National Benchmark
HAI_2_NUMERATOR 16.000 No Different than National Benchmark
HAI_2_SIR 1.241 No Different than National Benchmark
HAI_3_CILOWER 0.346 No Different than National Benchmark
HAI_3_CIUPPER 2.628 No Different than National Benchmark
HAI_3_DOPC 138.000 No Different than National Benchmark
HAI_3_ELIGCASES 3.671 No Different than National Benchmark
HAI_3_NUMERATOR 4.000 No Different than National Benchmark
HAI_3_SIR 1.090 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 85.000 —
HAI_4_ELIGCASES 0.827 —
HAI_4_NUMERATOR 1.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.008 Better than the National Benchmark
HAI_5_CIUPPER 0.819 Better than the National Benchmark
HAI_5_DOPC 108682.000 Better than the National Benchmark
HAI_5_ELIGCASES 6.021 Better than the National Benchmark
HAI_5_NUMERATOR 1.000 Better than the National Benchmark
HAI_5_SIR 0.166 Better than the National Benchmark
HAI_6_CILOWER 0.250 Better than the National Benchmark
HAI_6_CIUPPER 0.559 Better than the National Benchmark
HAI_6_DOPC 96205.000 Better than the National Benchmark
HAI_6_ELIGCASES 62.956 Better than the National Benchmark
HAI_6_NUMERATOR 24.000 Better than the National Benchmark
HAI_6_SIR 0.381 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 — 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 6.0 Electronic Clinical Quality Measure
HH_HYPO 1.0 Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 68.0 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
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 4.0 Electronic Clinical Quality Measure
SEP_1 74.0 Sepsis Care
SEP_SH_3HR 62.0 Sepsis Care
SEP_SH_6HR 89.0 Sepsis Care
SEV_SEP_3HR 91.0 Sepsis Care
SEV_SEP_6HR 94.0 Sepsis Care
STK_02 94.0 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 — Number of Cases Too Small
EDAC_30_HF 86.70 More Days Than Average per 100 Discharges
EDAC_30_PN — Number of Cases Too Small
Hybrid_HWR 14.90 No Different Than the National Rate
OP_32 — —
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 — Number of cases too small
READM_30_AMI 13.40 No Different Than the National Rate
READM_30_CABG — Number of Cases Too Small
READM_30_COPD — Number of Cases Too Small
READM_30_HF 21.00 No Different Than the National Rate
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
1.01

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 Cost-to-Charge Ratio 0.24 — metrics.cost_to_charge_ratio
Cost Report Employees per Bed 5.68 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Net Income ($) $191,788,816 — metrics.net_income
Cost Report Net Patient Revenue ($) $1,319,851,759 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 13.5% — metrics.operating_margin
Cost Report Total Costs ($) $1,032,641,128 — metrics.total_costs
Cost Report Total Margin (%) 14.4% — metrics.total_margin
Cost Report Uncompensated Care (%) 0.2% — metrics.uncompensated_care_pct
General Information Address 700 LAWRENCE EXPRESSWAY — Address
General Information City/Town SANTA CLARA — 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 2 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 6 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 6 — 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 2 — 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 1 — 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 SANTA CLARA — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 050071 — Facility ID
General Information Facility Name KAISER FOUNDATION HOSPITAL-SANTA CLARA — Facility Name
General Information Hospital overall rating 3 — 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 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 CA — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (408) 236-6400 — Telephone Number
General Information ZIP Code 95051 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 1.25 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.44 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.72 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.58 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.39 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.51 — 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 1.01 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.99 0.9995 p41 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 12.5% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 12.4% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.07 0.9983 p85 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 17.7% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Predicted readmission rate 18.9% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Number of discharges 0 — READM-30-HIP-KNEE-HRRP.num_discharges
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 11.33 8.75 p68 person_community_score
Value-Based Purchasing Safety 9.44 10.00 p45 safety_score
Value-Based Purchasing Total Performance Score 20.78 29.50 p18 total_performance_score
Methodology

Full methodology →