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

Overview

Address
225 N JACKSON AVENUE, SAN JOSE, CA 95116
Phone
(408) 259-5000
Hospital Type
Acute Care
Ownership
Government (Federal)
Emergency Services
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.

Mortality 6 of 7 measures reported
6
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
1
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 8 of 11 measures reported
6
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 7 of 12 measures reported
7 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) 124 discharges
1.1605 p98
Heart Failure 376 discharges
1.2127 p99
Pneumonia 499 discharges
1.2125 p99
COPD 60 discharges
1.0214 p69
Hip/Knee Replacement
1.0324 p61
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.

26.3 p38
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
6.5 p60
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
12.1 p62
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
7.8 p42
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: 1.2127
Value-Based Purchasing
26.3 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: -0.2588

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 3.30 No Different Than the National Rate 47
Hybrid_HWM 3.30 Better Than the National Rate 960
MORT_30_AMI 11.90 No Different Than the National Rate 145
MORT_30_CABG Number of Cases Too Small
MORT_30_COPD 8.70 No Different Than the National Rate 54
MORT_30_HF 8.20 Better Than the National Rate 312
MORT_30_PN 16.70 No Different Than the National Rate 476
MORT_30_STK 11.50 No Different Than the National Rate 272
PSI_03 0.16 No Different Than the National Rate 4,359
PSI_04 165.55 No Different Than the National Rate 68
PSI_06 0.16 No Different Than the National Rate 4,921
PSI_08 0.23 No Different Than the National Rate 4,845
PSI_09 2.32 No Different Than the National Rate 693
PSI_10 1.56 No Different Than the National Rate 126
PSI_11 12.70 No Different Than the National Rate 135
PSI_12 4.03 No Different Than the National Rate 710
PSI_13 5.79 No Different Than the National Rate 116
PSI_14 1.70 No Different Than the National Rate 119
PSI_15 1.49 No Different Than the National Rate 525
PSI_90 0.98 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 72%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6%
H_COMP_1_U_P: Nurses "usually" communicated well 22%
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 79%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 2%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 19%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 69%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 25%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 68%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 9%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23%
H_COMP_2_A_P: Doctors "always" communicated well 67%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 10%
H_COMP_2_U_P: Doctors "usually" communicated well 23%
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 72%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 9%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 19%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 66%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 8%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 26%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 61%
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 28%
H_COMP_5_A_P: Staff "always" explained 50%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 24%
H_COMP_5_U_P: Staff "usually" explained 26%
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 64%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 12%
H_MED_FOR_U_P: Staff "usually" explained new medications 24%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 36%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 37%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 27%
H_COMP_6_N_P: No, staff "did not" give patients this information 16%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 84%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 3
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 19%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 81%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 13%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 87%
H_CLEAN_HSP_A_P: Room was "always" clean 77%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 8%
H_CLEAN_HSP_U_P: Room was "usually" clean 15%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 4
H_QUIET_HSP_A_P: "Always" quiet at night 55%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 12%
H_QUIET_HSP_U_P: "Usually" quiet at night 33%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 3
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 10%
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) 64%
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) 8%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 64%
H_RECMND_PY: "YES", patients would probably recommend the hospital 28%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 3
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 0.017 No Different than National Benchmark
HAI_1_CIUPPER 1.704 No Different than National Benchmark
HAI_1_DOPC 3533.000 No Different than National Benchmark
HAI_1_ELIGCASES 2.894 No Different than National Benchmark
HAI_1_NUMERATOR 1.000 No Different than National Benchmark
HAI_1_SIR 0.346 No Different than National Benchmark
HAI_2_CILOWER 0.102 No Different than National Benchmark
HAI_2_CIUPPER 2.006 No Different than National Benchmark
HAI_2_DOPC 3772.000 No Different than National Benchmark
HAI_2_ELIGCASES 3.294 No Different than National Benchmark
HAI_2_NUMERATOR 2.000 No Different than National Benchmark
HAI_2_SIR 0.607 No Different than National Benchmark
HAI_3_CILOWER 0.276 No Different than National Benchmark
HAI_3_CIUPPER 5.447 No Different than National Benchmark
HAI_3_DOPC 45.000 No Different than National Benchmark
HAI_3_ELIGCASES 1.213 No Different than National Benchmark
HAI_3_NUMERATOR 2.000 No Different than National Benchmark
HAI_3_SIR 1.649 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC
HAI_4_ELIGCASES
HAI_4_NUMERATOR
HAI_4_SIR
HAI_5_CILOWER N/A No Different than National Benchmark
HAI_5_CIUPPER 1.723 No Different than National Benchmark
HAI_5_DOPC 34923.000 No Different than National Benchmark
HAI_5_ELIGCASES 1.739 No Different than National Benchmark
HAI_5_NUMERATOR 0.000 No Different than National Benchmark
HAI_5_SIR 0.000 No Different than National Benchmark
HAI_6_CILOWER 0.022 Better than the National Benchmark
HAI_6_CIUPPER 0.440 Better than the National Benchmark
HAI_6_DOPC 34923.000 Better than the National Benchmark
HAI_6_ELIGCASES 15.030 Better than the National Benchmark
HAI_6_NUMERATOR 2.000 Better than the National Benchmark
HAI_6_SIR 0.133 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 Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 56.0 Healthcare Personnel Vaccination
OP_18a 159.0 Emergency Department
OP_18b 154.0 Emergency Department
OP_18c Emergency Department
OP_18d 414.0 Emergency Department
OP_22 1.0 Emergency Department
OP_23 76.0 Emergency Department
OP_29 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 9.0 Electronic Clinical Quality Measure
SEP_1 71.0 Sepsis Care
SEP_SH_3HR 64.0 Sepsis Care
SEP_SH_6HR 91.0 Sepsis Care
SEV_SEP_3HR 87.0 Sepsis Care
SEV_SEP_6HR 97.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 89.0 Electronic Clinical Quality Measure
VTE_1 94.0 Electronic Clinical Quality Measure
VTE_2 99.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 38.60 More Days Than Average per 100 Discharges
EDAC_30_HF 53.40 More Days Than Average per 100 Discharges
EDAC_30_PN 50.00 More Days Than Average per 100 Discharges
Hybrid_HWR 15.40 No Different Than the National Rate
OP_32 Number of Cases Too Small
OP_35_ADM
OP_35_ED
OP_36 1.00 No Different than expected
READM_30_AMI 15.50 No Different Than the National Rate
READM_30_CABG Number of Cases Too Small
READM_30_COPD 18.60 No Different Than the National Rate
READM_30_HF 23.80 Worse Than the National Rate
READM_30_HIP_KNEE 5.00 No Different Than the National Rate
READM_30_PN 19.50 Worse 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
0.99

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 90 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Current Ratio 2.27 metrics.current_ratio
Cost Report Employees per Bed 4.05 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $-300,068,121 metrics.fund_balance
Cost Report Net Income ($) $-108,639,245 metrics.net_income
Cost Report Net Patient Revenue ($) $378,348,345 metrics.net_patient_revenue
Cost Report Operating Margin (%) -29.1% metrics.operating_margin
Cost Report Total Assets ($) $378,374,447 metrics.total_assets
Cost Report Total Costs ($) $348,468,725 metrics.total_costs
Cost Report Total Liabilities ($) $678,442,568 metrics.total_liabilities
Cost Report Total Margin (%) -28.6% metrics.total_margin
Cost Report Uncompensated Care (%) 6.4% metrics.uncompensated_care_pct
General Information Address 225 N JACKSON AVENUE Address
General Information City/Town SAN JOSE City/Town
General Information Count of Facility MORT Measures 6 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 7 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 6 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 6 Count of READM Measures No Different
General Information Count of READM Measures Worse 2 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 6 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 050125 Facility ID
General Information Facility Name REGIONAL MEDICAL CENTER OF SAN JOSE 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 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 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) 259-5000 Telephone Number
General Information ZIP Code 95116 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.32 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.10 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.51 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.72 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.26 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 0.99 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.16 0.9995 p98 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 12.8% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 124 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 26 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.8% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.02 0.9969 p69 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 15.5% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 60 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 11 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 15.8% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.21 0.9983 p99 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 17.8% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 376 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 95 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.5% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.03 0.9916 p61 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.1% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 5.3% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.21 0.9955 p99 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 14.7% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 499 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 102 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.8% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 6.50 5.00 p60 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 7.75 8.75 p42 person_community_score
Value-Based Purchasing Safety 12.08 10.00 p62 safety_score
Value-Based Purchasing Total Performance Score 26.33 29.50 p38 total_performance_score
Methodology

Full methodology →