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

Overview

Address
751 MEDICAL CENTER COURT, CHULA VISTA, CA 91911
Phone
(619) 502-5800
Hospital Type
Acute Care
Ownership
For-Profit
Emergency Services
Yes
Birthing Friendly
Yes
4 /5
CMS Overall Rating
p63
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
1
6
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 8 of 8 measures reported
2
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
10
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 9 of 12 measures reported
9 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
1.0721 p87
Heart Failure 423 discharges
0.9388 p14
Pneumonia 419 discharges
0.9821 p40
COPD 118 discharges
0.9979 p50
Hip/Knee Replacement
— Not reported
CABG Surgery 55 discharges
1.1440 p93
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.

29.2 p49
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
12.5 p89
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
2.9 p5
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
8.8 p49
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
5.0 p56
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: 1.1440
Value-Based Purchasing
29.2 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 0.3905

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 3.60 No Different Than the National Rate 1,422
MORT_30_AMI 12.40 No Different Than the National Rate 130
MORT_30_CABG 2.60 No Different Than the National Rate 57
MORT_30_COPD 7.60 No Different Than the National Rate 98
MORT_30_HF 10.20 No Different Than the National Rate 359
MORT_30_PN 12.20 Better Than the National Rate 389
MORT_30_STK 10.70 No Different Than the National Rate 183
PSI_03 0.76 No Different Than the National Rate 5,253
PSI_04 178.91 No Different Than the National Rate 68
PSI_06 0.21 No Different Than the National Rate 6,145
PSI_08 0.22 No Different Than the National Rate 6,385
PSI_09 2.06 No Different Than the National Rate 958
PSI_10 2.31 No Different Than the National Rate 209
PSI_11 9.99 No Different Than the National Rate 220
PSI_12 3.81 No Different Than the National Rate 1,111
PSI_13 6.09 No Different Than the National Rate 212
PSI_14 1.68 No Different Than the National Rate 200
PSI_15 1.35 No Different Than the National Rate 872
PSI_90 1.12 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 78%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4%
H_COMP_1_U_P: Nurses "usually" communicated well 18%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 86%
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 11%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 74%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 5%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 21%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 75%
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 19%
H_COMP_2_A_P: Doctors "always" communicated well 77%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 7%
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 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 83%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 5%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 12%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 75%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 18%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 72%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 9%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 19%
H_COMP_5_A_P: Staff "always" explained 60%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 22%
H_COMP_5_U_P: Staff "usually" explained 18%
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 73%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11%
H_MED_FOR_U_P: Staff "usually" explained new medications 16%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 47%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 33%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 20%
H_COMP_6_N_P: No, staff "did not" give patients this information 14%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 86%
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 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 13%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 87%
H_CLEAN_HSP_A_P: Room was "always" clean 73%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 8%
H_CLEAN_HSP_U_P: Room was "usually" clean 19%
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 56%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 14%
H_QUIET_HSP_U_P: "Usually" quiet at night 30%
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) 8%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 21%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 71%
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) 6%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 74%
H_RECMND_PY: "YES", patients would probably recommend the hospital 20%
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 0.080 No Different than National Benchmark
HAI_1_CIUPPER 1.577 No Different than National Benchmark
HAI_1_DOPC 4984.000 No Different than National Benchmark
HAI_1_ELIGCASES 4.190 No Different than National Benchmark
HAI_1_NUMERATOR 2.000 No Different than National Benchmark
HAI_1_SIR 0.477 No Different than National Benchmark
HAI_2_CILOWER 0.150 No Different than National Benchmark
HAI_2_CIUPPER 1.604 No Different than National Benchmark
HAI_2_DOPC 5385.000 No Different than National Benchmark
HAI_2_ELIGCASES 5.091 No Different than National Benchmark
HAI_2_NUMERATOR 3.000 No Different than National Benchmark
HAI_2_SIR 0.589 No Different than National Benchmark
HAI_3_CILOWER 0.312 No Different than National Benchmark
HAI_3_CIUPPER 2.371 No Different than National Benchmark
HAI_3_DOPC 150.000 No Different than National Benchmark
HAI_3_ELIGCASES 4.069 No Different than National Benchmark
HAI_3_NUMERATOR 4.000 No Different than National Benchmark
HAI_3_SIR 0.983 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 112.000
HAI_4_ELIGCASES 0.967
HAI_4_NUMERATOR 1.000
HAI_4_SIR
HAI_5_CILOWER 0.275 No Different than National Benchmark
HAI_5_CIUPPER 2.090 No Different than National Benchmark
HAI_5_DOPC 101582.000 No Different than National Benchmark
HAI_5_ELIGCASES 4.616 No Different than National Benchmark
HAI_5_NUMERATOR 4.000 No Different than National Benchmark
HAI_5_SIR 0.867 No Different than National Benchmark
HAI_6_CILOWER 0.364 Better than the National Benchmark
HAI_6_CIUPPER 0.766 Better than the National Benchmark
HAI_6_DOPC 98367.000 Better than the National Benchmark
HAI_6_ELIGCASES 52.108 Better than the National Benchmark
HAI_6_NUMERATOR 28.000 Better than the National Benchmark
HAI_6_SIR 0.537 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 74.0 Healthcare Personnel Vaccination
OP_18a 222.0 Emergency Department
OP_18b 221.0 Emergency Department
OP_18c Emergency Department
OP_18d Emergency Department
OP_22 1.0 Emergency Department
OP_23 Emergency Department
OP_29 91.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 10.0 Electronic Clinical Quality Measure
SEP_1 59.0 Sepsis Care
SEP_SH_3HR 67.0 Sepsis Care
SEP_SH_6HR 84.0 Sepsis Care
SEV_SEP_3HR 73.0 Sepsis Care
SEV_SEP_6HR 97.0 Sepsis Care
STK_02 94.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 88.0 Electronic Clinical Quality Measure
VTE_1 Electronic Clinical Quality Measure
VTE_2 94.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 0.70 Average Days per 100 Discharges
EDAC_30_HF -10.40 Average Days per 100 Discharges
EDAC_30_PN 11.00 More Days Than Average per 100 Discharges
Hybrid_HWR 14.30 No Different Than the National Rate
OP_32 13.30 No Different Than the National Rate
OP_35_ADM 10.50 No Different Than the National Rate
OP_35_ED 5.00 No Different Than the National Rate
OP_36 1.00 No Different than expected
READM_30_AMI 14.40 No Different Than the National Rate
READM_30_CABG 12.10 No Different Than the National Rate
READM_30_COPD 18.10 No Different Than the National Rate
READM_30_HF 18.40 No Different Than the National Rate
READM_30_HIP_KNEE Number of Cases Too Small
READM_30_PN 15.70 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
0.94

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 93 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.16 metrics.cost_to_charge_ratio
Cost Report Current Ratio 5.62 metrics.current_ratio
Cost Report Employees per Bed 6 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $271,882,873 metrics.fund_balance
Cost Report Net Income ($) $33,100,338 metrics.net_income
Cost Report Net Patient Revenue ($) $563,007,873 metrics.net_patient_revenue
Cost Report Operating Margin (%) -7.7% metrics.operating_margin
Cost Report Total Assets ($) $589,689,549 metrics.total_assets
Cost Report Total Costs ($) $544,250,844 metrics.total_costs
Cost Report Total Liabilities ($) $317,806,676 metrics.total_liabilities
Cost Report Total Margin (%) 5.2% metrics.total_margin
Cost Report Uncompensated Care (%) 2.7% metrics.uncompensated_care_pct
General Information Address 751 MEDICAL CENTER COURT Address
General Information City/Town CHULA VISTA 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 11 Count of Facility READM Measures
General Information Count of Facility Safety Measures 8 Count of Facility Safety Measures
General Information Count of Facility TE Measures 9 Count of Facility TE Measures
General Information Count of MORT Measures Better 1 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 10 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 6 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish SAN DIEGO County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 050222 Facility ID
General Information Facility Name SHARP CHULA VISTA MEDICAL CENTER Facility Name
General Information Hospital overall rating 4 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Proprietary 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 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 (619) 502-5800 Telephone Number
General Information ZIP Code 91911 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.47 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.38 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.06 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.81 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.02 measures.ssi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 0.39 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 0.94 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.07 0.9995 p87 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.6% 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 23 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 15.6% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.14 1.0000 p93 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 13.2% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 55 READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 12 READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 15.1% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.00 0.9969 p50 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 17.1% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 118 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 20 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 17.1% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.94 0.9983 p14 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.0% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 423 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 71 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 17.9% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.98 0.9955 p40 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 419 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 64 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.6% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 12.50 5.00 p89 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 5.00 2.50 p56 efficiency_score
Value-Based Purchasing Person & Community Engagement 8.75 8.75 p49 person_community_score
Value-Based Purchasing Safety 2.92 10.00 p5 safety_score
Value-Based Purchasing Total Performance Score 29.17 29.50 p49 total_performance_score
Methodology

Full methodology →