Hospital

KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM

CCN: 050609 · ANAHEIM, CA 92806 · ORANGE County

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

Overview

Address
3440 E LA PALMA AVE, ANAHEIM, CA 92806
Phone
(714) 279-4000
Hospital Type
Acute Care
Ownership
Non-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.

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 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 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)
— Not reported
Heart Failure
— Not reported
Pneumonia
1.0089 p58
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.

57.1 p97
Total Performance Score
National median: 29.5
Safety 25% weight
14.4 p77
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
19.3 p94
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
23.3 p96
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: 1.0089
Value-Based Purchasing
57.1 TPS
Above national median
HAC Reduction
No Reduction
HAC Score: 0.1429

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 4.00 No Different Than the National Rate 213
MORT_30_AMI — Number of Cases Too Small —
MORT_30_CABG — — —
MORT_30_COPD — Number of Cases Too Small —
MORT_30_HF — Number of Cases Too Small —
MORT_30_PN 15.80 No Different Than the National Rate 28
MORT_30_STK — Number of Cases Too Small —
PSI_03 0.36 No Different Than the National Rate 815
PSI_04 — Number of Cases Too Small —
PSI_06 0.27 No Different Than the National Rate 1,022
PSI_08 0.26 No Different Than the National Rate 1,065
PSI_09 2.19 No Different Than the National Rate 220
PSI_10 1.64 No Different Than the National Rate 81
PSI_11 8.14 No Different Than the National Rate 87
PSI_12 3.59 No Different Than the National Rate 235
PSI_13 4.99 No Different Than the National Rate 81
PSI_14 1.74 No Different Than the National Rate 59
PSI_15 0.99 No Different Than the National Rate 243
PSI_90 0.88 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 82% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 3% —
H_COMP_1_U_P: Nurses "usually" communicated well 15% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 4
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 88% —
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 10% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 80% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 3% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 17% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 77% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 4% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 19% —
H_COMP_2_A_P: Doctors "always" communicated well 81% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 4% —
H_COMP_2_U_P: Doctors "usually" communicated well 15% —
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 3% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 10% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 81% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 4% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 15% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 76% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 6% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 18% —
H_COMP_5_A_P: Staff "always" explained 63% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 17% —
H_COMP_5_U_P: Staff "usually" explained 20% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 3
H_MED_FOR_A_P: Staff "always" explained new medications 77% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 7% —
H_MED_FOR_U_P: Staff "usually" explained new medications 16% —
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 28% —
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 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 14% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 86% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 14% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 86% —
H_CLEAN_HSP_A_P: Room was "always" clean 70% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 8% —
H_CLEAN_HSP_U_P: Room was "usually" clean 22% —
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 7% —
H_QUIET_HSP_U_P: "Usually" quiet at night 31% —
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) 4% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 17% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 79% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 4
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 3% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 80% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 17% —
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 0.483 No Different than National Benchmark
HAI_1_CIUPPER 1.818 No Different than National Benchmark
HAI_1_DOPC 8075.000 No Different than National Benchmark
HAI_1_ELIGCASES 9.083 No Different than National Benchmark
HAI_1_NUMERATOR 9.000 No Different than National Benchmark
HAI_1_SIR 0.991 No Different than National Benchmark
HAI_2_CILOWER 0.385 No Different than National Benchmark
HAI_2_CIUPPER 1.450 No Different than National Benchmark
HAI_2_DOPC 9247.000 No Different than National Benchmark
HAI_2_ELIGCASES 11.394 No Different than National Benchmark
HAI_2_NUMERATOR 9.000 No Different than National Benchmark
HAI_2_SIR 0.790 No Different than National Benchmark
HAI_3_CILOWER 0.672 No Different than National Benchmark
HAI_3_CIUPPER 2.222 No Different than National Benchmark
HAI_3_DOPC 354.000 No Different than National Benchmark
HAI_3_ELIGCASES 8.606 No Different than National Benchmark
HAI_3_NUMERATOR 11.000 No Different than National Benchmark
HAI_3_SIR 1.278 No Different than National Benchmark
HAI_4_CILOWER 0.254 No Different than National Benchmark
HAI_4_CIUPPER 5.013 No Different than National Benchmark
HAI_4_DOPC 167.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.318 No Different than National Benchmark
HAI_4_NUMERATOR 2.000 No Different than National Benchmark
HAI_4_SIR 1.517 No Different than National Benchmark
HAI_5_CILOWER 0.118 No Different than National Benchmark
HAI_5_CIUPPER 1.267 No Different than National Benchmark
HAI_5_DOPC 120871.000 No Different than National Benchmark
HAI_5_ELIGCASES 6.442 No Different than National Benchmark
HAI_5_NUMERATOR 3.000 No Different than National Benchmark
HAI_5_SIR 0.466 No Different than National Benchmark
HAI_6_CILOWER 0.257 Better than the National Benchmark
HAI_6_CIUPPER 0.541 Better than the National Benchmark
HAI_6_DOPC 106079.000 Better than the National Benchmark
HAI_6_ELIGCASES 73.781 Better than the National Benchmark
HAI_6_NUMERATOR 28.000 Better than the National Benchmark
HAI_6_SIR 0.380 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 — Electronic Clinical Quality Measure
HH_HYPO 0.0 Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 69.0 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 11.0 Electronic Clinical Quality Measure
SEP_1 88.0 Sepsis Care
SEP_SH_3HR 95.0 Sepsis Care
SEP_SH_6HR 93.0 Sepsis Care
SEV_SEP_3HR 92.0 Sepsis Care
SEV_SEP_6HR 98.0 Sepsis Care
STK_02 90.0 Electronic Clinical Quality Measure
STK_03 69.0 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 — Number of Cases Too Small
EDAC_30_PN -10.90 Average Days per 100 Discharges
Hybrid_HWR 15.20 No Different Than the National Rate
OP_32 — —
OP_35_ADM — —
OP_35_ED — —
OP_36 — Number of cases too small
READM_30_AMI — Number of Cases Too Small
READM_30_CABG — —
READM_30_COPD — Number of Cases Too Small
READM_30_HF — Number of Cases Too Small
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 16.10 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
0.84

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 0.25 — metrics.cost_to_charge_ratio
Cost Report Employees per Bed 3.85 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Net Income ($) $139,390,951 — metrics.net_income
Cost Report Net Patient Revenue ($) $1,186,284,124 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 11.5% — metrics.operating_margin
Cost Report Total Costs ($) $961,908,782 — metrics.total_costs
Cost Report Total Margin (%) 11.7% — metrics.total_margin
Cost Report Uncompensated Care (%) 0.2% — metrics.uncompensated_care_pct
General Information Address 3440 E LA PALMA AVE — Address
General Information City/Town ANAHEIM — 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 7 — 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 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 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 ORANGE — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 050609 — Facility ID
General Information Facility Name KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM — 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 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 (714) 279-4000 — Telephone Number
General Information ZIP Code 92806 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.77 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.48 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.17 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.24 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.02 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score 0.14 — 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 0.84 — Value
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.01 0.9955 p58 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.3% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.4% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Efficiency & Cost Reduction 23.33 2.50 p96 efficiency_score
Value-Based Purchasing Person & Community Engagement 19.33 8.75 p94 person_community_score
Value-Based Purchasing Safety 14.44 10.00 p77 safety_score
Value-Based Purchasing Total Performance Score 57.11 29.50 p97 total_performance_score
Methodology

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