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

Overview

Address
10860 NEW ALLEGIANCE DR, COLORADO SPRINGS, CO 80921
Phone
(719) 757-7000
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
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.

Timely & Effective Care 1 of 12 measures reported
1 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

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
HAC Reduction
No Reduction

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 4.20 No Different Than the National Rate 35
MORT_30_AMI
MORT_30_CABG
MORT_30_COPD Number of Cases Too Small
MORT_30_HF
MORT_30_PN Number of Cases Too Small
MORT_30_STK
PSI_03 Number of Cases Too Small
PSI_04
PSI_06 0.21 No Different Than the National Rate 62
PSI_08 0.27 No Different Than the National Rate 55
PSI_09 2.34 No Different Than the National Rate 26
PSI_10 Number of Cases Too Small
PSI_11 Number of Cases Too Small
PSI_12 3.49 No Different Than the National Rate 28
PSI_13 Number of Cases Too Small
PSI_14
PSI_15
PSI_90 1.03 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 86%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 2%
H_COMP_1_U_P: Nurses "usually" communicated well 12%
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 90%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 1%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 9%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 85%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 3%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 12%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 82%
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 16%
H_COMP_2_A_P: Doctors "always" communicated well 85%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 2%
H_COMP_2_U_P: Doctors "usually" communicated well 13%
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 91%
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 7%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 84%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 2%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 14%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 80%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 3%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 17%
H_COMP_5_A_P: Staff "always" explained 72%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 13%
H_COMP_5_U_P: Staff "usually" explained 15%
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 81%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 2%
H_MED_FOR_U_P: Staff "usually" explained new medications 17%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 62%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 25%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 13%
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 12%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 88%
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 81%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 7%
H_CLEAN_HSP_U_P: Room was "usually" clean 12%
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 77%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 6%
H_QUIET_HSP_U_P: "Usually" quiet at night 17%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 5
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) 14%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 82%
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) 2%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 85%
H_RECMND_PY: "YES", patients would probably recommend the hospital 13%
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 38.000
HAI_1_ELIGCASES 0.028
HAI_1_NUMERATOR 0.000
HAI_1_SIR
HAI_2_CILOWER
HAI_2_CIUPPER
HAI_2_DOPC 29.000
HAI_2_ELIGCASES 0.020
HAI_2_NUMERATOR 0.000
HAI_2_SIR
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC
HAI_3_ELIGCASES
HAI_3_NUMERATOR
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC
HAI_4_ELIGCASES
HAI_4_NUMERATOR
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC 1587.000
HAI_5_ELIGCASES 0.053
HAI_5_NUMERATOR 0.000
HAI_5_SIR
HAI_6_CILOWER
HAI_6_CIUPPER
HAI_6_DOPC 1587.000
HAI_6_ELIGCASES 0.658
HAI_6_NUMERATOR 0.000
HAI_6_SIR

Timely & Effective Care

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

Measure Score Condition
EDV low 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 9.0 Electronic Clinical Quality Measure
HH_HYPO 0.0 Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 95.0 Healthcare Personnel Vaccination
OP_18a 113.0 Emergency Department
OP_18b 108.0 Emergency Department
OP_18c 207.0 Emergency Department
OP_18d 330.0 Emergency Department
OP_22 0.0 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 20.0 Electronic Clinical Quality Measure
SEP_1 84.0 Sepsis Care
SEP_SH_3HR Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR 89.0 Sepsis Care
SEV_SEP_6HR 91.0 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
EDAC_30_PN Number of Cases Too Small
Hybrid_HWR 14.80 No Different Than the National Rate
OP_32
OP_35_ADM
OP_35_ED
OP_36 1.10 No Different than expected
READM_30_AMI
READM_30_CABG
READM_30_COPD Number of Cases Too Small
READM_30_HF
READM_30_HIP_KNEE Number of Cases Too Small
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
0.88

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

Download CSV

Show 44 rows
Source Metric Value National Median Pctl. Raw key
General Information Address 10860 NEW ALLEGIANCE DR Address
General Information City/Town COLORADO SPRINGS City/Town
General Information Count of Facility MORT Measures Not Available Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures Not Available Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures Not Available Count of Facility READM Measures
General Information Count of Facility Safety Measures Not Available Count of Facility Safety Measures
General Information Count of Facility TE Measures 1 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 Not Available Count of READM Measures Better
General Information Count of READM Measures No Different Not Available Count of READM Measures No Different
General Information Count of READM Measures Worse Not Available Count of READM Measures Worse
General Information Count of Safety Measures Better Not Available Count of Safety Measures Better
General Information Count of Safety Measures No Different Not Available Count of Safety Measures No Different
General Information Count of Safety Measures Worse Not Available Count of Safety Measures Worse
General Information County/Parish EL PASO County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 060133 Facility ID
General Information Facility Name ST FRANCIS HOSPITAL - INTERQUEST 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 Voluntary non-profit - Private 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 5 Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote 5 READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote 5 Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State CO State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (719) 757-7000 Telephone Number
General Information ZIP Code 80921 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program payment_reduction No payment_reduction
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 0.88 Value
Methodology

Full methodology →