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

Overview

Address
1230 BAXTER STREET, ATHENS, GA 30606
Phone
(706) 389-3000
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
1 /5
CMS Overall Rating
p0
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
3
3
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 8 of 11 measures reported
8
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 10 of 12 measures reported
10 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) 132 discharges
1.0269 p66
Heart Failure 203 discharges
1.0329 p71
Pneumonia 201 discharges
1.0117 p60
COPD 54 discharges
1.0383 p80
Hip/Knee Replacement 111 discharges
1.5095 p99
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.

17.8 p10
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
0.0 p0
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
7.1 p25
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
5.8 p25
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: 1.5095
Value-Based Purchasing
17.8 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 1.3011

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 9.30 Worse Than the National Rate 98
Hybrid_HWM 4.40 No Different Than the National Rate 1,081
MORT_30_AMI 13.80 No Different Than the National Rate 139
MORT_30_CABG
MORT_30_COPD 10.30 No Different Than the National Rate 52
MORT_30_HF 12.50 No Different Than the National Rate 168
MORT_30_PN 20.10 No Different Than the National Rate 181
MORT_30_STK 14.00 No Different Than the National Rate 193
PSI_03 1.58 Worse Than the National Rate 2,726
PSI_04 158.96 No Different Than the National Rate 49
PSI_06 0.27 No Different Than the National Rate 4,000
PSI_08 0.23 No Different Than the National Rate 3,861
PSI_09 2.38 No Different Than the National Rate 1,364
PSI_10 1.55 No Different Than the National Rate 753
PSI_11 15.98 No Different Than the National Rate 763
PSI_12 3.72 No Different Than the National Rate 1,387
PSI_13 5.18 No Different Than the National Rate 709
PSI_14 1.69 No Different Than the National Rate 331
PSI_15 1.66 No Different Than the National Rate 766
PSI_90 1.47 Worse 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 76%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6%
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 83%
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 13%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 76%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 18%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 70%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 8%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22%
H_COMP_2_A_P: Doctors "always" communicated well 78%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 7%
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 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 85%
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 10%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 76%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 8%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 16%
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 55%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 25%
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 2
H_MED_FOR_A_P: Staff "always" explained new medications 70%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 13%
H_MED_FOR_U_P: Staff "usually" explained new medications 17%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 41%
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 22%
H_COMP_6_N_P: No, staff "did not" give patients this information 18%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 82%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 20%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 80%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 16%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 84%
H_CLEAN_HSP_A_P: Room was "always" clean 59%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 15%
H_CLEAN_HSP_U_P: Room was "usually" clean 26%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 2
H_QUIET_HSP_A_P: "Always" quiet at night 59%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 10%
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 3
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 9%
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) 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) 6%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 73%
H_RECMND_PY: "YES", patients would probably recommend the hospital 21%
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 0.019 No Different than National Benchmark
HAI_1_CIUPPER 1.840 No Different than National Benchmark
HAI_1_DOPC 2942.000 No Different than National Benchmark
HAI_1_ELIGCASES 2.681 No Different than National Benchmark
HAI_1_NUMERATOR 1.000 No Different than National Benchmark
HAI_1_SIR 0.373 No Different than National Benchmark
HAI_2_CILOWER 0.083 No Different than National Benchmark
HAI_2_CIUPPER 1.626 No Different than National Benchmark
HAI_2_DOPC 2848.000 No Different than National Benchmark
HAI_2_ELIGCASES 4.064 No Different than National Benchmark
HAI_2_NUMERATOR 2.000 No Different than National Benchmark
HAI_2_SIR 0.492 No Different than National Benchmark
HAI_3_CILOWER 0.094 No Different than National Benchmark
HAI_3_CIUPPER 1.861 No Different than National Benchmark
HAI_3_DOPC 137.000 No Different than National Benchmark
HAI_3_ELIGCASES 3.550 No Different than National Benchmark
HAI_3_NUMERATOR 2.000 No Different than National Benchmark
HAI_3_SIR 0.563 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 36.000
HAI_4_ELIGCASES 0.287
HAI_4_NUMERATOR 1.000
HAI_4_SIR
HAI_5_CILOWER 0.552 No Different than National Benchmark
HAI_5_CIUPPER 4.188 No Different than National Benchmark
HAI_5_DOPC 47521.000 No Different than National Benchmark
HAI_5_ELIGCASES 2.304 No Different than National Benchmark
HAI_5_NUMERATOR 4.000 No Different than National Benchmark
HAI_5_SIR 1.736 No Different than National Benchmark
HAI_6_CILOWER 0.135 Better than the National Benchmark
HAI_6_CIUPPER 0.693 Better than the National Benchmark
HAI_6_DOPC 42933.000 Better than the National Benchmark
HAI_6_ELIGCASES 18.004 Better than the National Benchmark
HAI_6_NUMERATOR 6.000 Better than the National Benchmark
HAI_6_SIR 0.333 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 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 21.0 Healthcare Personnel Vaccination
OP_18a 134.0 Emergency Department
OP_18b 133.0 Emergency Department
OP_18c 233.0 Emergency Department
OP_18d Emergency Department
OP_22 1.0 Emergency Department
OP_23 Emergency Department
OP_29 97.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 18.0 Electronic Clinical Quality Measure
SEP_1 66.0 Sepsis Care
SEP_SH_3HR 88.0 Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR 84.0 Sepsis Care
SEV_SEP_6HR 76.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 65.0 Electronic Clinical Quality Measure
STK_05 93.0 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 -7.20 Average Days per 100 Discharges
EDAC_30_HF 36.90 More Days Than Average per 100 Discharges
EDAC_30_PN 12.60 Average Days per 100 Discharges
Hybrid_HWR 14.90 No Different Than the National Rate
OP_32 13.60 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 0.90 No Different than expected
READM_30_AMI 13.80 No Different Than the National Rate
READM_30_CABG
READM_30_COPD 18.90 No Different Than the National Rate
READM_30_HF 20.60 No Different Than the National Rate
READM_30_HIP_KNEE 7.20 Worse Than the National Rate
READM_30_PN 16.00 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
0.99

Financial Health (Cost Report — FY 2024)

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 0.22 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.25 metrics.current_ratio
Cost Report Employees per Bed 7.12 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $94,276,008 metrics.fund_balance
Cost Report Net Income ($) $37,365,781 metrics.net_income
Cost Report Net Patient Revenue ($) $262,030,330 metrics.net_patient_revenue
Cost Report Operating Margin (%) 11.6% metrics.operating_margin
Cost Report Total Assets ($) $186,878,918 metrics.total_assets
Cost Report Total Costs ($) $226,695,920 metrics.total_costs
Cost Report Total Liabilities ($) $92,602,910 metrics.total_liabilities
Cost Report Total Margin (%) 13.9% metrics.total_margin
Cost Report Uncompensated Care (%) 9.3% metrics.uncompensated_care_pct
General Information Address 1230 BAXTER STREET Address
General Information City/Town ATHENS 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 10 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 8 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 3 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 3 Count of Safety Measures Worse
General Information County/Parish CLARKE County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 110006 Facility ID
General Information Facility Name ST MARY'S HOSPITAL Facility Name
General Information Hospital overall rating 1 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 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 GA State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (706) 389-3000 Telephone Number
General Information ZIP Code 30606 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 1.61 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.39 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.95 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 1.71 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.83 measures.ssi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 1.30 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 1.03 0.9995 p66 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 11.6% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 132 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 17 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 11.9% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.04 0.9969 p80 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 16.6% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 54 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 12 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 17.2% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.03 0.9983 p71 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 18.5% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 203 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 41 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.1% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.51 0.9916 p99 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 6.1% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Number of discharges 111 READM-30-HIP-KNEE-HRRP.num_discharges
Readmissions (HRRP) Hip/Knee Replacement — Number of readmissions 15 READM-30-HIP-KNEE-HRRP.num_readmissions
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 9.1% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.01 0.9955 p60 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 14.4% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 201 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 30 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 14.5% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 0.00 5.00 p0 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 5.00 2.50 p56 efficiency_score
Value-Based Purchasing Person & Community Engagement 5.75 8.75 p25 person_community_score
Value-Based Purchasing Safety 7.08 10.00 p25 safety_score
Value-Based Purchasing Total Performance Score 17.83 29.50 p10 total_performance_score
Methodology

Full methodology →