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

Overview

Address
304 TURNER MCCALL BOULEVARD, ROME, GA 30162
Phone
(706) 509-6900
Hospital Type
Acute Care
Ownership
Government (District)
Emergency Services
No
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 8 of 8 measures reported
1
7
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 8 of 11 measures reported
7
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 11 of 12 measures reported
11 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) 144 discharges
1.0304 p69
Heart Failure 401 discharges
1.0525 p79
Pneumonia 395 discharges
1.0029 p54
COPD 201 discharges
1.1207 p98
Hip/Knee Replacement
1.0427 p64
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.

23.5 p28
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
5.0 p47
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
6.3 p19
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
7.3 p37
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: 1.1207
Value-Based Purchasing
23.5 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 0.5465

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 40
Hybrid_HWM 4.70 No Different Than the National Rate 1,186
MORT_30_AMI 10.80 No Different Than the National Rate 162
MORT_30_CABG Number of Cases Too Small
MORT_30_COPD 8.50 No Different Than the National Rate 172
MORT_30_HF 14.60 Worse Than the National Rate 383
MORT_30_PN 18.90 No Different Than the National Rate 404
MORT_30_STK 13.70 No Different Than the National Rate 148
PSI_03 1.00 No Different Than the National Rate 4,848
PSI_04 241.54 Worse Than the National Rate 42
PSI_06 0.17 No Different Than the National Rate 5,725
PSI_08 0.45 No Different Than the National Rate 5,645
PSI_09 1.82 No Different Than the National Rate 1,083
PSI_10 1.54 No Different Than the National Rate 304
PSI_11 6.05 No Different Than the National Rate 309
PSI_12 2.69 No Different Than the National Rate 1,085
PSI_13 4.13 No Different Than the National Rate 251
PSI_14 1.64 No Different Than the National Rate 222
PSI_15 0.86 No Different Than the National Rate 828
PSI_90 0.95 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 79%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4%
H_COMP_1_U_P: Nurses "usually" communicated well 17%
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 2%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 15%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 78%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 5%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 17%
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 76%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 7%
H_COMP_2_U_P: Doctors "usually" communicated well 17%
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 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 73%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 20%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 71%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 8%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 21%
H_COMP_5_A_P: Staff "always" explained 55%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 26%
H_COMP_5_U_P: Staff "usually" explained 19%
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 68%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 16%
H_MED_FOR_U_P: Staff "usually" explained new medications 16%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 42%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 35%
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 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 16%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 84%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 17%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 83%
H_CLEAN_HSP_A_P: Room was "always" clean 67%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 14%
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 2
H_QUIET_HSP_A_P: "Always" quiet at night 62%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 9%
H_QUIET_HSP_U_P: "Usually" quiet at night 29%
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) 19%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 72%
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) 5%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 73%
H_RECMND_PY: "YES", patients would probably recommend the hospital 22%
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 0.152 No Different than National Benchmark
HAI_1_CIUPPER 1.151 No Different than National Benchmark
HAI_1_DOPC 7808.000 No Different than National Benchmark
HAI_1_ELIGCASES 8.386 No Different than National Benchmark
HAI_1_NUMERATOR 4.000 No Different than National Benchmark
HAI_1_SIR 0.477 No Different than National Benchmark
HAI_2_CILOWER 0.102 Better than the National Benchmark
HAI_2_CIUPPER 0.777 Better than the National Benchmark
HAI_2_DOPC 9865.000 Better than the National Benchmark
HAI_2_ELIGCASES 12.422 Better than the National Benchmark
HAI_2_NUMERATOR 4.000 Better than the National Benchmark
HAI_2_SIR 0.322 Better than the National Benchmark
HAI_3_CILOWER 0.261 No Different than National Benchmark
HAI_3_CIUPPER 1.980 No Different than National Benchmark
HAI_3_DOPC 176.000 No Different than National Benchmark
HAI_3_ELIGCASES 4.872 No Different than National Benchmark
HAI_3_NUMERATOR 4.000 No Different than National Benchmark
HAI_3_SIR 0.821 No Different than National Benchmark
HAI_4_CILOWER 1.206 Worse than the National Benchmark
HAI_4_CIUPPER 5.456 Worse than the National Benchmark
HAI_4_DOPC 262.000 Worse than the National Benchmark
HAI_4_ELIGCASES 2.538 Worse than the National Benchmark
HAI_4_NUMERATOR 7.000 Worse than the National Benchmark
HAI_4_SIR 2.758 Worse than the National Benchmark
HAI_5_CILOWER 0.675 No Different than National Benchmark
HAI_5_CIUPPER 2.541 No Different than National Benchmark
HAI_5_DOPC 90552.000 No Different than National Benchmark
HAI_5_ELIGCASES 6.500 No Different than National Benchmark
HAI_5_NUMERATOR 9.000 No Different than National Benchmark
HAI_5_SIR 1.385 No Different than National Benchmark
HAI_6_CILOWER 0.077 Better than the National Benchmark
HAI_6_CIUPPER 0.350 Better than the National Benchmark
HAI_6_DOPC 85266.000 Better than the National Benchmark
HAI_6_ELIGCASES 39.544 Better than the National Benchmark
HAI_6_NUMERATOR 7.000 Better than the National Benchmark
HAI_6_SIR 0.177 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 91.0 Healthcare Personnel Vaccination
OP_18a 154.0 Emergency Department
OP_18b 152.0 Emergency Department
OP_18c 192.0 Emergency Department
OP_18d Emergency Department
OP_22 0.0 Emergency Department
OP_23 79.0 Emergency Department
OP_29 95.0 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 50.0 Sepsis Care
SEP_SH_3HR 52.0 Sepsis Care
SEP_SH_6HR 94.0 Sepsis Care
SEV_SEP_3HR 71.0 Sepsis Care
SEV_SEP_6HR 86.0 Sepsis Care
STK_02 96.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 93.0 Electronic Clinical Quality Measure
VTE_2 95.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 28.20 More Days Than Average per 100 Discharges
EDAC_30_HF 17.50 More Days Than Average per 100 Discharges
EDAC_30_PN 8.80 Average Days per 100 Discharges
Hybrid_HWR 15.20 No Different Than the National Rate
OP_32 13.10 No Different Than the National Rate
OP_35_ADM 9.50 No Different Than the National Rate
OP_35_ED 4.80 No Different Than the National Rate
OP_36 1.10 No Different than expected
READM_30_AMI 13.90 No Different Than the National Rate
READM_30_CABG Number of Cases Too Small
READM_30_COPD 20.60 No Different Than the National Rate
READM_30_HF 20.60 No Different Than the National Rate
READM_30_HIP_KNEE 5.00 No Different Than the National Rate
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
0.99

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 91 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.19 metrics.cost_to_charge_ratio
Cost Report Current Ratio 9.36 metrics.current_ratio
Cost Report Employees per Bed 10.47 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $502,745,796 metrics.fund_balance
Cost Report Net Income ($) $56,957,164 metrics.net_income
Cost Report Net Patient Revenue ($) $485,730,076 metrics.net_patient_revenue
Cost Report Operating Margin (%) 7.7% metrics.operating_margin
Cost Report Total Assets ($) $748,440,346 metrics.total_assets
Cost Report Total Costs ($) $429,959,045 metrics.total_costs
Cost Report Total Liabilities ($) $245,694,550 metrics.total_liabilities
Cost Report Total Margin (%) 11.3% metrics.total_margin
Cost Report Uncompensated Care (%) 9.3% metrics.uncompensated_care_pct
General Information Address 304 TURNER MCCALL BOULEVARD Address
General Information City/Town ROME 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 8 Count of Facility Safety Measures
General Information Count of Facility TE Measures 11 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 7 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 1 Count of Safety Measures Better
General Information Count of Safety Measures No Different 7 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish FLOYD County/Parish
General Information Emergency Services No Emergency Services
General Information Facility ID 110054 Facility ID
General Information Facility Name ATRIUM HEALTH FLOYD MEDICAL CENTER 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 Government - Hospital District or Authority 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) 509-6900 Telephone Number
General Information ZIP Code 30162 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.51 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.35 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.88 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 1.58 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.63 measures.ssi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 0.55 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 p69 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.5% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 144 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 14.9% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.12 0.9969 p98 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 20.1% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 201 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 54 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 22.5% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.05 0.9983 p79 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.7% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 401 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 91 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.7% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.04 0.9916 p64 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 6.5% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 6.8% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.00 0.9955 p54 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.4% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 395 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 65 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.4% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 5.00 5.00 p47 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 5.00 2.50 p56 efficiency_score
Value-Based Purchasing Person & Community Engagement 7.25 8.75 p37 person_community_score
Value-Based Purchasing Safety 6.25 10.00 p19 safety_score
Value-Based Purchasing Total Performance Score 23.50 29.50 p28 total_performance_score
Methodology

Full methodology →