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Overview

Address
2001 W 86TH ST, INDIANAPOLIS, IN 46260
Phone
(317) 338-7000
Hospital Type
Acute Care
Ownership
Non-Profit (Church)
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
CMS Overall Rating
p30
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
6
1
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
3
5
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) 116 discharges
1.0345 p71
Heart Failure 566 discharges
1.0425 p75
Pneumonia 398 discharges
0.9664 p29
COPD 86 discharges
0.9582 p15
Hip/Knee Replacement
1.0879 p74
CABG Surgery
1.0060 p52
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)
Penalized
Worst ERR: 1.0879
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: -0.0480

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 3.60 No Different Than the National Rate 83
Hybrid_HWM 3.80 No Different Than the National Rate 1,433
MORT_30_AMI 11.30 No Different Than the National Rate 114
MORT_30_CABG 2.10 No Different Than the National Rate 51
MORT_30_COPD 11.50 No Different Than the National Rate 82
MORT_30_HF 12.50 No Different Than the National Rate 470
MORT_30_PN 17.50 No Different Than the National Rate 380
MORT_30_STK 15.80 Worse Than the National Rate 468
PSI_03 0.20 No Different Than the National Rate 7,473
PSI_04 185.99 No Different Than the National Rate 156
PSI_06 0.18 No Different Than the National Rate 8,176
PSI_08 0.22 No Different Than the National Rate 8,271
PSI_09 2.22 No Different Than the National Rate 2,908
PSI_10 1.75 No Different Than the National Rate 1,516
PSI_11 12.50 No Different Than the National Rate 1,412
PSI_12 3.85 No Different Than the National Rate 3,040
PSI_13 4.02 No Different Than the National Rate 1,490
PSI_14 1.46 No Different Than the National Rate 716
PSI_15 1.03 No Different Than the National Rate 2,101
PSI_90 0.91 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 66%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 10%
H_COMP_1_U_P: Nurses "usually" communicated well 24%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 1
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 74%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 7%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 19%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 61%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 12%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 27%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 64%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 11%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 25%
H_COMP_2_A_P: Doctors "always" communicated well 72%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 9%
H_COMP_2_U_P: Doctors "usually" communicated well 19%
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 80%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 16%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 70%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 9%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 21%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 66%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 13%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 21%
H_COMP_5_A_P: Staff "always" explained 48%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 34%
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 1
H_MED_FOR_A_P: Staff "always" explained new medications 63%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 19%
H_MED_FOR_U_P: Staff "usually" explained new medications 18%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 33%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 50%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 17%
H_COMP_6_N_P: No, staff "did not" give patients this information 20%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 80%
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 19%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 81%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 21%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 79%
H_CLEAN_HSP_A_P: Room was "always" clean 53%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 19%
H_CLEAN_HSP_U_P: Room was "usually" clean 28%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 1
H_QUIET_HSP_A_P: "Always" quiet at night 43%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 22%
H_QUIET_HSP_U_P: "Usually" quiet at night 35%
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) 19%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 22%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 59%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 2
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 12%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 60%
H_RECMND_PY: "YES", patients would probably recommend the hospital 28%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 2
H_STAR_RATING: Summary star rating 2

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 0.243 Better than the National Benchmark
HAI_1_CIUPPER 0.853 Better than the National Benchmark
HAI_1_DOPC 18318.000 Better than the National Benchmark
HAI_1_ELIGCASES 20.889 Better than the National Benchmark
HAI_1_NUMERATOR 10.000 Better than the National Benchmark
HAI_1_SIR 0.479 Better than the National Benchmark
HAI_2_CILOWER 0.412 No Different than National Benchmark
HAI_2_CIUPPER 1.187 No Different than National Benchmark
HAI_2_DOPC 12034.000 No Different than National Benchmark
HAI_2_ELIGCASES 19.324 No Different than National Benchmark
HAI_2_NUMERATOR 14.000 No Different than National Benchmark
HAI_2_SIR 0.724 No Different than National Benchmark
HAI_3_CILOWER 0.171 No Different than National Benchmark
HAI_3_CIUPPER 1.829 No Different than National Benchmark
HAI_3_DOPC 171.000 No Different than National Benchmark
HAI_3_ELIGCASES 4.465 No Different than National Benchmark
HAI_3_NUMERATOR 3.000 No Different than National Benchmark
HAI_3_SIR 0.672 No Different than National Benchmark
HAI_4_CILOWER N/A No Different than National Benchmark
HAI_4_CIUPPER 1.849 No Different than National Benchmark
HAI_4_DOPC 200.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.620 No Different than National Benchmark
HAI_4_NUMERATOR 0.000 No Different than National Benchmark
HAI_4_SIR 0.000 No Different than National Benchmark
HAI_5_CILOWER 0.511 No Different than National Benchmark
HAI_5_CIUPPER 2.090 No Different than National Benchmark
HAI_5_DOPC 108668.000 No Different than National Benchmark
HAI_5_ELIGCASES 7.270 No Different than National Benchmark
HAI_5_NUMERATOR 8.000 No Different than National Benchmark
HAI_5_SIR 1.100 No Different than National Benchmark
HAI_6_CILOWER 0.326 Better than the National Benchmark
HAI_6_CIUPPER 0.742 Better than the National Benchmark
HAI_6_DOPC 96687.000 Better than the National Benchmark
HAI_6_ELIGCASES 45.789 Better than the National Benchmark
HAI_6_NUMERATOR 23.000 Better than the National Benchmark
HAI_6_SIR 0.502 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 Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 92.0 Healthcare Personnel Vaccination
OP_18a 123.0 Emergency Department
OP_18b 123.0 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 Electronic Clinical Quality Measure
SEP_1 61.0 Sepsis Care
SEP_SH_3HR 69.0 Sepsis Care
SEP_SH_6HR 80.0 Sepsis Care
SEV_SEP_3HR 78.0 Sepsis Care
SEV_SEP_6HR 90.0 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 29.80 More Days Than Average per 100 Discharges
EDAC_30_HF 15.30 More Days Than Average per 100 Discharges
EDAC_30_PN 4.80 Average Days per 100 Discharges
Hybrid_HWR 13.90 Better Than the National Rate
OP_32 15.10 No Different Than the National Rate
OP_35_ADM 11.40 No Different Than the National Rate
OP_35_ED 5.70 No Different Than the National Rate
OP_36 0.90 No Different than expected
READM_30_AMI 14.00 No Different Than the National Rate
READM_30_CABG 10.70 No Different Than the National Rate
READM_30_COPD 17.40 No Different Than the National Rate
READM_30_HF 20.60 No Different Than the National Rate
READM_30_HIP_KNEE 5.20 No Different Than the National Rate
READM_30_PN 15.50 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
1.04
Footnote
29.00

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 90 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.20 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.39 metrics.current_ratio
Cost Report Employees per Bed 5.14 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $613,633,403 metrics.fund_balance
Cost Report Net Income ($) $75,397,624 metrics.net_income
Cost Report Net Patient Revenue ($) $1,430,556,780 metrics.net_patient_revenue
Cost Report Operating Margin (%) 0.8% metrics.operating_margin
Cost Report Total Assets ($) $1,134,966,464 metrics.total_assets
Cost Report Total Costs ($) $1,074,117,119 metrics.total_costs
Cost Report Total Liabilities ($) $521,333,061 metrics.total_liabilities
Cost Report Total Margin (%) 5.0% metrics.total_margin
Cost Report Uncompensated Care (%) 2.5% metrics.uncompensated_care_pct
General Information Address 2001 W 86TH ST Address
General Information City/Town INDIANAPOLIS 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 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 1 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 3 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 MARION County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 150084 Facility ID
General Information Facility Name ASCENSION ST VINCENT HOSPITAL Facility Name
General Information Hospital overall rating 3 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Church 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 IN State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (317) 338-7000 Telephone Number
General Information ZIP Code 46260 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.69 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.39 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.21 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 1.49 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.32 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.05 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Footnote 29 Footnote
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 1.04 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.03 0.9995 p71 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.4% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 116 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 19 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) CABG Surgery — Excess readmission ratio 1.01 1.0000 p52 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 9.6% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 9.7% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.96 0.9969 p15 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.7% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 86 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 13 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 18.9% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.04 0.9983 p75 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.5% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 566 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 124 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.4% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.09 0.9916 p74 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 9.0% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 9.8% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.97 0.9955 p29 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.7% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 398 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 62 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.2% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →