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

Overview

Address
3330 MASONIC DRIVE, ALEXANDRIA, LA 71301
Phone
(318) 487-1122
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
2 /5
CMS Overall Rating
p7
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
7
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
5
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
9
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) 407 discharges
0.9642 p26
Heart Failure 468 discharges
1.0205 p64
Pneumonia 567 discharges
0.9507 p20
COPD 127 discharges
1.0018 p54
Hip/Knee Replacement
— Not reported
CABG Surgery
1.0919 p84
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.

26.1 p37
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
3.0 p30
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
13.3 p70
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
9.8 p58
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
0.0 p0
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: 1.0919
Value-Based Purchasing
26.1 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: 0.2281

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 4.80 No Different Than the National Rate 1,748
MORT_30_AMI 13.40 No Different Than the National Rate 372
MORT_30_CABG 4.60 No Different Than the National Rate 58
MORT_30_COPD 8.20 No Different Than the National Rate 119
MORT_30_HF 10.70 No Different Than the National Rate 386
MORT_30_PN 16.40 No Different Than the National Rate 520
MORT_30_STK 13.10 No Different Than the National Rate 244
PSI_03 0.33 No Different Than the National Rate 5,952
PSI_04 182.28 No Different Than the National Rate 110
PSI_06 0.20 No Different Than the National Rate 7,211
PSI_08 0.25 No Different Than the National Rate 7,493
PSI_09 1.76 No Different Than the National Rate 1,192
PSI_10 2.30 No Different Than the National Rate 369
PSI_11 12.28 No Different Than the National Rate 396
PSI_12 3.69 No Different Than the National Rate 1,304
PSI_13 6.22 No Different Than the National Rate 364
PSI_14 1.96 No Different Than the National Rate 269
PSI_15 1.07 No Different Than the National Rate 1,398
PSI_90 1.04 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 80%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6%
H_COMP_1_U_P: Nurses "usually" communicated well 14%
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 87%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 5%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 8%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 78%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 15%
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 82%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6%
H_COMP_2_U_P: Doctors "usually" communicated well 12%
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 4%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 9%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 82%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 11%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 78%
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 16%
H_COMP_5_A_P: Staff "always" explained 60%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 21%
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 71%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 12%
H_MED_FOR_U_P: Staff "usually" explained new medications 17%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 48%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 30%
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 15%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 85%
H_CLEAN_HSP_A_P: Room was "always" clean 74%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 8%
H_CLEAN_HSP_U_P: Room was "usually" clean 18%
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 63%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 7%
H_QUIET_HSP_U_P: "Usually" quiet at night 30%
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) 10%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 18%
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) 6%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 74%
H_RECMND_PY: "YES", patients would probably recommend the hospital 20%
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 0.106 No Different than National Benchmark
HAI_1_CIUPPER 2.086 No Different than National Benchmark
HAI_1_DOPC 3722.000 No Different than National Benchmark
HAI_1_ELIGCASES 3.167 No Different than National Benchmark
HAI_1_NUMERATOR 2.000 No Different than National Benchmark
HAI_1_SIR 0.632 No Different than National Benchmark
HAI_2_CILOWER N/A Better than the National Benchmark
HAI_2_CIUPPER 0.721 Better than the National Benchmark
HAI_2_DOPC 4803.000 Better than the National Benchmark
HAI_2_ELIGCASES 4.154 Better than the National Benchmark
HAI_2_NUMERATOR 0.000 Better than the National Benchmark
HAI_2_SIR 0.000 Better than the National Benchmark
HAI_3_CILOWER N/A No Different than National Benchmark
HAI_3_CIUPPER 1.491 No Different than National Benchmark
HAI_3_DOPC 73.000 No Different than National Benchmark
HAI_3_ELIGCASES 2.009 No Different than National Benchmark
HAI_3_NUMERATOR 0.000 No Different than National Benchmark
HAI_3_SIR 0.000 No Different than National Benchmark
HAI_4_CILOWER 0.038 No Different than National Benchmark
HAI_4_CIUPPER 3.748 No Different than National Benchmark
HAI_4_DOPC 152.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.316 No Different than National Benchmark
HAI_4_NUMERATOR 1.000 No Different than National Benchmark
HAI_4_SIR 0.760 No Different than National Benchmark
HAI_5_CILOWER 0.385 No Different than National Benchmark
HAI_5_CIUPPER 2.328 No Different than National Benchmark
HAI_5_DOPC 70501.000 No Different than National Benchmark
HAI_5_ELIGCASES 4.760 No Different than National Benchmark
HAI_5_NUMERATOR 5.000 No Different than National Benchmark
HAI_5_SIR 1.050 No Different than National Benchmark
HAI_6_CILOWER 0.018 Better than the National Benchmark
HAI_6_CIUPPER 0.189 Better than the National Benchmark
HAI_6_DOPC 66734.000 Better than the National Benchmark
HAI_6_ELIGCASES 43.219 Better than the National Benchmark
HAI_6_NUMERATOR 3.000 Better than the National Benchmark
HAI_6_SIR 0.069 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 8.0 Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 82.0 Healthcare Personnel Vaccination
OP_18a 215.0 Emergency Department
OP_18b 208.0 Emergency Department
OP_18c 386.0 Emergency Department
OP_18d Emergency Department
OP_22 1.0 Emergency Department
OP_23 88.0 Emergency Department
OP_29 85.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 14.0 Electronic Clinical Quality Measure
SEP_1 86.0 Sepsis Care
SEP_SH_3HR 91.0 Sepsis Care
SEP_SH_6HR 100.0 Sepsis Care
SEV_SEP_3HR 92.0 Sepsis Care
SEV_SEP_6HR 97.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 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 13.50 More Days Than Average per 100 Discharges
EDAC_30_HF 14.20 More Days Than Average per 100 Discharges
EDAC_30_PN -5.20 Average Days per 100 Discharges
Hybrid_HWR 16.40 Worse Than the National Rate
OP_32 12.50 No Different Than the National Rate
OP_35_ADM 10.50 No Different Than the National Rate
OP_35_ED 4.70 No Different Than the National Rate
OP_36 1.00 No Different than expected
READM_30_AMI 13.10 No Different Than the National Rate
READM_30_CABG 11.60 No Different Than the National Rate
READM_30_COPD 18.20 No Different Than the National Rate
READM_30_HF 20.30 No Different Than the National Rate
READM_30_HIP_KNEE Number of Cases Too Small
READM_30_PN 15.20 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
1.06

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 91 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.16 metrics.cost_to_charge_ratio
Cost Report Current Ratio 3.78 metrics.current_ratio
Cost Report Employees per Bed 4.91 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $126,663,871 metrics.fund_balance
Cost Report Net Income ($) $26,624,279 metrics.net_income
Cost Report Net Patient Revenue ($) $360,372,381 metrics.net_patient_revenue
Cost Report Operating Margin (%) 2.1% metrics.operating_margin
Cost Report Total Assets ($) $166,804,076 metrics.total_assets
Cost Report Total Costs ($) $343,200,422 metrics.total_costs
Cost Report Total Liabilities ($) $40,140,205 metrics.total_liabilities
Cost Report Total Margin (%) 7.0% metrics.total_margin
Cost Report Uncompensated Care (%) 3.5% metrics.uncompensated_care_pct
General Information Address 3330 MASONIC DRIVE Address
General Information City/Town ALEXANDRIA 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 10 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 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 7 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 9 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 5 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 Count of Safety Measures Worse
General Information County/Parish RAPIDES County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 190019 Facility ID
General Information Facility Name CHRISTUS ST FRANCES CABRINI HOSPITAL Facility Name
General Information Hospital overall rating 2 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 LA State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (318) 487-1122 Telephone Number
General Information ZIP Code 71301 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.11 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.26 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.85 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 2.03 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.67 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score 0.23 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 1.06 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.96 0.9995 p26 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 15.0% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 407 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 57 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.5% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.09 1.0000 p84 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.3% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 12.4% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.00 0.9969 p54 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.0% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 127 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 23 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 18.0% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.02 0.9983 p64 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.0% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 468 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 97 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 20.4% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.95 0.9955 p20 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.6% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 567 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 86 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.8% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 3.00 5.00 p30 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 9.75 8.75 p58 person_community_score
Value-Based Purchasing Safety 13.33 10.00 p70 safety_score
Value-Based Purchasing Total Performance Score 26.08 29.50 p37 total_performance_score
Methodology

Full methodology →