Hospital
ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER
CCN: 210057 · ROCKVILLE, MD 20850 · MONTGOMERY County
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Percentile badges compare this hospital to all 5,426 hospitals nationally.
Overview
- Address
- 9901 MEDICAL CENTER DRIVE, ROCKVILLE, MD 20850
- Phone
- (240) 826-6517
- 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 6 of 7 measures reported
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 8 of 11 measures reported
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 10 of 12 measures reported
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) 249 discharges
Heart Failure 460 discharges
Pneumonia 680 discharges
COPD 149 discharges
Hip/Knee Replacement 200 discharges
CABG Surgery
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: 1.3921
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: -0.4582
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 | 5.20 | No Different Than the National Rate | 217 |
| Hybrid_HWM | 4.40 | No Different Than the National Rate | 2,198 |
| MORT_30_AMI | 12.50 | No Different Than the National Rate | 282 |
| MORT_30_CABG | — | — | — |
| MORT_30_COPD | 10.60 | No Different Than the National Rate | 149 |
| MORT_30_HF | 11.90 | No Different Than the National Rate | 437 |
| MORT_30_PN | 17.80 | No Different Than the National Rate | 683 |
| MORT_30_STK | 13.50 | No Different Than the National Rate | 380 |
| PSI_03 | 0.64 | No Different Than the National Rate | 7,388 |
| PSI_04 | 171.55 | No Different Than the National Rate | 91 |
| PSI_06 | 0.19 | No Different Than the National Rate | 8,950 |
| PSI_08 | 0.20 | No Different Than the National Rate | 9,018 |
| PSI_09 | 1.73 | No Different Than the National Rate | 1,636 |
| PSI_10 | 1.53 | No Different Than the National Rate | 653 |
| PSI_11 | 10.72 | No Different Than the National Rate | 628 |
| PSI_12 | 2.66 | No Different Than the National Rate | 1,746 |
| PSI_13 | 5.66 | No Different Than the National Rate | 603 |
| PSI_14 | 1.65 | No Different Than the National Rate | 372 |
| PSI_15 | 0.81 | No Different Than the National Rate | 1,410 |
| PSI_90 | 0.97 | 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 | 75% | — |
| H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well | 5% | — |
| H_COMP_1_U_P: Nurses "usually" communicated well | 20% | — |
| 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 | 84% | — |
| H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect | 3% | — |
| H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect | 13% | — |
| H_NURSE_LISTEN_A_P: Nurses "always" listened carefully | 72% | — |
| H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully | 5% | — |
| H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully | 23% | — |
| H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand | 69% | — |
| 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 | 25% | — |
| H_COMP_2_A_P: Doctors "always" communicated well | 74% | — |
| H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well | 7% | — |
| 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 | 81% | — |
| 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 | 14% | — |
| H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully | 72% | — |
| H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully | 8% | — |
| H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully | 20% | — |
| H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand | 69% | — |
| H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand | 7% | — |
| H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand | 24% | — |
| H_COMP_5_A_P: Staff "always" explained | 57% | — |
| H_COMP_5_SN_P: Staff "sometimes" or "never" explained | 23% | — |
| 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 | 73% | — |
| H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications | 11% | — |
| H_MED_FOR_U_P: Staff "usually" explained new medications | 16% | — |
| 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 | 35% | — |
| H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects | 24% | — |
| H_COMP_6_N_P: No, staff "did not" give patients this information | 14% | — |
| H_COMP_6_Y_P: Yes, staff "did" give patients this information | 86% | — |
| 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 | 12% | — |
| H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms | 88% | — |
| H_CLEAN_HSP_A_P: Room was "always" clean | 72% | — |
| H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean | 8% | — |
| H_CLEAN_HSP_U_P: Room was "usually" clean | 20% | — |
| H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score | — | — |
| H_CLEAN_STAR_RATING: Cleanliness - star rating | — | 3 |
| H_QUIET_HSP_A_P: "Always" quiet at night | 57% | — |
| H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night | 9% | — |
| H_QUIET_HSP_U_P: "Usually" quiet at night | 34% | — |
| 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) | 24% | — |
| H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) | 67% | — |
| 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) | 7% | — |
| H_RECMND_DY: "YES", patients would definitely recommend the hospital | 67% | — |
| H_RECMND_PY: "YES", patients would probably recommend the hospital | 26% | — |
| H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score | — | — |
| H_RECMND_STAR_RATING: Recommend hospital - star rating | — | 3 |
| 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 | 0.008 | Better than the National Benchmark |
| HAI_1_CIUPPER | 0.794 | Better than the National Benchmark |
| HAI_1_DOPC | 6366.000 | Better than the National Benchmark |
| HAI_1_ELIGCASES | 6.208 | Better than the National Benchmark |
| HAI_1_NUMERATOR | 1.000 | Better than the National Benchmark |
| HAI_1_SIR | 0.161 | Better than the National Benchmark |
| HAI_2_CILOWER | 0.076 | No Different than National Benchmark |
| HAI_2_CIUPPER | 1.494 | No Different than National Benchmark |
| HAI_2_DOPC | 4375.000 | No Different than National Benchmark |
| HAI_2_ELIGCASES | 4.424 | No Different than National Benchmark |
| HAI_2_NUMERATOR | 2.000 | No Different than National Benchmark |
| HAI_2_SIR | 0.452 | No Different than National Benchmark |
| HAI_3_CILOWER | N/A | Better than the National Benchmark |
| HAI_3_CIUPPER | 0.776 | Better than the National Benchmark |
| HAI_3_DOPC | 145.000 | Better than the National Benchmark |
| HAI_3_ELIGCASES | 3.861 | Better than the National Benchmark |
| HAI_3_NUMERATOR | 0.000 | Better than the National Benchmark |
| HAI_3_SIR | 0.000 | Better than the National Benchmark |
| HAI_4_CILOWER | — | — |
| HAI_4_CIUPPER | — | — |
| HAI_4_DOPC | 33.000 | — |
| HAI_4_ELIGCASES | 0.279 | — |
| HAI_4_NUMERATOR | 0.000 | — |
| HAI_4_SIR | — | — |
| HAI_5_CILOWER | 0.193 | No Different than National Benchmark |
| HAI_5_CIUPPER | 1.463 | No Different than National Benchmark |
| HAI_5_DOPC | 106145.000 | No Different than National Benchmark |
| HAI_5_ELIGCASES | 6.594 | No Different than National Benchmark |
| HAI_5_NUMERATOR | 4.000 | No Different than National Benchmark |
| HAI_5_SIR | 0.607 | No Different than National Benchmark |
| HAI_6_CILOWER | 0.242 | Better than the National Benchmark |
| HAI_6_CIUPPER | 0.615 | Better than the National Benchmark |
| HAI_6_DOPC | 92667.000 | Better than the National Benchmark |
| HAI_6_ELIGCASES | 45.392 | Better than the National Benchmark |
| HAI_6_NUMERATOR | 18.000 | Better than the National Benchmark |
| HAI_6_SIR | 0.397 | 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 | 9.0 | Electronic Clinical Quality Measure |
| HH_HYPO | 2.0 | Electronic Clinical Quality Measure |
| HH_ORAE | — | Electronic Clinical Quality Measure |
| IMM_3 | 100.0 | Healthcare Personnel Vaccination |
| OP_18a | 206.0 | Emergency Department |
| OP_18b | 203.0 | Emergency Department |
| OP_18c | 339.0 | Emergency Department |
| OP_18d | — | Emergency Department |
| OP_22 | 1.0 | Emergency Department |
| OP_23 | 64.0 | Emergency Department |
| OP_29 | 99.0 | Colonoscopy care |
| OP_31 | — | Cataract surgery outcome |
| OP_40 | 79.0 | Electronic Clinical Quality Measure |
| SAFE_USE_OF_OPIOIDS | 12.0 | Electronic Clinical Quality Measure |
| SEP_1 | 80.0 | Sepsis Care |
| SEP_SH_3HR | 91.0 | Sepsis Care |
| SEP_SH_6HR | 95.0 | Sepsis Care |
| SEV_SEP_3HR | 92.0 | Sepsis Care |
| SEV_SEP_6HR | 93.0 | 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 | 98.0 | Electronic Clinical Quality Measure |
Unplanned Hospital Visits
Readmission and ED return rates within 30 days of discharge.
| Measure | Score | vs. National |
|---|---|---|
| EDAC_30_AMI | 26.30 | More Days Than Average per 100 Discharges |
| EDAC_30_HF | 21.90 | More Days Than Average per 100 Discharges |
| EDAC_30_PN | 34.80 | More Days Than Average per 100 Discharges |
| Hybrid_HWR | 14.50 | No Different Than the National Rate |
| OP_32 | 13.00 | 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 | 13.30 | No Different Than the National Rate |
| READM_30_CABG | — | — |
| READM_30_COPD | 17.50 | No Different Than the National Rate |
| READM_30_HF | 19.00 | No Different Than the National Rate |
| READM_30_HIP_KNEE | 6.70 | No Different Than the National Rate |
| READM_30_PN | 16.80 | No Different Than the National Rate |
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.
Show 83 rows
| Source | Metric | Value | National Median | Pctl. | Raw key |
|---|---|---|---|---|---|
| Cost Report | Cost-to-Charge Ratio | 0.69 | — | metrics.cost_to_charge_ratio | |
| Cost Report | Current Ratio | 4.03 | — | metrics.current_ratio | |
| Cost Report | Employees per Bed | 5.04 | — | metrics.employees_per_bed | |
| Cost Report | fiscal_year | 2,023 | — | fiscal_year | |
| Cost Report | Fund Balance ($) | $367,497,440 | — | metrics.fund_balance | |
| Cost Report | Net Income ($) | $31,917,754 | — | metrics.net_income | |
| Cost Report | Net Patient Revenue ($) | $455,534,469 | — | metrics.net_patient_revenue | |
| Cost Report | Operating Margin (%) | 0.2% | — | metrics.operating_margin | |
| Cost Report | Total Assets ($) | $760,189,515 | — | metrics.total_assets | |
| Cost Report | Total Costs ($) | $382,546,120 | — | metrics.total_costs | |
| Cost Report | Total Liabilities ($) | $392,692,075 | — | metrics.total_liabilities | |
| Cost Report | Total Margin (%) | 6.6% | — | metrics.total_margin | |
| General Information | Address | 9901 MEDICAL CENTER DRIVE | — | Address | |
| General Information | City/Town | ROCKVILLE | — | 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 | 1 | — | 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 | 0 | — | Count of READM Measures Worse | |
| General Information | Count of Safety Measures Better | 2 | — | 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 | MONTGOMERY | — | County/Parish | |
| General Information | Emergency Services | Yes | — | Emergency Services | |
| General Information | Facility ID | 210057 | — | Facility ID | |
| General Information | Facility Name | ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER | — | 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 | MD | — | State | |
| General Information | TE Group Footnote | — | — | TE Group Footnote | |
| General Information | TE Group Measure Count | 12 | — | TE Group Measure Count | |
| General Information | Telephone Number | (240) 826-6517 | — | Telephone Number | |
| General Information | ZIP Code | 20850 | — | ZIP Code | |
| HAC Reduction Program | fiscal_year | 2,026 | — | fiscal_year | |
| HAC Reduction Program | measures — cauti — sir | 0.30 | — | measures.cauti.sir | |
| HAC Reduction Program | measures — cdi — sir | 0.31 | — | measures.cdi.sir | |
| HAC Reduction Program | measures — clabsi — sir | 0.56 | — | measures.clabsi.sir | |
| HAC Reduction Program | measures — mrsa — sir | 0.37 | — | measures.mrsa.sir | |
| HAC Reduction Program | measures — ssi — sir | 0.25 | — | measures.ssi.sir | |
| HAC Reduction Program | payment_reduction | No | — | payment_reduction | |
| HAC Reduction Program | total_hac_score | -0.46 | — | total_hac_score | |
| Readmissions (HRRP) | Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio | 0.98 | 0.9995 | p37 | READM-30-AMI-HRRP.excess_readmission_ratio |
| Readmissions (HRRP) | Acute Myocardial Infarction (Heart Attack) — Expected readmission rate | 13.0% | — | READM-30-AMI-HRRP.expected_readmission_rate | |
| Readmissions (HRRP) | Acute Myocardial Infarction (Heart Attack) — Number of discharges | 249 | — | READM-30-AMI-HRRP.num_discharges | |
| Readmissions (HRRP) | Acute Myocardial Infarction (Heart Attack) — Number of readmissions | 31 | — | READM-30-AMI-HRRP.num_readmissions | |
| Readmissions (HRRP) | Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate | 12.8% | — | READM-30-AMI-HRRP.predicted_readmission_rate | |
| Readmissions (HRRP) | COPD — Excess readmission ratio | 0.96 | 0.9969 | p18 | READM-30-COPD-HRRP.excess_readmission_ratio |
| Readmissions (HRRP) | COPD — Expected readmission rate | 18.7% | — | READM-30-COPD-HRRP.expected_readmission_rate | |
| Readmissions (HRRP) | COPD — Number of discharges | 149 | — | READM-30-COPD-HRRP.num_discharges | |
| Readmissions (HRRP) | COPD — Number of readmissions | 24 | — | 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 | 0.97 | 0.9983 | p30 | READM-30-HF-HRRP.excess_readmission_ratio |
| Readmissions (HRRP) | Heart Failure — Expected readmission rate | 19.1% | — | READM-30-HF-HRRP.expected_readmission_rate | |
| Readmissions (HRRP) | Heart Failure — Number of discharges | 460 | — | READM-30-HF-HRRP.num_discharges | |
| Readmissions (HRRP) | Heart Failure — Number of readmissions | 83 | — | READM-30-HF-HRRP.num_readmissions | |
| Readmissions (HRRP) | Heart Failure — Predicted readmission rate | 18.5% | — | READM-30-HF-HRRP.predicted_readmission_rate | |
| Readmissions (HRRP) | Hip/Knee Replacement — Excess readmission ratio | 1.39 | 0.9916 | p98 | READM-30-HIP-KNEE-HRRP.excess_readmission_ratio |
| Readmissions (HRRP) | Hip/Knee Replacement — Expected readmission rate | 5.1% | — | READM-30-HIP-KNEE-HRRP.expected_readmission_rate | |
| Readmissions (HRRP) | Hip/Knee Replacement — Number of discharges | 200 | — | READM-30-HIP-KNEE-HRRP.num_discharges | |
| Readmissions (HRRP) | Hip/Knee Replacement — Number of readmissions | 18 | — | READM-30-HIP-KNEE-HRRP.num_readmissions | |
| Readmissions (HRRP) | Hip/Knee Replacement — Predicted readmission rate | 7.1% | — | READM-30-HIP-KNEE-HRRP.predicted_readmission_rate | |
| Readmissions (HRRP) | Pneumonia — Excess readmission ratio | 1.05 | 0.9955 | p78 | READM-30-PN-HRRP.excess_readmission_ratio |
| Readmissions (HRRP) | Pneumonia — Expected readmission rate | 15.4% | — | READM-30-PN-HRRP.expected_readmission_rate | |
| Readmissions (HRRP) | Pneumonia — Number of discharges | 680 | — | READM-30-PN-HRRP.num_discharges | |
| Readmissions (HRRP) | Pneumonia — Number of readmissions | 113 | — | READM-30-PN-HRRP.num_readmissions | |
| Readmissions (HRRP) | Pneumonia — Predicted readmission rate | 16.2% | — | READM-30-PN-HRRP.predicted_readmission_rate |
Methodology
- Hospital General Information (dataset:
xubh-q36u, vintage: 2026, downloaded: 2026-04-13) - Hospital Readmissions Reduction Program (dataset:
hrrp, vintage: FY2026, downloaded: 2026-04-13) - Timely and Effective Care — Hospital (dataset:
hosp-timely-care, vintage: 2026, downloaded: 2026-04-13) - Complications and Deaths — Hospital (dataset:
hosp-complications, vintage: 2026, downloaded: 2026-04-13) - Patient Survey (HCAHPS) — Hospital (dataset:
hosp-hcahps, vintage: 2026, downloaded: 2026-04-13) - Healthcare Associated Infections — Hospital (dataset:
hosp-hai, vintage: 2026, downloaded: 2026-04-13) - Unplanned Hospital Visits — Hospital (dataset:
hosp-unplanned-visits, vintage: 2026, downloaded: 2026-04-13) - Hospital Provider Cost Report (dataset:
hosp-cost-report, vintage: 2023, downloaded: 2026-04-13) - Hospital-Acquired Condition (HAC) Reduction Program (dataset:
hac-reduction, vintage: FY2026, downloaded: 2026-04-13)