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Overview

Address
1221 PINE GROVE AVE, PORT HURON, MI 48061
Phone
(810) 987-5000
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
5
2
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
7
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
11
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 12 of 12 measures reported
12 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) 211 discharges
1.0561 p81
Heart Failure 417 discharges
0.9681 p29
Pneumonia 368 discharges
0.9402 p15
COPD 200 discharges
1.0539 p87
Hip/Knee Replacement
1.1862 p88
CABG Surgery
0.9741 p39
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: 1.1862
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: -0.1864

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 47
Hybrid_HWM 4.60 No Different Than the National Rate 1,042
MORT_30_AMI 13.80 No Different Than the National Rate 213
MORT_30_CABG 2.70 No Different Than the National Rate 27
MORT_30_COPD 9.00 No Different Than the National Rate 188
MORT_30_HF 13.60 No Different Than the National Rate 369
MORT_30_PN 20.00 Worse Than the National Rate 356
MORT_30_STK 13.50 No Different Than the National Rate 155
PSI_03 0.22 No Different Than the National Rate 3,635
PSI_04 176.73 No Different Than the National Rate 36
PSI_06 0.17 No Different Than the National Rate 4,208
PSI_08 0.31 No Different Than the National Rate 4,301
PSI_09 2.39 No Different Than the National Rate 908
PSI_10 1.50 No Different Than the National Rate 346
PSI_11 9.39 No Different Than the National Rate 326
PSI_12 3.14 No Different Than the National Rate 934
PSI_13 5.88 No Different Than the National Rate 309
PSI_14 1.64 No Different Than the National Rate 245
PSI_15 0.89 No Different Than the National Rate 626
PSI_90 0.87 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 78%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4%
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 88%
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 9%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 75%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 5%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 20%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 72%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 5%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23%
H_COMP_2_A_P: Doctors "always" communicated well 75%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6%
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 83%
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 13%
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 69%
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 23%
H_COMP_5_A_P: Staff "always" explained 59%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 23%
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 2
H_MED_FOR_A_P: Staff "always" explained new medications 75%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11%
H_MED_FOR_U_P: Staff "usually" explained new medications 14%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 43%
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 22%
H_COMP_6_N_P: No, staff "did not" give patients this information 13%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 87%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 4
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 14%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 86%
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 69%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 10%
H_CLEAN_HSP_U_P: Room was "usually" clean 21%
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 60%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 11%
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) 11%
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) 65%
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 58%
H_RECMND_PY: "YES", patients would probably recommend the hospital 36%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 2
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 0.021 No Different than National Benchmark
HAI_1_CIUPPER 2.090 No Different than National Benchmark
HAI_1_DOPC 3280.000 No Different than National Benchmark
HAI_1_ELIGCASES 2.360 No Different than National Benchmark
HAI_1_NUMERATOR 1.000 No Different than National Benchmark
HAI_1_SIR 0.424 No Different than National Benchmark
HAI_2_CILOWER 0.189 No Different than National Benchmark
HAI_2_CIUPPER 2.024 No Different than National Benchmark
HAI_2_DOPC 5799.000 No Different than National Benchmark
HAI_2_ELIGCASES 4.034 No Different than National Benchmark
HAI_2_NUMERATOR 3.000 No Different than National Benchmark
HAI_2_SIR 0.744 No Different than National Benchmark
HAI_3_CILOWER N/A No Different than National Benchmark
HAI_3_CIUPPER 1.282 No Different than National Benchmark
HAI_3_DOPC 89.000 No Different than National Benchmark
HAI_3_ELIGCASES 2.337 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
HAI_4_CIUPPER
HAI_4_DOPC 47.000
HAI_4_ELIGCASES 0.403
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER 0.205 No Different than National Benchmark
HAI_5_CIUPPER 2.195 No Different than National Benchmark
HAI_5_DOPC 49340.000 No Different than National Benchmark
HAI_5_ELIGCASES 3.719 No Different than National Benchmark
HAI_5_NUMERATOR 3.000 No Different than National Benchmark
HAI_5_SIR 0.807 No Different than National Benchmark
HAI_6_CILOWER 0.292 Better than the National Benchmark
HAI_6_CIUPPER 0.965 Better than the National Benchmark
HAI_6_DOPC 47667.000 Better than the National Benchmark
HAI_6_ELIGCASES 19.819 Better than the National Benchmark
HAI_6_NUMERATOR 11.000 Better than the National Benchmark
HAI_6_SIR 0.555 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 medium 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 42.0 Healthcare Personnel Vaccination
OP_18a 216.0 Emergency Department
OP_18b 212.0 Emergency Department
OP_18c 339.0 Emergency Department
OP_18d Emergency Department
OP_22 1.0 Emergency Department
OP_23 Emergency Department
OP_29 81.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 41.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 17.0 Electronic Clinical Quality Measure
SEP_1 71.0 Sepsis Care
SEP_SH_3HR 88.0 Sepsis Care
SEP_SH_6HR 94.0 Sepsis Care
SEV_SEP_3HR 78.0 Sepsis Care
SEV_SEP_6HR 95.0 Sepsis Care
STK_02 93.0 Electronic Clinical Quality Measure
STK_03 69.0 Electronic Clinical Quality Measure
STK_05 92.0 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 24.50 More Days Than Average per 100 Discharges
EDAC_30_HF -8.60 Average Days per 100 Discharges
EDAC_30_PN 5.00 Average Days per 100 Discharges
Hybrid_HWR 15.20 No Different Than the National Rate
OP_32 13.40 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 14.30 No Different Than the National Rate
READM_30_CABG 10.30 No Different Than the National Rate
READM_30_COPD 19.30 No Different Than the National Rate
READM_30_HF 19.10 No Different Than the National Rate
READM_30_HIP_KNEE 5.70 No Different Than the National Rate
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
0.94

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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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.27 metrics.cost_to_charge_ratio
Cost Report Current Ratio 2.24 metrics.current_ratio
Cost Report Employees per Bed 6.29 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $289,394,156 metrics.fund_balance
Cost Report Net Income ($) $-14,036,227 metrics.net_income
Cost Report Net Patient Revenue ($) $225,385,552 metrics.net_patient_revenue
Cost Report Operating Margin (%) -2.5% metrics.operating_margin
Cost Report Total Assets ($) $382,790,806 metrics.total_assets
Cost Report Total Costs ($) $200,507,546 metrics.total_costs
Cost Report Total Liabilities ($) $93,396,650 metrics.total_liabilities
Cost Report Total Margin (%) -6.5% metrics.total_margin
Cost Report Uncompensated Care (%) 2.4% metrics.uncompensated_care_pct
General Information Address 1221 PINE GROVE AVE Address
General Information City/Town PORT HURON 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 7 Count of Facility Safety Measures
General Information Count of Facility TE Measures 12 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 5 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 2 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 11 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 0 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 WAYNE County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 230216 Facility ID
General Information Facility Name MCLAREN PORT HURON 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 MI State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (810) 987-5000 Telephone Number
General Information ZIP Code 48061 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.61 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.56 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.52 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.57 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.45 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.19 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 0.94 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.06 0.9995 p81 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.9% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 211 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 36 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 15.7% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.97 1.0000 p39 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.6% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.3% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.05 0.9969 p87 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.5% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 200 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 43 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.5% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.97 0.9983 p29 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 21.1% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 417 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 20.5% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.19 0.9916 p88 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.7% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 6.7% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.94 0.9955 p15 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.7% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 368 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 57 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.6% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →