Hospital

MCLAREN MACOMB

CCN: 230227 · MOUNT CLEMENS, MI 48043 · MACOMB County

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

Overview

Address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043
Phone
(586) 493-8000
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
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 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 6 of 8 measures reported
1
4
1
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) 161 discharges
1.0805 p89
Heart Failure 447 discharges
1.0477 p77
Pneumonia 330 discharges
0.9953 p49
COPD 144 discharges
0.9780 p31
Hip/Knee Replacement
— Not reported
CABG Surgery
0.9920 p46
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: 1.0805
Value-Based Purchasing
—
HAC Reduction
Payment Reduced
HAC Score: 0.7710

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 4.30 No Different Than the National Rate 1,145
MORT_30_AMI 12.10 No Different Than the National Rate 153
MORT_30_CABG 2.10 No Different Than the National Rate 30
MORT_30_COPD 10.10 No Different Than the National Rate 131
MORT_30_HF 10.70 No Different Than the National Rate 386
MORT_30_PN 18.30 No Different Than the National Rate 341
MORT_30_STK 13.00 No Different Than the National Rate 241
PSI_03 0.80 No Different Than the National Rate 4,429
PSI_04 138.61 No Different Than the National Rate 74
PSI_06 0.16 No Different Than the National Rate 5,115
PSI_08 0.37 No Different Than the National Rate 5,186
PSI_09 2.28 No Different Than the National Rate 1,086
PSI_10 2.92 No Different Than the National Rate 370
PSI_11 11.41 No Different Than the National Rate 367
PSI_12 3.69 No Different Than the National Rate 1,140
PSI_13 6.48 No Different Than the National Rate 354
PSI_14 1.98 No Different Than the National Rate 192
PSI_15 0.88 No Different Than the National Rate 836
PSI_90 1.21 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 73% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 8% —
H_COMP_1_U_P: Nurses "usually" communicated well 19% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 80% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 6% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 14% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 70% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 9% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 21% —
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 9% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22% —
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 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 72% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 6% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 22% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 68% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 9% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 23% —
H_COMP_5_A_P: Staff "always" explained 49% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 29% —
H_COMP_5_U_P: Staff "usually" explained 22% —
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 67% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 13% —
H_MED_FOR_U_P: Staff "usually" explained new medications 20% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 31% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 45% —
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 17% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 83% —
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 14% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 86% —
H_CLEAN_HSP_A_P: Room was "always" clean 50% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 22% —
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 41% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 20% —
H_QUIET_HSP_U_P: "Usually" quiet at night 39% —
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) 18% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 30% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 52% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 1
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 14% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 52% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 34% —
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 0.098 No Different than National Benchmark
HAI_1_CIUPPER 1.937 No Different than National Benchmark
HAI_1_DOPC 3139.000 No Different than National Benchmark
HAI_1_ELIGCASES 3.412 No Different than National Benchmark
HAI_1_NUMERATOR 2.000 No Different than National Benchmark
HAI_1_SIR 0.586 No Different than National Benchmark
HAI_2_CILOWER 0.061 No Different than National Benchmark
HAI_2_CIUPPER 1.210 No Different than National Benchmark
HAI_2_DOPC 4238.000 No Different than National Benchmark
HAI_2_ELIGCASES 5.463 No Different than National Benchmark
HAI_2_NUMERATOR 2.000 No Different than National Benchmark
HAI_2_SIR 0.366 No Different than National Benchmark
HAI_3_CILOWER 0.907 No Different than National Benchmark
HAI_3_CIUPPER 4.653 No Different than National Benchmark
HAI_3_DOPC 105.000 No Different than National Benchmark
HAI_3_ELIGCASES 2.682 No Different than National Benchmark
HAI_3_NUMERATOR 6.000 No Different than National Benchmark
HAI_3_SIR 2.237 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 73.000 —
HAI_4_ELIGCASES 0.624 —
HAI_4_NUMERATOR 4.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.350 No Different than National Benchmark
HAI_5_CIUPPER 2.654 No Different than National Benchmark
HAI_5_DOPC 58328.000 No Different than National Benchmark
HAI_5_ELIGCASES 3.635 No Different than National Benchmark
HAI_5_NUMERATOR 4.000 No Different than National Benchmark
HAI_5_SIR 1.100 No Different than National Benchmark
HAI_6_CILOWER 0.031 Better than the National Benchmark
HAI_6_CIUPPER 0.336 Better than the National Benchmark
HAI_6_DOPC 57208.000 Better than the National Benchmark
HAI_6_ELIGCASES 24.282 Better than the National Benchmark
HAI_6_NUMERATOR 3.000 Better than the National Benchmark
HAI_6_SIR 0.124 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 62.0 Healthcare Personnel Vaccination
OP_18a 172.0 Emergency Department
OP_18b 168.0 Emergency Department
OP_18c 256.0 Emergency Department
OP_18d — Emergency Department
OP_22 1.0 Emergency Department
OP_23 — Emergency Department
OP_29 89.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 60.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 17.0 Electronic Clinical Quality Measure
SEP_1 57.0 Sepsis Care
SEP_SH_3HR 73.0 Sepsis Care
SEP_SH_6HR 91.0 Sepsis Care
SEV_SEP_3HR 74.0 Sepsis Care
SEV_SEP_6HR 85.0 Sepsis Care
STK_02 90.0 Electronic Clinical Quality Measure
STK_03 54.0 Electronic Clinical Quality Measure
STK_05 88.0 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 11.50 Average Days per 100 Discharges
EDAC_30_HF 16.60 More Days Than Average per 100 Discharges
EDAC_30_PN 3.80 Average Days per 100 Discharges
Hybrid_HWR 15.20 No Different Than the National Rate
OP_32 12.90 No Different Than the National Rate
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 1.20 No Different than expected
READM_30_AMI 14.70 No Different Than the National Rate
READM_30_CABG 10.50 No Different Than the National Rate
READM_30_COPD 17.80 No Different Than the National Rate
READM_30_HF 20.40 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 15.90 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
1.02

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.

Download CSV

Show 86 rows
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 1.67 — metrics.current_ratio
Cost Report Employees per Bed 5.45 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $392,972,539 — metrics.fund_balance
Cost Report Net Income ($) $-9,574,429 — metrics.net_income
Cost Report Net Patient Revenue ($) $364,961,680 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -2.7% — metrics.operating_margin
Cost Report Total Assets ($) $637,119,175 — metrics.total_assets
Cost Report Total Costs ($) $305,669,112 — metrics.total_costs
Cost Report Total Liabilities ($) $244,146,636 — metrics.total_liabilities
Cost Report Total Margin (%) -2.6% — metrics.total_margin
Cost Report Uncompensated Care (%) 2.5% — metrics.uncompensated_care_pct
General Information Address 1000 HARRINGTON ST — Address
General Information City/Town MOUNT CLEMENS — 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 8 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 6 — 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 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 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 4 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 — Count of Safety Measures Worse
General Information County/Parish MACOMB — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 230227 — Facility ID
General Information Facility Name MCLAREN MACOMB — 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 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 (586) 493-8000 — Telephone Number
General Information ZIP Code 48043 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 1.04 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.14 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.71 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.90 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 3.71 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.77 — 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 1.02 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.08 0.9995 p89 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.8% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 161 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 28 — 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 0.99 1.0000 p46 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.8% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.7% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.98 0.9969 p31 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 22.5% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 144 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 30 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 22.0% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.05 0.9983 p77 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.8% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 447 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 101 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.8% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.00 0.9955 p49 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.1% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 330 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 56 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.1% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →