Hospital

ASCENSION PROVIDENCE ROCHESTER HOSPITAL

CCN: 230254 · ROCHESTER, MI 48307 · OAKLAND County

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

Overview

Address
1101 W UNIVERSITY DRIVE, ROCHESTER, MI 48307
Phone
(248) 652-5000
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
7
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
1
6
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 9 of 11 measures reported
8
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) 107 discharges
0.9733 p31
Heart Failure 286 discharges
1.0270 p67
Pneumonia 322 discharges
0.9826 p40
COPD 95 discharges
0.9901 p43
Hip/Knee Replacement
1.1078 p78
CABG Surgery
0.9905 p45
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: 1.1078
Value-Based Purchasing
—
HAC Reduction
Payment Reduced
HAC Score: 0.4946

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 4.50 No Different Than the National Rate 94
Hybrid_HWM 3.80 No Different Than the National Rate 649
MORT_30_AMI 12.80 No Different Than the National Rate 121
MORT_30_CABG 2.80 No Different Than the National Rate 38
MORT_30_COPD 7.90 No Different Than the National Rate 81
MORT_30_HF 10.70 No Different Than the National Rate 242
MORT_30_PN 17.40 No Different Than the National Rate 314
MORT_30_STK 12.40 No Different Than the National Rate 134
PSI_03 0.57 No Different Than the National Rate 2,884
PSI_04 182.37 No Different Than the National Rate 38
PSI_06 0.35 No Different Than the National Rate 3,733
PSI_08 0.35 No Different Than the National Rate 3,772
PSI_09 2.27 No Different Than the National Rate 737
PSI_10 1.55 No Different Than the National Rate 324
PSI_11 10.64 No Different Than the National Rate 338
PSI_12 3.31 No Different Than the National Rate 794
PSI_13 5.24 No Different Than the National Rate 314
PSI_14 1.69 No Different Than the National Rate 141
PSI_15 1.20 No Different Than the National Rate 599
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 72% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 7% —
H_COMP_1_U_P: Nurses "usually" communicated well 21% —
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 79% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 4% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 17% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 71% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 8% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 21% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 67% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 10% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23% —
H_COMP_2_A_P: Doctors "always" communicated well 71% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 8% —
H_COMP_2_U_P: Doctors "usually" communicated well 21% —
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 82% —
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 13% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 67% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 9% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 24% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 63% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 10% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 27% —
H_COMP_5_A_P: Staff "always" explained 51% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 31% —
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 65% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 16% —
H_MED_FOR_U_P: Staff "usually" explained new medications 19% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 37% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 46% —
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 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 15% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 85% —
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 65% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 13% —
H_CLEAN_HSP_U_P: Room was "usually" clean 22% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 2
H_QUIET_HSP_A_P: "Always" quiet at night 48% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 14% —
H_QUIET_HSP_U_P: "Usually" quiet at night 38% —
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) 15% —
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) 55% —
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) 9% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 55% —
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 — 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 0.246 No Different than National Benchmark
HAI_1_CIUPPER 4.844 No Different than National Benchmark
HAI_1_DOPC 1465.000 No Different than National Benchmark
HAI_1_ELIGCASES 1.364 No Different than National Benchmark
HAI_1_NUMERATOR 2.000 No Different than National Benchmark
HAI_1_SIR 1.466 No Different than National Benchmark
HAI_2_CILOWER 0.446 No Different than National Benchmark
HAI_2_CIUPPER 4.775 No Different than National Benchmark
HAI_2_DOPC 1767.000 No Different than National Benchmark
HAI_2_ELIGCASES 1.710 No Different than National Benchmark
HAI_2_NUMERATOR 3.000 No Different than National Benchmark
HAI_2_SIR 1.754 No Different than National Benchmark
HAI_3_CILOWER N/A No Different than National Benchmark
HAI_3_CIUPPER 2.623 No Different than National Benchmark
HAI_3_DOPC 48.000 No Different than National Benchmark
HAI_3_ELIGCASES 1.142 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 80.000 —
HAI_4_ELIGCASES 0.576 —
HAI_4_NUMERATOR 1.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.298 No Different than National Benchmark
HAI_5_CIUPPER 5.863 No Different than National Benchmark
HAI_5_DOPC 25231.000 No Different than National Benchmark
HAI_5_ELIGCASES 1.127 No Different than National Benchmark
HAI_5_NUMERATOR 2.000 No Different than National Benchmark
HAI_5_SIR 1.775 No Different than National Benchmark
HAI_6_CILOWER 0.032 Better than the National Benchmark
HAI_6_CIUPPER 0.623 Better than the National Benchmark
HAI_6_DOPC 24956.000 Better than the National Benchmark
HAI_6_ELIGCASES 10.601 Better than the National Benchmark
HAI_6_NUMERATOR 2.000 Better than the National Benchmark
HAI_6_SIR 0.189 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 86.0 Healthcare Personnel Vaccination
OP_18a 206.0 Emergency Department
OP_18b 204.0 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 18.0 Electronic Clinical Quality Measure
SEP_1 73.0 Sepsis Care
SEP_SH_3HR 87.0 Sepsis Care
SEP_SH_6HR 100.0 Sepsis Care
SEV_SEP_3HR 83.0 Sepsis Care
SEV_SEP_6HR 97.0 Sepsis Care
STK_02 — Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 86.0 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 -33.70 Fewer Days Than Average per 100 Discharges
EDAC_30_HF 1.00 Average Days per 100 Discharges
EDAC_30_PN 7.70 Average Days per 100 Discharges
Hybrid_HWR 15.20 No Different Than the National Rate
OP_32 13.20 No Different Than the National Rate
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 1.00 No Different than expected
READM_30_AMI 13.20 No Different Than the National Rate
READM_30_CABG 10.50 No Different Than the National Rate
READM_30_COPD 18.00 No Different Than the National Rate
READM_30_HF 20.30 No Different Than the National Rate
READM_30_HIP_KNEE 5.30 No Different Than the National Rate
READM_30_PN 15.60 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
1.00
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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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.30 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.07 — metrics.current_ratio
Cost Report Employees per Bed 5.34 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $14,279,303 — metrics.fund_balance
Cost Report Net Income ($) $-26,841,561 — metrics.net_income
Cost Report Net Patient Revenue ($) $239,831,229 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -12.8% — metrics.operating_margin
Cost Report Total Assets ($) $225,106,200 — metrics.total_assets
Cost Report Total Costs ($) $242,644,082 — metrics.total_costs
Cost Report Total Liabilities ($) $210,826,897 — metrics.total_liabilities
Cost Report Total Margin (%) -11.0% — metrics.total_margin
Cost Report Uncompensated Care (%) 1.7% — metrics.uncompensated_care_pct
General Information Address 1101 W UNIVERSITY DRIVE — Address
General Information City/Town ROCHESTER — 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 9 — 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 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 8 — 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 6 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 — Count of Safety Measures Worse
General Information County/Parish OAKLAND — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 230254 — Facility ID
General Information Facility Name ASCENSION PROVIDENCE ROCHESTER 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 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 (248) 652-5000 — Telephone Number
General Information ZIP Code 48307 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.51 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.42 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.51 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.99 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 2.91 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.49 — 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 1.00 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.97 0.9995 p31 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.8% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 107 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 14 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.4% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.99 1.0000 p45 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.9% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 11.8% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.99 0.9969 p43 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 17.8% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 95 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 16 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 17.6% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.03 0.9983 p67 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.4% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 286 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 62 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.0% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.11 0.9916 p78 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 6.8% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 7.5% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.98 0.9955 p40 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.5% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 322 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 48 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.3% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →