Hospital

M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER

CCN: 240080 · MINNEAPOLIS, MN 55454 · HENNEPIN County

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

Overview

Address
2450 RIVERSIDE AVENUE, MINNEAPOLIS, MN 55454
Phone
(612) 624-1765
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
★★★★★
CMS Overall Rating
p30
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
1
6
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 11 of 11 measures reported
9
2
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 10 of 12 measures reported
10 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)
0.9874 p41
Heart Failure 239 discharges
0.9369 p14
Pneumonia 180 discharges
0.9599 p25
COPD
1.0273 p74
Hip/Knee Replacement
0.9632 p41
CABG Surgery
0.9059 p15
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: 1.0273
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: 0.1323

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 46
Hybrid_HWM 3.50 No Different Than the National Rate 1,017
MORT_30_AMI 11.70 No Different Than the National Rate 43
MORT_30_CABG 2.60 No Different Than the National Rate 74
MORT_30_COPD 8.10 No Different Than the National Rate 25
MORT_30_HF 10.50 No Different Than the National Rate 198
MORT_30_PN 11.90 Better Than the National Rate 181
MORT_30_STK 13.10 No Different Than the National Rate 106
PSI_03 0.16 Better Than the National Rate 6,733
PSI_04 198.81 No Different Than the National Rate 247
PSI_06 0.14 No Different Than the National Rate 6,968
PSI_08 0.32 No Different Than the National Rate 7,891
PSI_09 1.72 No Different Than the National Rate 1,587
PSI_10 2.01 No Different Than the National Rate 1,474
PSI_11 8.36 No Different Than the National Rate 1,468
PSI_12 4.80 No Different Than the National Rate 2,510
PSI_13 4.34 No Different Than the National Rate 1,546
PSI_14 1.60 No Different Than the National Rate 820
PSI_15 0.75 No Different Than the National Rate 2,072
PSI_90 0.85 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 86% —
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 11% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 76% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 4% —
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 4% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 24% —
H_COMP_2_A_P: Doctors "always" communicated well 82% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 4% —
H_COMP_2_U_P: Doctors "usually" communicated well 14% —
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 88% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 3% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 9% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 81% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 4% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 15% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 76% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 4% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 20% —
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 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 42% —
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 23% —
H_COMP_6_N_P: No, staff "did not" give patients this information 12% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 88% —
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 12% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 88% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 11% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 89% —
H_CLEAN_HSP_A_P: Room was "always" clean 64% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 11% —
H_CLEAN_HSP_U_P: Room was "usually" clean 25% —
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 56% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 10% —
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) 7% —
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) 69% —
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) 5% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 71% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 24% —
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 0.683 No Different than National Benchmark
HAI_1_CIUPPER 1.197 No Different than National Benchmark
HAI_1_DOPC 47530.000 No Different than National Benchmark
HAI_1_ELIGCASES 53.662 No Different than National Benchmark
HAI_1_NUMERATOR 49.000 No Different than National Benchmark
HAI_1_SIR 0.913 No Different than National Benchmark
HAI_2_CILOWER 0.557 No Different than National Benchmark
HAI_2_CIUPPER 1.290 No Different than National Benchmark
HAI_2_DOPC 19941.000 No Different than National Benchmark
HAI_2_ELIGCASES 25.387 No Different than National Benchmark
HAI_2_NUMERATOR 22.000 No Different than National Benchmark
HAI_2_SIR 0.867 No Different than National Benchmark
HAI_3_CILOWER 0.600 No Different than National Benchmark
HAI_3_CIUPPER 1.881 No Different than National Benchmark
HAI_3_DOPC 371.000 No Different than National Benchmark
HAI_3_ELIGCASES 10.844 No Different than National Benchmark
HAI_3_NUMERATOR 12.000 No Different than National Benchmark
HAI_3_SIR 1.107 No Different than National Benchmark
HAI_4_CILOWER 0.017 No Different than National Benchmark
HAI_4_CIUPPER 1.702 No Different than National Benchmark
HAI_4_DOPC 324.000 No Different than National Benchmark
HAI_4_ELIGCASES 2.898 No Different than National Benchmark
HAI_4_NUMERATOR 1.000 No Different than National Benchmark
HAI_4_SIR 0.345 No Different than National Benchmark
HAI_5_CILOWER 0.243 Better than the National Benchmark
HAI_5_CIUPPER 0.992 Better than the National Benchmark
HAI_5_DOPC 191388.000 Better than the National Benchmark
HAI_5_ELIGCASES 15.318 Better than the National Benchmark
HAI_5_NUMERATOR 8.000 Better than the National Benchmark
HAI_5_SIR 0.522 Better than the National Benchmark
HAI_6_CILOWER 0.299 Better than the National Benchmark
HAI_6_CIUPPER 0.557 Better than the National Benchmark
HAI_6_DOPC 167108.000 Better than the National Benchmark
HAI_6_ELIGCASES 96.909 Better than the National Benchmark
HAI_6_NUMERATOR 40.000 Better than the National Benchmark
HAI_6_SIR 0.413 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 — Electronic Clinical Quality Measure
HH_HYPO 2.0 Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 82.0 Healthcare Personnel Vaccination
OP_18a 178.0 Emergency Department
OP_18b 168.0 Emergency Department
OP_18c 296.0 Emergency Department
OP_18d — Emergency Department
OP_22 2.0 Emergency Department
OP_23 — Emergency Department
OP_29 99.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 17.0 Electronic Clinical Quality Measure
SEP_1 71.0 Sepsis Care
SEP_SH_3HR 77.0 Sepsis Care
SEP_SH_6HR 96.0 Sepsis Care
SEV_SEP_3HR 85.0 Sepsis Care
SEV_SEP_6HR 95.0 Sepsis Care
STK_02 99.0 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 -24.60 Average Days per 100 Discharges
EDAC_30_HF -5.80 Average Days per 100 Discharges
EDAC_30_PN 0.60 Average Days per 100 Discharges
Hybrid_HWR 14.40 No Different Than the National Rate
OP_32 14.00 No Different Than the National Rate
OP_35_ADM 13.90 Worse Than the National Rate
OP_35_ED 7.30 Worse Than the National Rate
OP_36 1.10 No Different than expected
READM_30_AMI 13.40 No Different Than the National Rate
READM_30_CABG 9.60 No Different Than the National Rate
READM_30_COPD 18.70 No Different Than the National Rate
READM_30_HF 18.40 No Different Than the National Rate
READM_30_HIP_KNEE 4.70 No Different Than the National Rate
READM_30_PN 15.50 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
0.98

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 0.28 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.42 — metrics.current_ratio
Cost Report Employees per Bed 8.98 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $540,108,957 — metrics.fund_balance
Cost Report Net Income ($) $16,599,958 — metrics.net_income
Cost Report Net Patient Revenue ($) $2,078,601,211 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -2.0% — metrics.operating_margin
Cost Report Total Assets ($) $1,451,745,012 — metrics.total_assets
Cost Report Total Costs ($) $1,866,469,368 — metrics.total_costs
Cost Report Total Liabilities ($) $911,636,055 — metrics.total_liabilities
Cost Report Total Margin (%) 0.8% — metrics.total_margin
Cost Report Uncompensated Care (%) 1.0% — metrics.uncompensated_care_pct
General Information Address 2450 RIVERSIDE AVENUE — Address
General Information City/Town MINNEAPOLIS — 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 8 — 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 1 — 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 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 2 — 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 HENNEPIN — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 240080 — Facility ID
General Information Facility Name M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER — Facility Name
General Information Hospital overall rating 3 — 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 MN — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (612) 624-1765 — Telephone Number
General Information ZIP Code 55454 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.88 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.50 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.95 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.54 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.86 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score 0.13 — 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 0.98 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.99 0.9995 p41 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) — Predicted readmission rate 14.6% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.91 1.0000 p15 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.8% — 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 1.03 0.9969 p74 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.3% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Predicted readmission rate 19.8% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.94 0.9983 p14 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 22.7% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 239 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 46 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.3% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.96 0.9916 p41 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 5.5% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.96 0.9955 p25 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 19.0% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 180 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 30 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 18.3% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →