Hospital

SSM ST JOSEPH HOSPITAL WEST

CCN: 260200 · LAKE SAINT LOUIS, MO 63367 · ST. CHARLES County

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

Overview

Address
100 MEDICAL PLAZA, LAKE SAINT LOUIS, MO 63367
Phone
(636) 625-5200
Hospital Type
Acute Care
Ownership
Non-Profit (Church)
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 6 of 7 measures reported
6
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
1
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 7 of 11 measures reported
6
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 does not have excess readmissions triggering HRRP penalties.
Acute Myocardial Infarction (Heart Attack) 116 discharges
0.9344 p14
Heart Failure 395 discharges
0.9743 p32
Pneumonia 365 discharges
0.9541 p21
COPD 107 discharges
0.9652 p20
Hip/Knee Replacement
— Not reported
CABG Surgery 0 discharges
— Not reported
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

11.3 p1
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
2.5 p23
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
5.8 p17
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
3.0 p5
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
0.0 p0
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Not Penalized
Worst ERR: 0.9743
Value-Based Purchasing
11.3 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 0.3814

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 3.50 No Different Than the National Rate 1,108
MORT_30_AMI 12.20 No Different Than the National Rate 134
MORT_30_CABG — Number of Cases Too Small —
MORT_30_COPD 8.60 No Different Than the National Rate 97
MORT_30_HF 10.30 No Different Than the National Rate 384
MORT_30_PN 14.50 No Different Than the National Rate 357
MORT_30_STK 12.10 No Different Than the National Rate 122
PSI_03 0.46 No Different Than the National Rate 3,897
PSI_04 191.92 No Different Than the National Rate 40
PSI_06 0.17 No Different Than the National Rate 4,679
PSI_08 0.23 No Different Than the National Rate 4,494
PSI_09 2.02 No Different Than the National Rate 748
PSI_10 1.56 No Different Than the National Rate 149
PSI_11 11.01 No Different Than the National Rate 167
PSI_12 2.90 No Different Than the National Rate 822
PSI_13 6.26 No Different Than the National Rate 142
PSI_14 1.69 No Different Than the National Rate 197
PSI_15 0.88 No Different Than the National Rate 850
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 6% —
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 — 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 82% —
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 15% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 74% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 19% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 70% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 8% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22% —
H_COMP_2_A_P: Doctors "always" communicated well 73% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 7% —
H_COMP_2_U_P: Doctors "usually" communicated well 20% —
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 79% —
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 16% —
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 67% —
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 25% —
H_COMP_5_A_P: Staff "always" explained 52% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 27% —
H_COMP_5_U_P: Staff "usually" explained 21% —
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 12% —
H_MED_FOR_U_P: Staff "usually" explained new medications 23% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 38% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 42% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 20% —
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 — 3
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 17% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 83% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 17% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 83% —
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 57% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 8% —
H_QUIET_HSP_U_P: "Usually" quiet at night 35% —
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) 12% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 26% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 62% —
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) 16% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 63% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 21% —
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 0.370 No Different than National Benchmark
HAI_1_CIUPPER 3.954 No Different than National Benchmark
HAI_1_DOPC 2990.000 No Different than National Benchmark
HAI_1_ELIGCASES 2.065 No Different than National Benchmark
HAI_1_NUMERATOR 3.000 No Different than National Benchmark
HAI_1_SIR 1.453 No Different than National Benchmark
HAI_2_CILOWER 0.018 No Different than National Benchmark
HAI_2_CIUPPER 1.725 No Different than National Benchmark
HAI_2_DOPC 3392.000 No Different than National Benchmark
HAI_2_ELIGCASES 2.859 No Different than National Benchmark
HAI_2_NUMERATOR 1.000 No Different than National Benchmark
HAI_2_SIR 0.350 No Different than National Benchmark
HAI_3_CILOWER 0.284 No Different than National Benchmark
HAI_3_CIUPPER 3.037 No Different than National Benchmark
HAI_3_DOPC 102.000 No Different than National Benchmark
HAI_3_ELIGCASES 2.688 No Different than National Benchmark
HAI_3_NUMERATOR 3.000 No Different than National Benchmark
HAI_3_SIR 1.116 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 112.000 —
HAI_4_ELIGCASES 0.947 —
HAI_4_NUMERATOR 1.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.745 No Different than National Benchmark
HAI_5_CIUPPER 4.505 No Different than National Benchmark
HAI_5_DOPC 52742.000 No Different than National Benchmark
HAI_5_ELIGCASES 2.460 No Different than National Benchmark
HAI_5_NUMERATOR 5.000 No Different than National Benchmark
HAI_5_SIR 2.033 No Different than National Benchmark
HAI_6_CILOWER 0.002 Better than the National Benchmark
HAI_6_CIUPPER 0.173 Better than the National Benchmark
HAI_6_DOPC 52004.000 Better than the National Benchmark
HAI_6_ELIGCASES 28.588 Better than the National Benchmark
HAI_6_NUMERATOR 1.000 Better than the National Benchmark
HAI_6_SIR 0.035 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 1.0 Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 78.0 Healthcare Personnel Vaccination
OP_18a 220.0 Emergency Department
OP_18b 214.0 Emergency Department
OP_18c 351.0 Emergency Department
OP_18d 281.0 Emergency Department
OP_22 4.0 Emergency Department
OP_23 68.0 Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 76.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 16.0 Electronic Clinical Quality Measure
SEP_1 41.0 Sepsis Care
SEP_SH_3HR 33.0 Sepsis Care
SEP_SH_6HR — Sepsis Care
SEV_SEP_3HR 67.0 Sepsis Care
SEV_SEP_6HR 87.0 Sepsis Care
STK_02 100.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 96.0 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 37.10 More Days Than Average per 100 Discharges
EDAC_30_HF -9.90 Average Days per 100 Discharges
EDAC_30_PN -8.80 Average Days per 100 Discharges
Hybrid_HWR 14.30 No Different Than the National Rate
OP_32 11.70 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 12.90 No Different Than the National Rate
READM_30_CABG — —
READM_30_COPD 17.80 No Different Than the National Rate
READM_30_HF 19.10 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 15.30 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.

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.24 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.08 — metrics.current_ratio
Cost Report Employees per Bed 5.64 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $63,766,252 — metrics.fund_balance
Cost Report Net Income ($) $19,269,111 — metrics.net_income
Cost Report Net Patient Revenue ($) $249,909,452 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 5.3% — metrics.operating_margin
Cost Report Total Assets ($) $162,705,168 — metrics.total_assets
Cost Report Total Costs ($) $191,112,185 — metrics.total_costs
Cost Report Total Liabilities ($) $98,938,916 — metrics.total_liabilities
Cost Report Total Margin (%) 7.5% — metrics.total_margin
Cost Report Uncompensated Care (%) 4.3% — metrics.uncompensated_care_pct
General Information Address 100 MEDICAL PLAZA — Address
General Information City/Town LAKE SAINT LOUIS — 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 7 — 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 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 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 6 — 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 0 — Count of Safety Measures Worse
General Information County/Parish ST. CHARLES — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 260200 — Facility ID
General Information Facility Name SSM ST JOSEPH HOSPITAL WEST — 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 - Church — 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 MO — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (636) 625-5200 — Telephone Number
General Information ZIP Code 63367 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.35 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.09 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.46 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 1.62 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.85 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.38 — 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 0.93 0.9995 p14 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.3% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 116 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 12 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.3% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 0 — READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) COPD — Excess readmission ratio 0.97 0.9969 p20 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 20.0% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 107 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 18 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.3% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.97 0.9983 p32 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.2% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 395 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 76 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.7% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.95 0.9955 p21 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.8% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 365 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 52 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.1% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 2.50 5.00 p23 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 3.00 8.75 p5 person_community_score
Value-Based Purchasing Safety 5.83 10.00 p17 safety_score
Value-Based Purchasing Total Performance Score 11.33 29.50 p1 total_performance_score
Methodology

Full methodology →