Hospital

UNM HOSPITAL

CCN: 320001 · ALBUQUERQUE, NM 87106 · BERNALILLO County

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

Overview

Address
2211 LOMAS BOULEVARD NE, ALBUQUERQUE, NM 87106
Phone
(505) 272-2111
Hospital Type
Acute Care
Ownership
Government (State)
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 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
2
4
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 9 of 11 measures reported
1
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 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)
0.9949 p46
Heart Failure 168 discharges
0.9695 p29
Pneumonia 182 discharges
0.9674 p30
COPD 61 discharges
1.0035 p55
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
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: 1.0035
Value-Based Purchasing
—
HAC Reduction
Payment Reduced
HAC Score: 1.0058

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 3.90 No Different Than the National Rate 1,083
MORT_30_AMI 11.10 No Different Than the National Rate 91
MORT_30_CABG — Number of Cases Too Small —
MORT_30_COPD 6.20 No Different Than the National Rate 53
MORT_30_HF 10.70 No Different Than the National Rate 155
MORT_30_PN 16.50 No Different Than the National Rate 185
MORT_30_STK 13.80 No Different Than the National Rate 331
PSI_03 2.05 Worse Than the National Rate 4,908
PSI_04 197.29 No Different Than the National Rate 183
PSI_06 0.21 No Different Than the National Rate 4,976
PSI_08 0.29 No Different Than the National Rate 5,104
PSI_09 2.75 No Different Than the National Rate 1,423
PSI_10 2.25 No Different Than the National Rate 546
PSI_11 7.43 No Different Than the National Rate 497
PSI_12 6.01 Worse Than the National Rate 1,475
PSI_13 5.65 No Different Than the National Rate 531
PSI_14 2.08 No Different Than the National Rate 433
PSI_15 0.96 No Different Than the National Rate 1,174
PSI_90 1.51 Worse 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 6% —
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 80% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 5% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 15% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 69% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 24% —
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 7% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23% —
H_COMP_2_A_P: Doctors "always" communicated well 77% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6% —
H_COMP_2_U_P: Doctors "usually" communicated well 17% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 84% —
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 11% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 75% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 18% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 72% —
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 20% —
H_COMP_5_A_P: Staff "always" explained 59% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 22% —
H_COMP_5_U_P: Staff "usually" explained 19% —
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 72% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11% —
H_MED_FOR_U_P: Staff "usually" explained new medications 17% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 45% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 33% —
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 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 16% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 84% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 13% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 87% —
H_CLEAN_HSP_A_P: Room was "always" clean 62% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 13% —
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 — 2
H_QUIET_HSP_A_P: "Always" quiet at night 43% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 22% —
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 — 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 14% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 63% —
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) 10% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 64% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 26% —
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 0.395 No Different than National Benchmark
HAI_1_CIUPPER 1.062 No Different than National Benchmark
HAI_1_DOPC 21746.000 No Different than National Benchmark
HAI_1_ELIGCASES 23.954 No Different than National Benchmark
HAI_1_NUMERATOR 16.000 No Different than National Benchmark
HAI_1_SIR 0.668 No Different than National Benchmark
HAI_2_CILOWER 0.289 Better than the National Benchmark
HAI_2_CIUPPER 0.802 Better than the National Benchmark
HAI_2_DOPC 17410.000 Better than the National Benchmark
HAI_2_ELIGCASES 30.153 Better than the National Benchmark
HAI_2_NUMERATOR 15.000 Better than the National Benchmark
HAI_2_SIR 0.497 Better than the National Benchmark
HAI_3_CILOWER 0.989 No Different than National Benchmark
HAI_3_CIUPPER 2.506 No Different than National Benchmark
HAI_3_DOPC 361.000 No Different than National Benchmark
HAI_3_ELIGCASES 11.131 No Different than National Benchmark
HAI_3_NUMERATOR 18.000 No Different than National Benchmark
HAI_3_SIR 1.617 No Different than National Benchmark
HAI_4_CILOWER 0.473 No Different than National Benchmark
HAI_4_CIUPPER 3.591 No Different than National Benchmark
HAI_4_DOPC 294.000 No Different than National Benchmark
HAI_4_ELIGCASES 2.687 No Different than National Benchmark
HAI_4_NUMERATOR 4.000 No Different than National Benchmark
HAI_4_SIR 1.489 No Different than National Benchmark
HAI_5_CILOWER 0.776 No Different than National Benchmark
HAI_5_CIUPPER 2.084 No Different than National Benchmark
HAI_5_DOPC 188021.000 No Different than National Benchmark
HAI_5_ELIGCASES 12.203 No Different than National Benchmark
HAI_5_NUMERATOR 16.000 No Different than National Benchmark
HAI_5_SIR 1.311 No Different than National Benchmark
HAI_6_CILOWER 0.747 No Different than National Benchmark
HAI_6_CIUPPER 1.101 No Different than National Benchmark
HAI_6_DOPC 170112.000 No Different than National Benchmark
HAI_6_ELIGCASES 111.946 No Different than National Benchmark
HAI_6_NUMERATOR 102.000 No Different than National Benchmark
HAI_6_SIR 0.911 No Different than National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV very 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 — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 63.0 Healthcare Personnel Vaccination
OP_18a 294.0 Emergency Department
OP_18b 284.0 Emergency Department
OP_18c 429.0 Emergency Department
OP_18d 401.0 Emergency Department
OP_22 2.0 Emergency Department
OP_23 72.0 Emergency Department
OP_29 — Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 0.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 13.0 Electronic Clinical Quality Measure
SEP_1 39.0 Sepsis Care
SEP_SH_3HR 61.0 Sepsis Care
SEP_SH_6HR 63.0 Sepsis Care
SEV_SEP_3HR 67.0 Sepsis Care
SEV_SEP_6HR 80.0 Sepsis Care
STK_02 97.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 91.0 Electronic Clinical Quality Measure
VTE_2 99.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -13.30 Average Days per 100 Discharges
EDAC_30_HF 17.00 Average Days per 100 Discharges
EDAC_30_PN 8.20 Average Days per 100 Discharges
Hybrid_HWR 15.30 No Different Than the National Rate
OP_32 11.40 No Different Than the National Rate
OP_35_ADM 9.00 No Different Than the National Rate
OP_35_ED 5.40 No Different Than the National Rate
OP_36 0.90 No Different than expected
READM_30_AMI 13.50 No Different Than the National Rate
READM_30_CABG — Number of Cases Too Small
READM_30_COPD 18.20 No Different Than the National Rate
READM_30_HF 19.00 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 15.40 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

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 0.49 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.85 — metrics.current_ratio
Cost Report Employees per Bed 12.71 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $973,241,802 — metrics.fund_balance
Cost Report Net Income ($) $104,886,726 — metrics.net_income
Cost Report Net Patient Revenue ($) $1,518,443,523 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -11.7% — metrics.operating_margin
Cost Report Total Assets ($) $1,916,135,638 — metrics.total_assets
Cost Report Total Costs ($) $1,325,816,831 — metrics.total_costs
Cost Report Total Liabilities ($) $942,893,836 — metrics.total_liabilities
Cost Report Total Margin (%) 5.8% — metrics.total_margin
Cost Report Uncompensated Care (%) 3.4% — metrics.uncompensated_care_pct
General Information Address 2211 LOMAS BOULEVARD NE — Address
General Information City/Town ALBUQUERQUE — 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 9 — 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 10 — 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 1 — 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 2 — 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 BERNALILLO — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 320001 — Facility ID
General Information Facility Name UNM 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 Government - State — 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 NM — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (505) 272-2111 — Telephone Number
General Information ZIP Code 87106 — 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 0.90 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.53 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 1.37 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.91 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 1.01 — 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 1.00 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.99 0.9995 p46 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 10.8% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 10.8% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.00 0.9969 p55 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.2% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 61 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 12 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.2% — 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 21.0% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 168 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 32 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 20.4% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.97 0.9955 p30 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.0% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 182 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 26 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.5% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →