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

Overview

Address
3643 N ROXBORO STREET, DURHAM, NC 27704
Phone
(919) 470-4000
Hospital Type
Acute Care
Ownership
Government (Local)
Emergency Services
Yes
Birthing Friendly
Yes
4 /5
CMS Overall Rating
p63
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 7 of 8 measures reported
1
6
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
1
10
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) 126 discharges
1.0563 p81
Heart Failure 413 discharges
0.9927 p45
Pneumonia 317 discharges
0.9593 p24
COPD 157 discharges
1.0009 p53
Hip/Knee Replacement
0.9808 p46
CABG Surgery
1.0831 p82
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 above the national median, suggesting a positive payment adjustment.

39.6 p79
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
5.4 p51
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
12.9 p68
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
8.8 p49
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
12.5 p83
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)
Penalized
Worst ERR: 1.0831
Value-Based Purchasing
39.6 TPS
Above national median
HAC Reduction
No Reduction
HAC Score: -0.3071

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 3.50 No Different Than the National Rate 146
Hybrid_HWM 3.40 Better Than the National Rate 1,327
MORT_30_AMI 11.20 No Different Than the National Rate 134
MORT_30_CABG 3.00 No Different Than the National Rate 48
MORT_30_COPD 8.50 No Different Than the National Rate 145
MORT_30_HF 12.50 No Different Than the National Rate 374
MORT_30_PN 14.60 No Different Than the National Rate 297
MORT_30_STK 11.20 No Different Than the National Rate 124
PSI_03 0.52 No Different Than the National Rate 4,538
PSI_04 134.57 No Different Than the National Rate 57
PSI_06 0.22 No Different Than the National Rate 5,561
PSI_08 0.25 No Different Than the National Rate 5,533
PSI_09 2.62 No Different Than the National Rate 1,088
PSI_10 1.91 No Different Than the National Rate 472
PSI_11 9.07 No Different Than the National Rate 503
PSI_12 4.20 No Different Than the National Rate 1,215
PSI_13 4.64 No Different Than the National Rate 468
PSI_14 1.67 No Different Than the National Rate 234
PSI_15 1.12 No Different Than the National Rate 931
PSI_90 0.98 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 81%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 3%
H_COMP_1_U_P: Nurses "usually" communicated well 16%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 4
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 89%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 2%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 9%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 78%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 3%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 19%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 75%
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 21%
H_COMP_2_A_P: Doctors "always" communicated well 84%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 4%
H_COMP_2_U_P: Doctors "usually" communicated well 12%
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 85%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 4%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 11%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 80%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 5%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 15%
H_COMP_5_A_P: Staff "always" explained 61%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 22%
H_COMP_5_U_P: Staff "usually" explained 17%
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 77%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9%
H_MED_FOR_U_P: Staff "usually" explained new medications 14%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 46%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 36%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 18%
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 14%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 86%
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 59%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 15%
H_CLEAN_HSP_U_P: Room was "usually" clean 26%
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 53%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 11%
H_QUIET_HSP_U_P: "Usually" quiet at night 36%
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) 6%
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) 71%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 4
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 4%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 74%
H_RECMND_PY: "YES", patients would probably recommend the hospital 22%
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 0.499 No Different than National Benchmark
HAI_1_CIUPPER 1.878 No Different than National Benchmark
HAI_1_DOPC 8578.000 No Different than National Benchmark
HAI_1_ELIGCASES 8.795 No Different than National Benchmark
HAI_1_NUMERATOR 9.000 No Different than National Benchmark
HAI_1_SIR 1.023 No Different than National Benchmark
HAI_2_CILOWER 0.006 Better than the National Benchmark
HAI_2_CIUPPER 0.577 Better than the National Benchmark
HAI_2_DOPC 6665.000 Better than the National Benchmark
HAI_2_ELIGCASES 8.541 Better than the National Benchmark
HAI_2_NUMERATOR 1.000 Better than the National Benchmark
HAI_2_SIR 0.117 Better than the National Benchmark
HAI_3_CILOWER 0.013 No Different than National Benchmark
HAI_3_CIUPPER 1.293 No Different than National Benchmark
HAI_3_DOPC 143.000 No Different than National Benchmark
HAI_3_ELIGCASES 3.813 No Different than National Benchmark
HAI_3_NUMERATOR 1.000 No Different than National Benchmark
HAI_3_SIR 0.262 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 79.000
HAI_4_ELIGCASES 0.684
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER 0.050 Better than the National Benchmark
HAI_5_CIUPPER 0.992 Better than the National Benchmark
HAI_5_DOPC 102920.000 Better than the National Benchmark
HAI_5_ELIGCASES 6.660 Better than the National Benchmark
HAI_5_NUMERATOR 2.000 Better than the National Benchmark
HAI_5_SIR 0.300 Better than the National Benchmark
HAI_6_CILOWER 0.032 Better than the National Benchmark
HAI_6_CIUPPER 0.244 Better than the National Benchmark
HAI_6_DOPC 94025.000 Better than the National Benchmark
HAI_6_ELIGCASES 39.571 Better than the National Benchmark
HAI_6_NUMERATOR 4.000 Better than the National Benchmark
HAI_6_SIR 0.101 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 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 97.0 Healthcare Personnel Vaccination
OP_18a 259.0 Emergency Department
OP_18b 250.0 Emergency Department
OP_18c 638.0 Emergency Department
OP_18d Emergency Department
OP_22 3.0 Emergency Department
OP_23 Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 13.0 Electronic Clinical Quality Measure
SEP_1 64.0 Sepsis Care
SEP_SH_3HR 60.0 Sepsis Care
SEP_SH_6HR 89.0 Sepsis Care
SEV_SEP_3HR 83.0 Sepsis Care
SEV_SEP_6HR 98.0 Sepsis Care
STK_02 99.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 89.0 Electronic Clinical Quality Measure
VTE_2 95.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 34.80 More Days Than Average per 100 Discharges
EDAC_30_HF -10.20 Average Days per 100 Discharges
EDAC_30_PN -4.60 Average Days per 100 Discharges
Hybrid_HWR 14.10 No Different Than the National Rate
OP_32 11.20 No Different Than the National Rate
OP_35_ADM 12.30 No Different Than the National Rate
OP_35_ED 5.00 No Different Than the National Rate
OP_36 0.90 No Different than expected
READM_30_AMI 14.20 No Different Than the National Rate
READM_30_CABG 11.50 No Different Than the National Rate
READM_30_COPD 18.20 No Different Than the National Rate
READM_30_HF 19.50 No Different Than the National Rate
READM_30_HIP_KNEE 4.80 No Different Than the National Rate
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
0.89

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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Show 93 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Current Ratio 1.34 metrics.current_ratio
Cost Report Employees per Bed 6.43 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $119,712,262 metrics.fund_balance
Cost Report Net Income ($) $-31,283,049 metrics.net_income
Cost Report Net Patient Revenue ($) $498,740,736 metrics.net_patient_revenue
Cost Report Operating Margin (%) -7.7% metrics.operating_margin
Cost Report Total Assets ($) $322,082,750 metrics.total_assets
Cost Report Total Costs ($) $379,187,771 metrics.total_costs
Cost Report Total Liabilities ($) $202,370,488 metrics.total_liabilities
Cost Report Total Margin (%) -6.2% metrics.total_margin
Cost Report Uncompensated Care (%) 8.9% metrics.uncompensated_care_pct
General Information Address 3643 N ROXBORO STREET Address
General Information City/Town DURHAM 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 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 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 1 Count of READM Measures Better
General Information Count of READM Measures No Different 10 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 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 DURHAM County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 340155 Facility ID
General Information Facility Name DUKE REGIONAL HOSPITAL Facility Name
General Information Hospital overall rating 4 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Government - Local 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 NC State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (919) 470-4000 Telephone Number
General Information ZIP Code 27704 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.45 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.17 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.74 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.58 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.37 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.31 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 0.89 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.06 0.9995 p81 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 15.1% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 126 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 23 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 16.0% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.08 1.0000 p82 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.2% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 11.0% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.00 0.9969 p53 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.7% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 157 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 31 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.7% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.99 0.9983 p45 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.6% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 413 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 80 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.5% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.98 0.9916 p46 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.8% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 5.7% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.96 0.9955 p24 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.7% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 317 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 45 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 5.42 5.00 p51 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 12.50 2.50 p83 efficiency_score
Value-Based Purchasing Person & Community Engagement 8.75 8.75 p49 person_community_score
Value-Based Purchasing Safety 12.92 10.00 p68 safety_score
Value-Based Purchasing Total Performance Score 39.58 29.50 p79 total_performance_score
Methodology

Full methodology →