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

Overview

Address
1500 MATTHEWS TWNSHP PRKWY BOX 3310, MATTHEWS, NC 28106
Phone
(704) 384-6500
Hospital Type
Acute Care
Ownership
Non-Profit (Other)
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 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 8 of 8 measures reported
1
7
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 8 of 11 measures reported
6
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 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 has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 141 discharges
1.0732 p87
Heart Failure 483 discharges
0.9424 p16
Pneumonia 344 discharges
0.9721 p33
COPD 119 discharges
0.9568 p14
Hip/Knee Replacement
1.0683 p70
CABG Surgery
— 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 above the national median, suggesting a positive payment adjustment.

42.8 p85
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
13.0 p91
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
10.8 p53
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
9.0 p51
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
10.0 p76
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: 1.0732
Value-Based Purchasing
42.8 TPS
Above national median
HAC Reduction
No Reduction
HAC Score: 0.0596

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 4.30 No Different Than the National Rate 124
Hybrid_HWM 3.70 No Different Than the National Rate 1,175
MORT_30_AMI 10.80 No Different Than the National Rate 161
MORT_30_CABG
MORT_30_COPD 7.80 No Different Than the National Rate 108
MORT_30_HF 8.00 Better Than the National Rate 448
MORT_30_PN 12.70 Better Than the National Rate 329
MORT_30_STK 11.70 No Different Than the National Rate 136
PSI_03 0.54 No Different Than the National Rate 3,437
PSI_04 153.51 No Different Than the National Rate 41
PSI_06 0.18 No Different Than the National Rate 3,983
PSI_08 0.32 No Different Than the National Rate 4,116
PSI_09 2.07 No Different Than the National Rate 682
PSI_10 1.60 No Different Than the National Rate 224
PSI_11 7.01 No Different Than the National Rate 226
PSI_12 4.53 No Different Than the National Rate 730
PSI_13 4.46 No Different Than the National Rate 202
PSI_14 1.66 No Different Than the National Rate 219
PSI_15 0.85 No Different Than the National Rate 711
PSI_90 0.91 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 79%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4%
H_COMP_1_U_P: Nurses "usually" communicated well 17%
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 85%
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 12%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 78%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 4%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 18%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 73%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 5%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 22%
H_COMP_2_A_P: Doctors "always" communicated well 80%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 4%
H_COMP_2_U_P: Doctors "usually" communicated well 16%
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 86%
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 11%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 79%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 4%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 17%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 74%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 6%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 20%
H_COMP_5_A_P: Staff "always" explained 55%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 24%
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 2
H_MED_FOR_A_P: Staff "always" explained new medications 72%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 12%
H_MED_FOR_U_P: Staff "usually" explained new medications 16%
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 36%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 26%
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 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 9%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 91%
H_CLEAN_HSP_A_P: Room was "always" clean 63%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 10%
H_CLEAN_HSP_U_P: Room was "usually" clean 27%
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 60%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 11%
H_QUIET_HSP_U_P: "Usually" quiet at night 29%
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) 9%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 21%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 70%
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 72%
H_RECMND_PY: "YES", patients would probably recommend the hospital 23%
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 N/A No Different than National Benchmark
HAI_1_CIUPPER 1.501 No Different than National Benchmark
HAI_1_DOPC 2920.000 No Different than National Benchmark
HAI_1_ELIGCASES 1.996 No Different than National Benchmark
HAI_1_NUMERATOR 0.000 No Different than National Benchmark
HAI_1_SIR 0.000 No Different than National Benchmark
HAI_2_CILOWER 0.020 No Different than National Benchmark
HAI_2_CIUPPER 1.991 No Different than National Benchmark
HAI_2_DOPC 3650.000 No Different than National Benchmark
HAI_2_ELIGCASES 2.477 No Different than National Benchmark
HAI_2_NUMERATOR 1.000 No Different than National Benchmark
HAI_2_SIR 0.404 No Different than National Benchmark
HAI_3_CILOWER 0.227 No Different than National Benchmark
HAI_3_CIUPPER 1.720 No Different than National Benchmark
HAI_3_DOPC 216.000 No Different than National Benchmark
HAI_3_ELIGCASES 5.611 No Different than National Benchmark
HAI_3_NUMERATOR 4.000 No Different than National Benchmark
HAI_3_SIR 0.713 No Different than National Benchmark
HAI_4_CILOWER 0.254 No Different than National Benchmark
HAI_4_CIUPPER 5.002 No Different than National Benchmark
HAI_4_DOPC 155.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.321 No Different than National Benchmark
HAI_4_NUMERATOR 2.000 No Different than National Benchmark
HAI_4_SIR 1.514 No Different than National Benchmark
HAI_5_CILOWER 0.158 No Different than National Benchmark
HAI_5_CIUPPER 3.118 No Different than National Benchmark
HAI_5_DOPC 50312.000 No Different than National Benchmark
HAI_5_ELIGCASES 2.119 No Different than National Benchmark
HAI_5_NUMERATOR 2.000 No Different than National Benchmark
HAI_5_SIR 0.944 No Different than National Benchmark
HAI_6_CILOWER 0.044 Better than the National Benchmark
HAI_6_CIUPPER 0.337 Better than the National Benchmark
HAI_6_DOPC 44432.000 Better than the National Benchmark
HAI_6_ELIGCASES 28.655 Better than the National Benchmark
HAI_6_NUMERATOR 4.000 Better than the National Benchmark
HAI_6_SIR 0.140 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 Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 93.0 Healthcare Personnel Vaccination
OP_18a 242.0 Emergency Department
OP_18b 228.0 Emergency Department
OP_18c 885.0 Emergency Department
OP_18d 388.0 Emergency Department
OP_22 2.0 Emergency Department
OP_23 79.0 Emergency Department
OP_29 96.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 10.0 Electronic Clinical Quality Measure
SEP_1 86.0 Sepsis Care
SEP_SH_3HR 95.0 Sepsis Care
SEP_SH_6HR 93.0 Sepsis Care
SEV_SEP_3HR 90.0 Sepsis Care
SEV_SEP_6HR 96.0 Sepsis Care
STK_02 100.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 98.0 Electronic Clinical Quality Measure
VTE_1 Electronic Clinical Quality Measure
VTE_2 97.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 29.60 More Days Than Average per 100 Discharges
EDAC_30_HF -8.10 Average Days per 100 Discharges
EDAC_30_PN 16.70 More Days Than Average per 100 Discharges
Hybrid_HWR 13.60 Better Than the National Rate
OP_32 11.90 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 1.10 No Different than expected
READM_30_AMI 14.40 No Different Than the National Rate
READM_30_CABG
READM_30_COPD 17.40 No Different Than the National Rate
READM_30_HF 18.60 No Different Than the National Rate
READM_30_HIP_KNEE 5.20 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
0.91

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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Show 89 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Employees per Bed 5.29 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $1,198,107,734 metrics.fund_balance
Cost Report Net Income ($) $48,922,934 metrics.net_income
Cost Report Net Patient Revenue ($) $292,207,835 metrics.net_patient_revenue
Cost Report Operating Margin (%) 15.9% metrics.operating_margin
Cost Report Total Assets ($) $209,102,616 metrics.total_assets
Cost Report Total Costs ($) $190,105,479 metrics.total_costs
Cost Report Total Liabilities ($) $-989,005,118 metrics.total_liabilities
Cost Report Total Margin (%) 16.6% metrics.total_margin
Cost Report Uncompensated Care (%) 5.7% metrics.uncompensated_care_pct
General Information Address 1500 MATTHEWS TWNSHP PRKWY BOX 3310 Address
General Information City/Town MATTHEWS 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 8 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 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 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 7 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish MECKLENBURG County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 340171 Facility ID
General Information Facility Name NOVANT HEALTH MATTHEWS MEDICAL CENTER 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 Voluntary non-profit - Other 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 (704) 384-6500 Telephone Number
General Information ZIP Code 28106 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.68 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.18 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.04 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.91 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.77 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score 0.06 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 0.91 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.07 0.9995 p87 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 12.2% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 141 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 22 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.1% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.96 0.9969 p14 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.7% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 119 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 17.9% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.94 0.9983 p16 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.4% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 483 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 84 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 18.3% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.07 0.9916 p70 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.3% 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 0.97 0.9955 p33 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 344 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 50 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 13.00 5.00 p91 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 10.00 2.50 p76 efficiency_score
Value-Based Purchasing Person & Community Engagement 9.00 8.75 p51 person_community_score
Value-Based Purchasing Safety 10.83 10.00 p53 safety_score
Value-Based Purchasing Total Performance Score 42.83 29.50 p85 total_performance_score
Methodology

Full methodology →