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

Overview

Address
500 SOUTH CLEVELAND AVENUE, WESTERVILLE, OH 43081
Phone
(614) 546-4034
Hospital Type
Acute Care
Ownership
Non-Profit
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
2
5
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 9 of 11 measures reported
1
8
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) 117 discharges
1.0605 p82
Heart Failure 296 discharges
0.9143 p8
Pneumonia 280 discharges
0.9373 p14
COPD 95 discharges
0.9940 p47
Hip/Knee Replacement
1.0676 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 below the national median, suggesting a negative payment adjustment.

11.0 p1
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
0.5 p11
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
6.3 p19
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
4.3 p12
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)
Penalized
Worst ERR: 1.0676
Value-Based Purchasing
11.0 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: -0.1817

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 3.30 No Different Than the National Rate 69
Hybrid_HWM 3.90 No Different Than the National Rate 1,041
MORT_30_AMI 13.00 No Different Than the National Rate 131
MORT_30_CABG Number of Cases Too Small
MORT_30_COPD 9.30 No Different Than the National Rate 80
MORT_30_HF 14.60 No Different Than the National Rate 278
MORT_30_PN 18.50 No Different Than the National Rate 276
MORT_30_STK 13.20 No Different Than the National Rate 118
PSI_03 0.20 No Different Than the National Rate 3,348
PSI_04 172.80 No Different Than the National Rate 58
PSI_06 0.22 No Different Than the National Rate 4,112
PSI_08 0.23 No Different Than the National Rate 4,201
PSI_09 2.33 No Different Than the National Rate 943
PSI_10 1.49 No Different Than the National Rate 406
PSI_11 9.82 No Different Than the National Rate 450
PSI_12 3.42 No Different Than the National Rate 1,002
PSI_13 4.73 No Different Than the National Rate 408
PSI_14 1.65 No Different Than the National Rate 260
PSI_15 0.86 No Different Than the National Rate 1,053
PSI_90 0.84 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 4%
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 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 84%
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 14%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 72%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 4%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 24%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 69%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 6%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 25%
H_COMP_2_A_P: Doctors "always" communicated well 75%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5%
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 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 85%
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 12%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 72%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 23%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 69%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 24%
H_COMP_5_A_P: Staff "always" explained 55%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 22%
H_COMP_5_U_P: Staff "usually" explained 23%
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 69%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9%
H_MED_FOR_U_P: Staff "usually" explained new medications 22%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 41%
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 23%
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 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 13%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 87%
H_CLEAN_HSP_A_P: Room was "always" clean 60%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 15%
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 48%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 15%
H_QUIET_HSP_U_P: "Usually" quiet at night 37%
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) 8%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 25%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 67%
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 66%
H_RECMND_PY: "YES", patients would probably recommend the hospital 29%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 3
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 0.185 No Different than National Benchmark
HAI_1_CIUPPER 1.979 No Different than National Benchmark
HAI_1_DOPC 4356.000 No Different than National Benchmark
HAI_1_ELIGCASES 4.126 No Different than National Benchmark
HAI_1_NUMERATOR 3.000 No Different than National Benchmark
HAI_1_SIR 0.727 No Different than National Benchmark
HAI_2_CILOWER 0.051 No Different than National Benchmark
HAI_2_CIUPPER 1.014 No Different than National Benchmark
HAI_2_DOPC 6226.000 No Different than National Benchmark
HAI_2_ELIGCASES 6.519 No Different than National Benchmark
HAI_2_NUMERATOR 2.000 No Different than National Benchmark
HAI_2_SIR 0.307 No Different than National Benchmark
HAI_3_CILOWER 0.018 No Different than National Benchmark
HAI_3_CIUPPER 1.788 No Different than National Benchmark
HAI_3_DOPC 101.000 No Different than National Benchmark
HAI_3_ELIGCASES 2.758 No Different than National Benchmark
HAI_3_NUMERATOR 1.000 No Different than National Benchmark
HAI_3_SIR 0.363 No Different than National Benchmark
HAI_4_CILOWER 0.264 No Different than National Benchmark
HAI_4_CIUPPER 5.211 No Different than National Benchmark
HAI_4_DOPC 137.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.268 No Different than National Benchmark
HAI_4_NUMERATOR 2.000 No Different than National Benchmark
HAI_4_SIR 1.577 No Different than National Benchmark
HAI_5_CILOWER 0.573 No Different than National Benchmark
HAI_5_CIUPPER 3.467 No Different than National Benchmark
HAI_5_DOPC 62374.000 No Different than National Benchmark
HAI_5_ELIGCASES 3.197 No Different than National Benchmark
HAI_5_NUMERATOR 5.000 No Different than National Benchmark
HAI_5_SIR 1.564 No Different than National Benchmark
HAI_6_CILOWER 0.051 Better than the National Benchmark
HAI_6_CIUPPER 0.390 Better than the National Benchmark
HAI_6_DOPC 56898.000 Better than the National Benchmark
HAI_6_ELIGCASES 24.744 Better than the National Benchmark
HAI_6_NUMERATOR 4.000 Better than the National Benchmark
HAI_6_SIR 0.162 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 39.0 Healthcare Personnel Vaccination
OP_18a 170.0 Emergency Department
OP_18b 172.0 Emergency Department
OP_18c Emergency Department
OP_18d Emergency Department
OP_22 1.0 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 10.0 Electronic Clinical Quality Measure
SEP_1 70.0 Sepsis Care
SEP_SH_3HR 78.0 Sepsis Care
SEP_SH_6HR 100.0 Sepsis Care
SEV_SEP_3HR 81.0 Sepsis Care
SEV_SEP_6HR 92.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 79.0 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 27.00 More Days Than Average per 100 Discharges
EDAC_30_HF -44.20 Fewer Days Than Average per 100 Discharges
EDAC_30_PN -2.00 Average Days per 100 Discharges
Hybrid_HWR 15.10 No Different Than the National Rate
OP_32 13.40 No Different Than the National Rate
OP_35_ADM 10.70 No Different Than the National Rate
OP_35_ED 5.70 No Different Than the National Rate
OP_36 1.10 No Different than expected
READM_30_AMI 14.50 No Different Than the National Rate
READM_30_CABG Number of Cases Too Small
READM_30_COPD 18.10 No Different Than the National Rate
READM_30_HF 18.00 No Different Than the National Rate
READM_30_HIP_KNEE 5.20 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
1.01

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 91 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.23 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.24 metrics.current_ratio
Cost Report Employees per Bed 5.46 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $119,885,844 metrics.fund_balance
Cost Report Net Income ($) $40,592,518 metrics.net_income
Cost Report Net Patient Revenue ($) $373,834,828 metrics.net_patient_revenue
Cost Report Operating Margin (%) 2.6% metrics.operating_margin
Cost Report Total Assets ($) $222,265,337 metrics.total_assets
Cost Report Total Costs ($) $344,453,479 metrics.total_costs
Cost Report Total Liabilities ($) $102,379,493 metrics.total_liabilities
Cost Report Total Margin (%) 10.0% metrics.total_margin
Cost Report Uncompensated Care (%) 10.3% metrics.uncompensated_care_pct
General Information Address 500 SOUTH CLEVELAND AVENUE Address
General Information City/Town WESTERVILLE 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 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 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 8 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 2 Count of Safety Measures Better
General Information Count of Safety Measures No Different 5 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish FRANKLIN County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 360012 Facility ID
General Information Facility Name MOUNT CARMEL ST ANN'S 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 - 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 OH State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (614) 546-4034 Telephone Number
General Information ZIP Code 43081 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.70 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.16 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.54 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.84 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.98 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.18 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 1.01 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.06 0.9995 p82 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.7% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 117 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 20 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.5% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.99 0.9969 p47 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.5% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 95 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 19.4% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.91 0.9983 p8 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 296 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 17.7% 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 5.2% 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 0.94 0.9955 p14 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.3% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 280 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 36 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 14.4% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 0.50 5.00 p11 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 4.25 8.75 p12 person_community_score
Value-Based Purchasing Safety 6.25 10.00 p19 safety_score
Value-Based Purchasing Total Performance Score 11.00 29.50 p1 total_performance_score
Methodology

Full methodology →