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

Overview

Address
18101 LORAIN AVENUE, CLEVELAND, OH 44111
Phone
(216) 476-7000
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
5 /5
CMS Overall Rating
p89
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
4
3
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 11 of 11 measures reported
10
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 has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 280 discharges
1.0074 p55
Heart Failure 756 discharges
0.9312 p12
Pneumonia 502 discharges
1.1121 p93
COPD 255 discharges
0.8896 p0
Hip/Knee Replacement
1.1115 p78
CABG Surgery
0.8928 p11
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.

43.5 p86
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
20.4 p99
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
8.3 p35
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
12.3 p73
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
2.5 p43
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: 1.1121
Value-Based Purchasing
43.5 TPS
Above national median
HAC Reduction
No Reduction
HAC Score: -0.3216

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 4.70 No Different Than the National Rate 44
Hybrid_HWM 3.20 Better Than the National Rate 1,846
MORT_30_AMI 9.00 Better Than the National Rate 246
MORT_30_CABG 1.80 No Different Than the National Rate 102
MORT_30_COPD 5.80 Better Than the National Rate 211
MORT_30_HF 7.70 Better Than the National Rate 644
MORT_30_PN 10.90 Better Than the National Rate 474
MORT_30_STK 13.30 No Different Than the National Rate 221
PSI_03 0.09 Better Than the National Rate 7,214
PSI_04 172.39 No Different Than the National Rate 97
PSI_06 0.20 No Different Than the National Rate 8,073
PSI_08 0.30 No Different Than the National Rate 8,437
PSI_09 2.11 No Different Than the National Rate 1,921
PSI_10 1.64 No Different Than the National Rate 902
PSI_11 8.31 No Different Than the National Rate 858
PSI_12 4.20 No Different Than the National Rate 2,050
PSI_13 2.41 Better Than the National Rate 845
PSI_14 1.63 No Different Than the National Rate 619
PSI_15 0.86 No Different Than the National Rate 1,824
PSI_90 0.73 Better 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 80%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4%
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 87%
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 11%
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 76%
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 19%
H_COMP_2_A_P: Doctors "always" communicated well 78%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5%
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 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 77%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 6%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 17%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 73%
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 20%
H_COMP_5_A_P: Staff "always" explained 61%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 19%
H_COMP_5_U_P: Staff "usually" explained 20%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 3
H_MED_FOR_A_P: Staff "always" explained new medications 75%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 9%
H_MED_FOR_U_P: Staff "usually" explained new medications 16%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 47%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 30%
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 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 13%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 87%
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 80%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 5%
H_CLEAN_HSP_U_P: Room was "usually" clean 15%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 4
H_QUIET_HSP_A_P: "Always" quiet at night 52%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 16%
H_QUIET_HSP_U_P: "Usually" quiet at night 32%
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) 19%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 73%
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) 5%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 74%
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 4
H_STAR_RATING: Summary star rating 4

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 0.420 No Different than National Benchmark
HAI_1_CIUPPER 1.258 No Different than National Benchmark
HAI_1_DOPC 17298.000 No Different than National Benchmark
HAI_1_ELIGCASES 17.225 No Different than National Benchmark
HAI_1_NUMERATOR 13.000 No Different than National Benchmark
HAI_1_SIR 0.755 No Different than National Benchmark
HAI_2_CILOWER 0.105 Better than the National Benchmark
HAI_2_CIUPPER 0.638 Better than the National Benchmark
HAI_2_DOPC 16895.000 Better than the National Benchmark
HAI_2_ELIGCASES 17.380 Better than the National Benchmark
HAI_2_NUMERATOR 5.000 Better than the National Benchmark
HAI_2_SIR 0.288 Better than the National Benchmark
HAI_3_CILOWER 0.294 No Different than National Benchmark
HAI_3_CIUPPER 1.106 No Different than National Benchmark
HAI_3_DOPC 538.000 No Different than National Benchmark
HAI_3_ELIGCASES 14.931 No Different than National Benchmark
HAI_3_NUMERATOR 9.000 No Different than National Benchmark
HAI_3_SIR 0.603 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 89.000
HAI_4_ELIGCASES 0.733
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER 0.132 No Different than National Benchmark
HAI_5_CIUPPER 1.006 No Different than National Benchmark
HAI_5_DOPC 143772.000 No Different than National Benchmark
HAI_5_ELIGCASES 9.595 No Different than National Benchmark
HAI_5_NUMERATOR 4.000 No Different than National Benchmark
HAI_5_SIR 0.417 No Different than National Benchmark
HAI_6_CILOWER 0.449 Better than the National Benchmark
HAI_6_CIUPPER 0.843 Better than the National Benchmark
HAI_6_DOPC 123790.000 Better than the National Benchmark
HAI_6_ELIGCASES 62.643 Better than the National Benchmark
HAI_6_NUMERATOR 39.000 Better than the National Benchmark
HAI_6_SIR 0.623 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 84.0 Healthcare Personnel Vaccination
OP_18a 246.0 Emergency Department
OP_18b 238.0 Emergency Department
OP_18c 392.0 Emergency Department
OP_18d Emergency Department
OP_22 3.0 Emergency Department
OP_23 80.0 Emergency Department
OP_29 87.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 8.0 Electronic Clinical Quality Measure
SEP_1 65.0 Sepsis Care
SEP_SH_3HR 64.0 Sepsis Care
SEP_SH_6HR 78.0 Sepsis Care
SEV_SEP_3HR 85.0 Sepsis Care
SEV_SEP_6HR 95.0 Sepsis Care
STK_02 100.0 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 92.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -2.60 Average Days per 100 Discharges
EDAC_30_HF -23.70 Fewer Days Than Average per 100 Discharges
EDAC_30_PN 34.40 More Days Than Average per 100 Discharges
Hybrid_HWR 14.60 No Different Than the National Rate
OP_32 14.40 No Different Than the National Rate
OP_35_ADM 11.50 No Different Than the National Rate
OP_35_ED 4.30 No Different Than the National Rate
OP_36 0.80 Better than expected
READM_30_AMI 13.60 No Different Than the National Rate
READM_30_CABG 9.50 No Different Than the National Rate
READM_30_COPD 16.10 No Different Than the National Rate
READM_30_HF 18.20 No Different Than the National Rate
READM_30_HIP_KNEE 5.30 No Different Than the National Rate
READM_30_PN 17.70 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
0.98

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 93 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Current Ratio 2.88 metrics.current_ratio
Cost Report Employees per Bed 5.20 metrics.employees_per_bed
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Fund Balance ($) $2,747,784,134 metrics.fund_balance
Cost Report Net Income ($) $309,141,496 metrics.net_income
Cost Report Net Patient Revenue ($) $670,912,183 metrics.net_patient_revenue
Cost Report Operating Margin (%) 17.7% metrics.operating_margin
Cost Report Total Assets ($) $2,883,788,217 metrics.total_assets
Cost Report Total Costs ($) $501,684,674 metrics.total_costs
Cost Report Total Liabilities ($) $136,004,083 metrics.total_liabilities
Cost Report Total Margin (%) 35.9% metrics.total_margin
Cost Report Uncompensated Care (%) 3.0% metrics.uncompensated_care_pct
General Information Address 18101 LORAIN AVENUE Address
General Information City/Town CLEVELAND 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 11 Count of Facility TE Measures
General Information Count of MORT Measures Better 4 Count of MORT Measures Better
General Information Count of MORT Measures No Different 3 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 10 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 5 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish CUYAHOGA County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 360077 Facility ID
General Information Facility Name FAIRVIEW HOSPITAL Facility Name
General Information Hospital overall rating 5 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 (216) 476-7000 Telephone Number
General Information ZIP Code 44111 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.38 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.60 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.48 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.60 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.62 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.32 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 0.98 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.01 0.9995 p55 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.0% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 280 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 40 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.1% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.89 1.0000 p11 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 9.8% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 8.8% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.89 0.9969 p0 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.8% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 255 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 34 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 16.7% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.93 0.9983 p12 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.8% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 756 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 141 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.3% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.11 0.9916 p78 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.7% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 6.3% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.11 0.9955 p93 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.3% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 502 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 104 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 19.2% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 20.42 5.00 p99 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 2.50 2.50 p43 efficiency_score
Value-Based Purchasing Person & Community Engagement 12.25 8.75 p73 person_community_score
Value-Based Purchasing Safety 8.33 10.00 p35 safety_score
Value-Based Purchasing Total Performance Score 43.50 29.50 p86 total_performance_score
Methodology

Full methodology →