Hospital

ASCENSION ST JOHN MEDICAL CENTER

CCN: 370114 · TULSA, OK 74104 · TULSA County

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

Overview

Address
1923 SOUTH UTICA AVENUE, TULSA, OK 74104
Phone
(918) 744-2296
Hospital Type
Acute Care
Ownership
Non-Profit
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 7 of 7 measures reported
6
1
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 10 of 11 measures reported
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) 224 discharges
1.0305 p69
Heart Failure 528 discharges
0.9429 p16
Pneumonia 391 discharges
0.8805 p2
COPD 137 discharges
1.0131 p63
Hip/Knee Replacement
— Not reported
CABG Surgery
0.8787 p8
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: 1.0305
Value-Based Purchasing
—
HAC Reduction
Payment Reduced
HAC Score: 0.4282

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 4.30 No Different Than the National Rate 1,370
MORT_30_AMI 12.40 No Different Than the National Rate 200
MORT_30_CABG 4.50 No Different Than the National Rate 67
MORT_30_COPD 6.70 No Different Than the National Rate 118
MORT_30_HF 11.90 No Different Than the National Rate 442
MORT_30_PN 18.00 No Different Than the National Rate 382
MORT_30_STK 14.70 No Different Than the National Rate 412
PSI_03 0.20 No Different Than the National Rate 6,444
PSI_04 185.19 No Different Than the National Rate 185
PSI_06 0.28 No Different Than the National Rate 7,813
PSI_08 0.40 No Different Than the National Rate 7,768
PSI_09 2.18 No Different Than the National Rate 2,221
PSI_10 2.03 No Different Than the National Rate 810
PSI_11 15.23 Worse Than the National Rate 805
PSI_12 2.54 No Different Than the National Rate 2,364
PSI_13 7.57 No Different Than the National Rate 841
PSI_14 1.43 No Different Than the National Rate 619
PSI_15 1.16 No Different Than the National Rate 1,813
PSI_90 1.11 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 68% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6% —
H_COMP_1_U_P: Nurses "usually" communicated well 26% —
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 77% —
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 20% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 64% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 29% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 63% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 8% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 29% —
H_COMP_2_A_P: Doctors "always" communicated well 70% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 7% —
H_COMP_2_U_P: Doctors "usually" communicated well 23% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 77% —
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 18% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 70% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 8% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 22% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 64% —
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 28% —
H_COMP_5_A_P: Staff "always" explained 53% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 26% —
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 64% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 15% —
H_MED_FOR_U_P: Staff "usually" explained new medications 21% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 42% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 37% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 21% —
H_COMP_6_N_P: No, staff "did not" give patients this information 20% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 80% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 1
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 23% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 77% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 16% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 84% —
H_CLEAN_HSP_A_P: Room was "always" clean 61% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 13% —
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 51% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 12% —
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) 13% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 30% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 57% —
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) 9% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 64% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 27% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 3
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 0.413 No Different than National Benchmark
HAI_1_CIUPPER 1.364 No Different than National Benchmark
HAI_1_DOPC 13206.000 No Different than National Benchmark
HAI_1_ELIGCASES 14.018 No Different than National Benchmark
HAI_1_NUMERATOR 11.000 No Different than National Benchmark
HAI_1_SIR 0.785 No Different than National Benchmark
HAI_2_CILOWER 0.245 No Different than National Benchmark
HAI_2_CIUPPER 1.001 No Different than National Benchmark
HAI_2_DOPC 11849.000 No Different than National Benchmark
HAI_2_ELIGCASES 15.169 No Different than National Benchmark
HAI_2_NUMERATOR 8.000 No Different than National Benchmark
HAI_2_SIR 0.527 No Different than National Benchmark
HAI_3_CILOWER 1.015 Worse than the National Benchmark
HAI_3_CIUPPER 3.184 Worse than the National Benchmark
HAI_3_DOPC 240.000 Worse than the National Benchmark
HAI_3_ELIGCASES 6.408 Worse than the National Benchmark
HAI_3_NUMERATOR 12.000 Worse than the National Benchmark
HAI_3_SIR 1.873 Worse than the National Benchmark
HAI_4_CILOWER 0.710 No Different than National Benchmark
HAI_4_CIUPPER 4.297 No Different than National Benchmark
HAI_4_DOPC 291.000 No Different than National Benchmark
HAI_4_ELIGCASES 2.579 No Different than National Benchmark
HAI_4_NUMERATOR 5.000 No Different than National Benchmark
HAI_4_SIR 1.939 No Different than National Benchmark
HAI_5_CILOWER 0.184 No Different than National Benchmark
HAI_5_CIUPPER 1.398 No Different than National Benchmark
HAI_5_DOPC 75224.000 No Different than National Benchmark
HAI_5_ELIGCASES 6.902 No Different than National Benchmark
HAI_5_NUMERATOR 4.000 No Different than National Benchmark
HAI_5_SIR 0.580 No Different than National Benchmark
HAI_6_CILOWER 0.201 Better than the National Benchmark
HAI_6_CIUPPER 0.558 Better than the National Benchmark
HAI_6_DOPC 69946.000 Better than the National Benchmark
HAI_6_ELIGCASES 43.331 Better than the National Benchmark
HAI_6_NUMERATOR 15.000 Better than the National Benchmark
HAI_6_SIR 0.346 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 — 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 0.0 Electronic Clinical Quality Measure
IMM_3 90.0 Healthcare Personnel Vaccination
OP_18a 194.0 Emergency Department
OP_18b 189.0 Emergency Department
OP_18c 290.0 Emergency Department
OP_18d — Emergency Department
OP_22 — Emergency Department
OP_23 — Emergency Department
OP_29 — Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 11.0 Electronic Clinical Quality Measure
SEP_1 46.0 Sepsis Care
SEP_SH_3HR 55.0 Sepsis Care
SEP_SH_6HR 76.0 Sepsis Care
SEV_SEP_3HR 65.0 Sepsis Care
SEV_SEP_6HR 89.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 97.0 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 -2.80 Average Days per 100 Discharges
EDAC_30_HF -4.30 Average Days per 100 Discharges
EDAC_30_PN -30.30 Fewer Days Than Average per 100 Discharges
Hybrid_HWR 13.80 No Different Than the National Rate
OP_32 12.00 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 13.90 No Different Than the National Rate
READM_30_CABG 9.30 No Different Than the National Rate
READM_30_COPD 18.40 No Different Than the National Rate
READM_30_HF 18.60 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 14.10 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
1.06
Footnote
29.00

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 0.22 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 3.24 — metrics.current_ratio
Cost Report Employees per Bed 4.64 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $269,885,141 — metrics.fund_balance
Cost Report Net Income ($) $-18,609,584 — metrics.net_income
Cost Report Net Patient Revenue ($) $572,414,168 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -5.3% — metrics.operating_margin
Cost Report Total Assets ($) $313,829,755 — metrics.total_assets
Cost Report Total Costs ($) $504,498,639 — metrics.total_costs
Cost Report Total Liabilities ($) $43,944,614 — metrics.total_liabilities
Cost Report Total Margin (%) -3.2% — metrics.total_margin
Cost Report Uncompensated Care (%) 4.7% — metrics.uncompensated_care_pct
General Information Address 1923 SOUTH UTICA AVENUE — Address
General Information City/Town TULSA — 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 10 — 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 1 — 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 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 4 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 — Count of Safety Measures Worse
General Information County/Parish TULSA — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 370114 — Facility ID
General Information Facility Name ASCENSION ST JOHN MEDICAL CENTER — 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 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 OK — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (918) 744-2296 — Telephone Number
General Information ZIP Code 74104 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.76 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.39 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.32 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.93 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.63 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.43 — total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 — End Date
Medicare Spending per Beneficiary Footnote 29 — Footnote
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 1.06 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.03 0.9995 p69 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.2% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 224 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 32 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.6% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.88 1.0000 p8 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 9.7% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 8.5% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.01 0.9969 p63 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 20.2% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 137 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 29 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 20.4% — 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 20.1% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 528 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 96 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.0% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.88 0.9955 p2 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.4% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 391 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 48 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 14.4% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →