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Overview

Address
1000 WEST BOISE CIRCLE, BROKEN ARROW, OK 74012
Phone
(918) 994-8100
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
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 2 of 7 measures reported
2
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 3 of 8 measures reported
3
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 6 of 11 measures reported
6
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 8 of 12 measures reported
8 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)
— Not reported
Heart Failure
0.9759 p33
Pneumonia
1.0153 p62
COPD
— Not reported
Hip/Knee Replacement
0.9603 p40
CABG Surgery
— Not reported
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: 1.0153
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: -1.0213

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 2.90 No Different Than the National Rate 215
Hybrid_HWM 4.10 No Different Than the National Rate 154
MORT_30_AMI Number of Cases Too Small
MORT_30_CABG
MORT_30_COPD Number of Cases Too Small
MORT_30_HF 9.50 No Different Than the National Rate 42
MORT_30_PN 14.30 No Different Than the National Rate 62
MORT_30_STK
PSI_03 0.56 No Different Than the National Rate 310
PSI_04
PSI_06 0.21 No Different Than the National Rate 735
PSI_08 0.26 No Different Than the National Rate 691
PSI_09 2.29 No Different Than the National Rate 338
PSI_10 1.64 No Different Than the National Rate 299
PSI_11 7.95 No Different Than the National Rate 301
PSI_12 3.11 No Different Than the National Rate 349
PSI_13 4.89 No Different Than the National Rate 280
PSI_14 Number of Cases Too Small
PSI_15 1.04 No Different Than the National Rate 39
PSI_90 0.90 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 90%
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 8%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 77%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 3%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 20%
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 86%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 2%
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 91%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 2%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 7%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 85%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 2%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 13%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 81%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 3%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 16%
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 79%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 5%
H_MED_FOR_U_P: Staff "usually" explained new medications 16%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 43%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 34%
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 16%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 84%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 12%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 88%
H_CLEAN_HSP_A_P: Room was "always" clean 69%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 13%
H_CLEAN_HSP_U_P: Room was "usually" clean 18%
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 69%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 4%
H_QUIET_HSP_U_P: "Usually" quiet at night 27%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 4
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) 17%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 75%
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) 6%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 75%
H_RECMND_PY: "YES", patients would probably recommend the hospital 19%
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
HAI_1_CIUPPER
HAI_1_DOPC 104.000
HAI_1_ELIGCASES 0.060
HAI_1_NUMERATOR 0.000
HAI_1_SIR
HAI_2_CILOWER
HAI_2_CIUPPER
HAI_2_DOPC 140.000
HAI_2_ELIGCASES 0.069
HAI_2_NUMERATOR 0.000
HAI_2_SIR
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC 3.000
HAI_3_ELIGCASES 0.073
HAI_3_NUMERATOR 0.000
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC
HAI_4_ELIGCASES
HAI_4_NUMERATOR
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC 3161.000
HAI_5_ELIGCASES 0.144
HAI_5_NUMERATOR 0.000
HAI_5_SIR
HAI_6_CILOWER N/A No Different than National Benchmark
HAI_6_CIUPPER 2.532 No Different than National Benchmark
HAI_6_DOPC 3161.000 No Different than National Benchmark
HAI_6_ELIGCASES 1.183 No Different than National Benchmark
HAI_6_NUMERATOR 0.000 No Different than National Benchmark
HAI_6_SIR 0.000 No Different than 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 84.0 Healthcare Personnel Vaccination
OP_18a 184.0 Emergency Department
OP_18b 176.0 Emergency Department
OP_18c Emergency Department
OP_18d 389.0 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 18.0 Electronic Clinical Quality Measure
SEP_1 36.0 Sepsis Care
SEP_SH_3HR 36.0 Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR 54.0 Sepsis Care
SEV_SEP_6HR 97.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 100.0 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 Number of Cases Too Small
EDAC_30_HF -48.70 Fewer Days Than Average per 100 Discharges
EDAC_30_PN 22.40 More Days Than Average per 100 Discharges
Hybrid_HWR 15.30 No Different Than the National Rate
OP_32 12.60 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 0.90 No Different than expected
READM_30_AMI Number of Cases Too Small
READM_30_CABG
READM_30_COPD Number of Cases Too Small
READM_30_HF 19.20 No Different Than the National Rate
READM_30_HIP_KNEE 4.70 No Different Than the National Rate
READM_30_PN 16.20 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
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 0.18 metrics.cost_to_charge_ratio
Cost Report Current Ratio 4.63 metrics.current_ratio
Cost Report Employees per Bed 3.52 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $88,870,572 metrics.fund_balance
Cost Report Net Income ($) $11,036,387 metrics.net_income
Cost Report Net Patient Revenue ($) $90,115,882 metrics.net_patient_revenue
Cost Report Operating Margin (%) 10.3% metrics.operating_margin
Cost Report Total Assets ($) $94,871,606 metrics.total_assets
Cost Report Total Costs ($) $71,176,937 metrics.total_costs
Cost Report Total Liabilities ($) $6,001,034 metrics.total_liabilities
Cost Report Total Margin (%) 12.0% metrics.total_margin
Cost Report Uncompensated Care (%) 5.4% metrics.uncompensated_care_pct
General Information Address 1000 WEST BOISE CIRCLE Address
General Information City/Town BROKEN ARROW City/Town
General Information Count of Facility MORT Measures 2 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 6 Count of Facility READM Measures
General Information Count of Facility Safety Measures 3 Count of Facility Safety Measures
General Information Count of Facility TE Measures 8 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 2 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 0 Count of READM Measures Worse
General Information Count of Safety Measures Better 0 Count of Safety Measures Better
General Information Count of Safety Measures No Different 3 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish TULSA County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 370235 Facility ID
General Information Facility Name ASCENSION ST JOHN BROKEN ARROW 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 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) 994-8100 Telephone Number
General Information ZIP Code 74012 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cdi — sir 0 measures.cdi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -1.02 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 0.98 Value
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.98 0.9983 p33 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 17.2% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Predicted readmission rate 16.7% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.96 0.9916 p40 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 4.7% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 4.5% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.02 0.9955 p62 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 13.3% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Predicted readmission rate 13.5% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →