Hospital

WEST PENN HOSPITAL

CCN: 390090 · PITTSBURGH, PA 15224 · ALLEGHENY County

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

Overview

Address
4800 FRIENDSHIP AVENUE, PITTSBURGH, PA 15224
Phone
(412) 578-5000
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
★★★★★
CMS Overall Rating
p30
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 4 of 7 measures reported
4
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
1
4
2
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 7 of 11 measures reported
6
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 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)
0.9706 p30
Heart Failure
0.9613 p25
Pneumonia 63 discharges
1.0109 p59
COPD
— Not reported
Hip/Knee Replacement
— Not reported
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.

24.5 p32
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
5.0 p47
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
5.0 p12
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
14.5 p82
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: 1.0109
Value-Based Purchasing
24.5 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 0.7487

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 — — —
Hybrid_HWM 3.70 No Different Than the National Rate 350
MORT_30_AMI 11.50 No Different Than the National Rate 36
MORT_30_CABG — — —
MORT_30_COPD — Number of Cases Too Small —
MORT_30_HF 12.70 No Different Than the National Rate 53
MORT_30_PN 17.60 No Different Than the National Rate 59
MORT_30_STK — Number of Cases Too Small —
PSI_03 0.59 No Different Than the National Rate 1,672
PSI_04 159.85 No Different Than the National Rate 37
PSI_06 0.25 No Different Than the National Rate 1,939
PSI_08 0.25 No Different Than the National Rate 2,152
PSI_09 2.47 No Different Than the National Rate 684
PSI_10 1.50 No Different Than the National Rate 360
PSI_11 11.96 No Different Than the National Rate 349
PSI_12 3.52 No Different Than the National Rate 707
PSI_13 5.61 No Different Than the National Rate 344
PSI_14 1.58 No Different Than the National Rate 341
PSI_15 0.95 No Different Than the National Rate 790
PSI_90 1.06 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 84% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 2% —
H_COMP_1_U_P: Nurses "usually" communicated well 14% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 5
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 1% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 9% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 84% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 2% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 14% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 79% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 3% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 18% —
H_COMP_2_A_P: Doctors "always" communicated well 79% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 4% —
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 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 72% —
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 22% —
H_COMP_5_A_P: Staff "always" explained 64% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 18% —
H_COMP_5_U_P: Staff "usually" explained 18% —
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 77% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 7% —
H_MED_FOR_U_P: Staff "usually" explained new medications 16% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 50% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 29% —
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 11% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 89% —
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 11% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 89% —
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 72% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 9% —
H_CLEAN_HSP_U_P: Room was "usually" clean 19% —
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 64% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 10% —
H_QUIET_HSP_U_P: "Usually" quiet at night 26% —
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) 5% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 18% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 77% —
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) 4% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 78% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 18% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 5
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 0.148 No Different than National Benchmark
HAI_1_CIUPPER 1.122 No Different than National Benchmark
HAI_1_DOPC 7702.000 No Different than National Benchmark
HAI_1_ELIGCASES 8.596 No Different than National Benchmark
HAI_1_NUMERATOR 4.000 No Different than National Benchmark
HAI_1_SIR 0.465 No Different than National Benchmark
HAI_2_CILOWER 0.118 No Different than National Benchmark
HAI_2_CIUPPER 1.266 No Different than National Benchmark
HAI_2_DOPC 4406.000 No Different than National Benchmark
HAI_2_ELIGCASES 6.450 No Different than National Benchmark
HAI_2_NUMERATOR 3.000 No Different than National Benchmark
HAI_2_SIR 0.465 No Different than National Benchmark
HAI_3_CILOWER 1.168 Worse than the National Benchmark
HAI_3_CIUPPER 3.043 Worse than the National Benchmark
HAI_3_DOPC 336.000 Worse than the National Benchmark
HAI_3_ELIGCASES 8.762 Worse than the National Benchmark
HAI_3_NUMERATOR 17.000 Worse than the National Benchmark
HAI_3_SIR 1.940 Worse than the National Benchmark
HAI_4_CILOWER 0.010 Better than the National Benchmark
HAI_4_CIUPPER 0.963 Better than the National Benchmark
HAI_4_DOPC 612.000 Better than the National Benchmark
HAI_4_ELIGCASES 5.121 Better than the National Benchmark
HAI_4_NUMERATOR 1.000 Better than the National Benchmark
HAI_4_SIR 0.195 Better than the National Benchmark
HAI_5_CILOWER 0.179 No Different than National Benchmark
HAI_5_CIUPPER 1.360 No Different than National Benchmark
HAI_5_DOPC 78337.000 No Different than National Benchmark
HAI_5_ELIGCASES 7.096 No Different than National Benchmark
HAI_5_NUMERATOR 4.000 No Different than National Benchmark
HAI_5_SIR 0.564 No Different than National Benchmark
HAI_6_CILOWER 0.307 Better than the National Benchmark
HAI_6_CIUPPER 0.884 Better than the National Benchmark
HAI_6_DOPC 56866.000 Better than the National Benchmark
HAI_6_ELIGCASES 25.951 Better than the National Benchmark
HAI_6_NUMERATOR 14.000 Better than the National Benchmark
HAI_6_SIR 0.539 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 2.0 Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 50.0 Healthcare Personnel Vaccination
OP_18a 195.0 Emergency Department
OP_18b 192.0 Emergency Department
OP_18c — Emergency Department
OP_18d — Emergency Department
OP_22 2.0 Emergency Department
OP_23 — Emergency Department
OP_29 98.0 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 61.0 Sepsis Care
SEP_SH_3HR 76.0 Sepsis Care
SEP_SH_6HR 93.0 Sepsis Care
SEV_SEP_3HR 72.0 Sepsis Care
SEV_SEP_6HR 100.0 Sepsis Care
STK_02 97.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 94.0 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 — Number of Cases Too Small
EDAC_30_HF -36.90 Fewer Days Than Average per 100 Discharges
EDAC_30_PN 22.30 Average Days per 100 Discharges
Hybrid_HWR 16.30 No Different Than the National Rate
OP_32 13.00 No Different Than the National Rate
OP_35_ADM 14.70 Worse Than the National Rate
OP_35_ED 6.10 No Different Than the National Rate
OP_36 1.10 No Different than expected
READM_30_AMI 13.20 No Different Than the National Rate
READM_30_CABG — —
READM_30_COPD — Number of Cases Too Small
READM_30_HF 18.90 No Different Than the National Rate
READM_30_HIP_KNEE — —
READM_30_PN 16.10 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
1.07

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 0.21 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.40 — metrics.current_ratio
Cost Report Employees per Bed 7.08 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $34,401,783 — metrics.fund_balance
Cost Report Net Income ($) $191,673,140 — metrics.net_income
Cost Report Net Patient Revenue ($) $897,422,083 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 15.2% — metrics.operating_margin
Cost Report Total Assets ($) $474,577,545 — metrics.total_assets
Cost Report Total Costs ($) $677,923,049 — metrics.total_costs
Cost Report Total Liabilities ($) $363,160,750 — metrics.total_liabilities
Cost Report Total Margin (%) 20.1% — metrics.total_margin
Cost Report Uncompensated Care (%) 0.7% — metrics.uncompensated_care_pct
General Information Address 4800 FRIENDSHIP AVENUE — Address
General Information City/Town PITTSBURGH — City/Town
General Information Count of Facility MORT Measures 4 — 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 7 — 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 4 — 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 1 — 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 4 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 2 — Count of Safety Measures Worse
General Information County/Parish ALLEGHENY — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 390090 — Facility ID
General Information Facility Name WEST PENN HOSPITAL — Facility Name
General Information Hospital overall rating 3 — 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 PA — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (412) 578-5000 — Telephone Number
General Information ZIP Code 15224 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.64 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.45 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.37 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.92 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.56 — measures.ssi.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 0.75 — 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 1.07 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.97 0.9995 p30 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.9% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.5% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.96 0.9983 p25 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 22.1% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Predicted readmission rate 21.3% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.01 0.9955 p59 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 19.2% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 63 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 13 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 19.4% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 5.00 5.00 p47 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 14.50 8.75 p82 person_community_score
Value-Based Purchasing Safety 5.00 10.00 p12 safety_score
Value-Based Purchasing Total Performance Score 24.50 29.50 p32 total_performance_score
Methodology

Full methodology →