Hospital

CHRISTUS MOTHER FRANCES HOSPITAL

CCN: 450102 · TYLER, TX 75701 · SMITH County

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

Overview

Address
800 EAST DAWSON, TYLER, TX 75701
Phone
(903) 593-8441
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
5
2
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 8 of 8 measures reported
3
5
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
3
7
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 12 of 12 measures reported
12 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) 452 discharges
0.8599 p1
Heart Failure 902 discharges
0.9880 p42
Pneumonia 1,131 discharges
0.9431 p16
COPD 244 discharges
0.9244 p3
Hip/Knee Replacement
1.0151 p56
CABG Surgery 310 discharges
0.7448 p0
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.

20.7 p18
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
2.5 p23
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
10.4 p50
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
7.8 p42
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: 1.0151
Value-Based Purchasing
20.7 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: -0.2100

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 4.20 No Different Than the National Rate 33
Hybrid_HWM 4.20 No Different Than the National Rate 3,308
MORT_30_AMI 12.80 No Different Than the National Rate 417
MORT_30_CABG 2.90 No Different Than the National Rate 316
MORT_30_COPD 9.20 No Different Than the National Rate 242
MORT_30_HF 13.00 No Different Than the National Rate 804
MORT_30_PN 16.80 No Different Than the National Rate 1,084
MORT_30_STK 15.70 Worse Than the National Rate 642
PSI_03 0.08 Better Than the National Rate 11,282
PSI_04 156.58 No Different Than the National Rate 247
PSI_06 0.19 No Different Than the National Rate 12,567
PSI_08 0.29 No Different Than the National Rate 13,169
PSI_09 4.00 Worse Than the National Rate 3,304
PSI_10 1.82 No Different Than the National Rate 1,287
PSI_11 11.11 No Different Than the National Rate 1,185
PSI_12 2.44 No Different Than the National Rate 3,829
PSI_13 3.80 No Different Than the National Rate 1,206
PSI_14 1.89 No Different Than the National Rate 791
PSI_15 1.32 No Different Than the National Rate 2,851
PSI_90 0.83 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 76% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6% —
H_COMP_1_U_P: Nurses "usually" communicated well 18% —
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 4% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 12% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 75% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 19% —
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 8% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23% —
H_COMP_2_A_P: Doctors "always" communicated well 76% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 7% —
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 — 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 83% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 13% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 74% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 8% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 18% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 71% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 10% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 19% —
H_COMP_5_A_P: Staff "always" explained 58% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 25% —
H_COMP_5_U_P: Staff "usually" explained 17% —
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 71% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 14% —
H_MED_FOR_U_P: Staff "usually" explained new medications 15% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 44% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 35% —
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 13% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 87% —
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 11% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 89% —
H_CLEAN_HSP_A_P: Room was "always" clean 70% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 12% —
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 66% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 9% —
H_QUIET_HSP_U_P: "Usually" quiet at night 25% —
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) 10% —
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) 72% —
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) 4% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 76% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 20% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 4
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 0.347 No Different than National Benchmark
HAI_1_CIUPPER 1.419 No Different than National Benchmark
HAI_1_DOPC 9306.000 No Different than National Benchmark
HAI_1_ELIGCASES 10.707 No Different than National Benchmark
HAI_1_NUMERATOR 8.000 No Different than National Benchmark
HAI_1_SIR 0.747 No Different than National Benchmark
HAI_2_CILOWER 0.022 Better than the National Benchmark
HAI_2_CIUPPER 0.425 Better than the National Benchmark
HAI_2_DOPC 9370.000 Better than the National Benchmark
HAI_2_ELIGCASES 15.556 Better than the National Benchmark
HAI_2_NUMERATOR 2.000 Better than the National Benchmark
HAI_2_SIR 0.129 Better than the National Benchmark
HAI_3_CILOWER 0.357 No Different than National Benchmark
HAI_3_CIUPPER 1.458 No Different than National Benchmark
HAI_3_DOPC 349.000 No Different than National Benchmark
HAI_3_ELIGCASES 10.419 No Different than National Benchmark
HAI_3_NUMERATOR 8.000 No Different than National Benchmark
HAI_3_SIR 0.768 No Different than National Benchmark
HAI_4_CILOWER 0.443 No Different than National Benchmark
HAI_4_CIUPPER 4.739 No Different than National Benchmark
HAI_4_DOPC 202.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.723 No Different than National Benchmark
HAI_4_NUMERATOR 3.000 No Different than National Benchmark
HAI_4_SIR 1.741 No Different than National Benchmark
HAI_5_CILOWER 0.217 No Different than National Benchmark
HAI_5_CIUPPER 1.113 No Different than National Benchmark
HAI_5_DOPC 146587.000 No Different than National Benchmark
HAI_5_ELIGCASES 11.208 No Different than National Benchmark
HAI_5_NUMERATOR 6.000 No Different than National Benchmark
HAI_5_SIR 0.535 No Different than National Benchmark
HAI_6_CILOWER 0.058 Better than the National Benchmark
HAI_6_CIUPPER 0.237 Better than the National Benchmark
HAI_6_DOPC 133278.000 Better than the National Benchmark
HAI_6_ELIGCASES 63.980 Better than the National Benchmark
HAI_6_NUMERATOR 8.000 Better than the National Benchmark
HAI_6_SIR 0.125 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 3.0 Electronic Clinical Quality Measure
HH_HYPO — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 83.0 Healthcare Personnel Vaccination
OP_18a 106.0 Emergency Department
OP_18b 105.0 Emergency Department
OP_18c 160.0 Emergency Department
OP_18d — Emergency Department
OP_22 0.0 Emergency Department
OP_23 47.0 Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 56.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 14.0 Electronic Clinical Quality Measure
SEP_1 77.0 Sepsis Care
SEP_SH_3HR 88.0 Sepsis Care
SEP_SH_6HR 95.0 Sepsis Care
SEV_SEP_3HR 86.0 Sepsis Care
SEV_SEP_6HR 99.0 Sepsis Care
STK_02 96.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 91.0 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 -12.60 Fewer Days Than Average per 100 Discharges
EDAC_30_HF 17.00 More Days Than Average per 100 Discharges
EDAC_30_PN -5.70 Average Days per 100 Discharges
Hybrid_HWR 13.60 Better Than the National Rate
OP_32 10.20 Better Than the National Rate
OP_35_ADM 9.20 No Different Than the National Rate
OP_35_ED 5.10 No Different Than the National Rate
OP_36 0.90 No Different than expected
READM_30_AMI 11.70 No Different Than the National Rate
READM_30_CABG 8.00 Better Than the National Rate
READM_30_COPD 16.90 No Different Than the National Rate
READM_30_HF 19.70 No Different Than the National Rate
READM_30_HIP_KNEE 4.90 No Different Than the National Rate
READM_30_PN 15.10 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
1.10

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 96 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.11 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 4.94 — metrics.current_ratio
Cost Report Employees per Bed 6.99 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $751,472,627 — metrics.fund_balance
Cost Report Net Income ($) $19,305,452 — metrics.net_income
Cost Report Net Patient Revenue ($) $982,779,883 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -31.4% — metrics.operating_margin
Cost Report Total Assets ($) $840,600,549 — metrics.total_assets
Cost Report Total Costs ($) $851,274,996 — metrics.total_costs
Cost Report Total Liabilities ($) $89,127,922 — metrics.total_liabilities
Cost Report Total Margin (%) 1.5% — metrics.total_margin
Cost Report Uncompensated Care (%) 7.3% — metrics.uncompensated_care_pct
General Information Address 800 EAST DAWSON — Address
General Information City/Town TYLER — 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 8 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 12 — 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 5 — Count of MORT Measures No Different
General Information Count of MORT Measures Worse 2 — Count of MORT Measures Worse
General Information Count of READM Measures Better 3 — Count of READM Measures Better
General Information Count of READM Measures No Different 7 — 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 3 — 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 SMITH — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 450102 — Facility ID
General Information Facility Name CHRISTUS MOTHER FRANCES HOSPITAL — 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 TX — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (903) 593-8441 — Telephone Number
General Information ZIP Code 75701 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.41 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.27 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.19 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.55 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.56 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score -0.21 — 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 1.10 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.86 0.9995 p1 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.0% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 452 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 43 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 11.2% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.74 1.0000 p0 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.6% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 310 — READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 17 — READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 7.9% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.92 0.9969 p3 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.5% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 244 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 36 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 17.1% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.99 0.9983 p42 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.7% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 902 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 184 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 20.5% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.02 0.9916 p56 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 6.9% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 7.0% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.94 0.9955 p16 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.0% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 1,131 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 167 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.1% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 2.50 5.00 p23 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 7.75 8.75 p42 person_community_score
Value-Based Purchasing Safety 10.42 10.00 p50 safety_score
Value-Based Purchasing Total Performance Score 20.67 29.50 p18 total_performance_score
Methodology

Full methodology →