Summary Star Rating (Data Source: CMS Hospital Compare 04/01/2023 -- 03/31/2024)

The “Summary Star Rating” combines information about different aspects of patient experience to make it easier for consumers to compare hospitals. The Summary Star Rating is the average of 11 HCAHPS measures: Nurse communication, doctor communication, responsiveness of hospital staff, pain management, communication about medicines, discharge information, care transition, cleanliness, quietness, overall hospital rating, and whether or not the patient would recommend the hospital.

Patient Experience (Data Source: CMS Hospital Compare 04/01/2023 -- 03/31/2024)

This section shows how the hospital was scored by patients for nine of the eleven HCAHPS measures used for the Summary Star Rating.

• Would recommend hospital: Patients were asked whether they would definitely recommend this hospital to friends and family. The higher the percentage shown, the more likely that they would recommend it.

• Received information and education: Patients need information about their care to make informed decisions. This measure shows how well providers answered questions about what to do during their recovery at home.

• Nurses communicated well: This measure shows the percentage of patients who responded that their nurses “always” communicated well.

• Doctors communicated well: This measure shows the percentage of patients who responded that their doctors “always” communicated well.

• Help received: This measure shows the percentage of patients who responded that they “always” received help as soon as they wanted.

• Staff explained medicine: This measure shows the percentage of patients who responded that staff “always” explained about their medicines before giving it to them.

This measure reflects patients who “strongly agree” they understood their care when they left the hospital.

• Patient room and bathroom was clean: This measure shows the percentage of patients who responded that their room and bathroom were “always” clean.

• Quiet at night: This measure shows the percentage of patients who responded that the area around their room was “always” quiet at night.

Cesarean Birth Rate (Data Source: CMQCC 07/01/2023 -- 06/30/2024)

This measure reflects the percentage of cesarean births among mothers whose pregnancies were nulliparous, term, singleton and vertex (NTSV) — which means the delivery of a single baby [versus twins or triplets] in a head-down position after 37 weeks gestational age to women having their first baby. Unless there is a specific medical complication, cesareans should be avoided in this relatively low-risk population.

For the baby, cesareans are associated with a higher risk of respiratory issues that require admission to an intensive care unit. For mothers, cesareans carry an increased risk of complications such as post-surgical infection and hemorrhage. Compared to vaginal birth, cesareans are also associated with longer recovery times and can impede the mother-infant breastfeeding relationship. Importantly, women with prior cesarean births also have significantly higher risks of complications in their subsequent pregnancies.

Hospitals with an NTSV Cesarean Birth rate higher than 23.6% are performing cesareans above the statewide target. A woman who prefers a vaginal birth for her first baby should look for a hospital with a low NTSV C-section rate and discuss her delivery options with her maternity care provider.

The NTSV Cesarean Birth rate compares how often each hospital performs cesareans on its patients with relatively “low risk” pregnancies. However, this measure does not adjust for every single medical complication that may lead a physician to recommend a cesarean. As such, hospitals that routinely treat very high-risk patients may have higher cesarean birth rates.

Breastfeeding Rate (Data Source: CDPH 01/01/2022 -- 12/31/2022)

This measure shows the percentage of newborns that were breastfed during their hospital stay. Research indicates that exclusive breastfeeding is beneficial and is generally recommended for women and their babies–as long as they do not have specific complications.  Although there are many reasons breastfeeding rates vary, hospital staff can help new mothers begin to breastfeed before they leave the hospital.

Episiotomy Rate (Data Source: CMQCC 07/01/2023 -- 06/30/2024)

An episiotomy is a surgical cut in the vaginal opening to make more space for the birth of a baby. It was once a routine procedure; however, many recent studies show that this cut does not make the birth easier and actually may lead to more short- and long-term harm in women. Providers and hospitals generally aim to do fewer episiotomies.

This measure reflects the number of episiotomies performed on women delivering vaginally at the hospital (but excludes cases of shoulder dystocia—when the baby’s shoulder position can impede delivery). In general, a lower rate is better.

VBAC Routinely Available (Data Source: CMQCC 07/01/2023 -- 06/30/2024)

Some women that had a cesarean in a prior delivery are interested in having the option to attempt a vaginal birth in their current pregnancy.  This measure indicates whether a hospital has a policy of allowing “Vaginal Birth after Cesarean” (VBAC). Hospitals showing “yes” do offer VBAC services for eligible women who previously had cesareans.

This information was collected from a survey of hospitals conducted by the Hospital Quality Institute in 2016 and is regularly updated by the California Maternal Quality Care Collaborative upon hospital request. However, policies can change, so please contact the hospital directly to learn their current policy on VBACs.

VBAC Rate (Data Source: CMQCC 07/01/2023 -- 06/30/2024)

A Vaginal Birth after Cesarean section (“VBAC”) is when a woman who has had a prior C-section delivers vaginally in a subsequent pregnancy (that is, without needing a repeat C-section). There are situations where women who have had a prior C-section may be eligible to deliver future babies vaginally—which has fewer post-delivery complications.

This measure represents the percentage of vaginal births among all women with a prior C-section for each hospital. Note that this measure is based on all women delivering at the hospital who had a prior cesarean, and not just those actively seeking a VBAC or those deemed as good candidates for a VBAC.

Deliveries by Certified Nurse Midwives (Data Source: CMQCC 07/01/2023 -- 06/30/2024)

This statistic represents the percent of births at each hospital that were attended by Certified Nurse Midwives (CNMs). CNMs—often called “nurse-midwives”—are advanced practice nurses who are masters or doctorally educated and are licensed by the state to manage uncomplicated pregnancy and childbirth. The statistic is based on the provider type (e.g., physician, CNM, nurse) listed as the “Attending Provider” on all California Birth Certificates.

Some women have a personal preference to be attended by a CNM. Reporting each hospital’s CNM Delivery Rate can help women identify which hospitals have integrated CNMs into their maternity care unit. If you are interested in having your labor and birth attended by a nurse-midwife, contact the maternity unit at your preferred hospital(s) to identify the provider groups with CNMs.

Reporting Period for other Mother & Baby Measures (listed below):

The ratings reflect July 2023 – June 2024 hospital discharge and birth certificate data from 200 California hospitals that offer maternity services and participate in the California Maternal Quality Care Collaborative’s Maternal Data Center (CMQCC’s MDC). These 200 hospitals submitted data to the CMQCC Maternal Data Center to enable rapid-cycle reporting and quality improvement. One hospital listed in this section did not submit data to the CMQCC Maternal Data Center; their results represent Calendar Year 2022 data available from the California Department of Health Care Access and Information. There are 14 other hospitals that have closed their maternity services. These hospitals are listed here.

For more information, please access the Ratings & Data Sources section of this website here.

Baby Friendly Designated Hospital (Data Source: Baby Friendly Website 01/01/2024 -- 12/31/2024)

Indicates if this maternity facility is designated as Baby Friendly. The World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) launched the Baby-Friendly Hospital Initiative (BFHI), a global program to encourage the broad-scale implementation of the Ten Steps to Successful Breastfeeding and the International Code of Marketing of Breast-milk Substitutes. The BFHI assists hospitals in giving mothers the information,  and skills necessary to successfully initiate and continue breastfeeding their babies and gives special recognition to hospitals that have done so.

This designation process lasts for 5 years. We encourage individuals to check out the BF USA website for the most up to date information.

Hospitals must pay for this designation, as this is just one indicator of a hospital’s commitment to breastfeeding.

Hip Fracture Death Rate (Data Source: HCAI 01/01/2022 -- 12/31/2022)

A hip fracture is a break in the upper part of the thighbone, which fits into the socket of the hip joint. Hip fracture is a common cause for hospitalization among the elderly. This measure shows the percentage of patients admitted for hip fracture who died in the hospital. Lower rates suggest better quality of care. Note that this death rate is based on data reported by the California OSHPD Patient Discharge Database (non-public) and, while measured the same way for all hospitals, may be measured differently than death rates for other conditions.

Hip or Knee Surgery Readmission Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 06/30/2023)

This readmission rate is the percentage of patients who returned to the hospital within 30 days after hip or knee surgery. Lower rates suggest better quality of care. A readmission may result from incomplete treatment or poor care by the hospital team of the underlying problem, or may reflect poor coordination of care by the hospital team at the time of discharge and afterward. Readmission rates can vary for many reasons and may not always indicate a hospital’s level of quality. Note that this readmission rate is based on data reported by CMS Hospital Compare and, while measured the same way for all hospitals, may be measured differently than readmission rates for other conditions. Importantly, the data are based on the Medicare fee-for-service population, which has higher readmission rates than the general population.

Hip or Knee Surgery Complication Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 03/31/2023)

This complication rate is the percent of patients who electively had a primary total hip/knee replacement and developed at least one of eight complications: heart attack, pneumonia, sepsis/septicemia/shock, surgical site bleeding, pulmonary embolism, death, mechanical complication with the joint, or joint/wound infection. A complication may result from incomplete treatment or poor care by the hospital team or may reflect poor coordination of care by the hospital team at the time of discharge and afterward. Complication rates can vary for many reasons and may not always indicate a hospital’s level of quality. The data are based on the Medicare fee-for-service population.

Complication Prevention

Unplanned Surgical Wound Reopening (Data Source: CMS Hospital Compare 07/01/2021 -- 06/30/2023)

The medical term for this is “postoperative wound dehiscence.” An unplanned reopening of a surgical wound is a complication of surgery. This reopening usually occurs between seven and ten days after surgery and often leads to infection and sometimes even death if left untreated. The causes of wound reopening depend on the type of surgery but include infection of the wound, pressure on the stitches, stitches that are too tight, poor wound closing, and injury to the wound after closure. Signs of potential problems with a wound can include pain, bruising, inflammation, discharge, and breakdown of the skin around the wound area, as well as diarrhea, fever, and vomiting. Patients should check their wound site regularly and alert the surgeon or physician if it is not healing. Lower rates suggest better quality of care.

Death after Serious Treatable Complication (Data Source: CMS Hospital Compare 07/01/2021 -- 06/30/2023)

This measure shows the percentage of patients who died after developing a medical complication following inpatient surgery. Some hospitals are better than others at quickly identifying these complications and treating them aggressively. Lower death rates suggest better quality of care.

Accidental Lung Puncture (Data Source: CMS Hospital Compare 07/01/2021 -- 06/30/2023)

The medical term for this is “iatrogenic pneumothorax.” The problem occurs when the cavity between the lungs and the chest wall is accidentally punctured during a required medical procedure (for example, by a needle being used to give the patient medicine). The puncture causes air to leak into the body and may lead to lung collapse. Lower rates suggest better quality of care.

Healthcare Workers Given Influenza Vaccination (Data Source: CMS Hospital Compare 10/01/2023 -- 03/31/2024)

The percentage of healthcare workers who were given the influenza vaccination.

Gastrointestinal Hemorrhage Death Rate (Data Source: HCAI 01/01/2022 -- 12/31/2022)

The rate of patients who die with their main diagnosis being gastrointestinal hemorrhage.  A GI hemorrhage is loss of blood from anywhere in the GI track from the pharynx to the rectum.

Sepsis Management (Data Source: CMS Hospital Compare 04/01/2023 -- 03/31/2024)

Sepsis Infection: This measure shows the percentage of patients who received appropriate care for severe sepsis and septic shock. This sepsis bundle measure examines six different types of care for patients with sepsis.  A hospital must complete all six to be counted as delivering appropriate care to patients.

Safe Use of Opioids (Data Source: CMS Hospital Compare 01/01/2023 -- 12/31/2023)

When prescription opioids, or opioids and benzodiazepines are given at the same time, patients are at a higher risk of unintentional overdose because of the increased risk of breathing problems. Not using both types of medications at the same time reduces the risk of ER and inpatient hospital stays.

Antibiotic-Resistant Infections (Data Source: CMS Hospital Compare 04/01/2023 -- 03/31/2024)

Bloodstream infections (BSIs) are among the most serious health care-associated infections and can lead to death, longer hospital stays, and additional costs.

MRSA Infection: Methicillin-resistant Staphylococcus aureus (MRSA) is a bloodstream infection Staph resistant to certain antibiotics. This measure shows the number of events identified by the lab.

VRE Infection: Vancomycin-Resistant Enterococci (VRE) is a bloodstream infection caused by Enterococci resistant to certain antibiotics. This measure shows the number of events identified by the lab.

C.diff Infection: This measure shows the number of C.diff events identified by the lab.

Infections Related to Catheters and Tubes (Data Source: CMS Hospital Compare 04/01/2023 -- 03/31/2024)

CLABSI and CAUTI are infections associated with hospital procedures that involve insertion of catheters and tubes during the patient’s hospital stay. The calculation of these measures adjusts for differences in the characteristics of hospitals and patients using a standardized infection ratio (SIR). The SIR is a summary measure that takes into account differences in the types of patients a hospital treats. For CLABSI and CAUTI, risk adjustment considers the following: type of hospital, whether the hospital is affiliated with a medical school, facility bed size, and the type of location within the hospital. A SIR is provided for CLABSI and CAUTI in ICUs and select wards.

Surgical Site Infections - Cardiovascular & Thoracic (Data Source: CDPH 01/01/2023 -- 12/31/2023)

Surgical Site Infections (SSIs) occur after surgery in the part of the body where the surgery took place. Some are superficial infections, while others are more serious and can involve muscle and other tissues under the skin, organs, or the space around organs, which often result in longer hospital stays or readmissions later. Surgical site infections may be prevented with proper preparation of the skin and administration of an antibiotic just prior to surgery. SSIs are shown in six categories: Cardiovascular & Thoracic, Gastrointestinal, Orthopedic, OB/GYN, Gallbladder/Liver Related, and Organ Transplant.

Surgical Site Infections (SSIs) occur after surgery in the part of the body where the surgery took place. Some are superficial infections, while others are more serious and can involve muscle and other tissues under the skin, organs, or the space around organs, which often result in longer hospital stays or readmissions later. Surgical site infections may be prevented with proper preparation of the skin and administration of an antibiotic just prior to surgery. SSIs are shown in six categories: Cardiovascular & Thoracic, Gastrointestinal, Orthopedic, OB/GYN, Gallbladder/Liver Related, and Organ Transplant.

Appendix (Data Source: CDPH 01/01/2023 -- 12/31/2023)

Colon (Data Source: CMS Hospital Compare 04/01/2023 -- 03/31/2024)

Gastric (Data Source: CDPH 01/01/2023 -- 12/31/2023)

Rectal (Data Source: CDPH 01/01/2023 -- 12/31/2023)

Small Bowel (Data Source: CDPH 01/01/2023 -- 12/31/2023)

Surgical Site Infections - Orthopedic (Data Source: CDPH 01/01/2023 -- 12/31/2023)

Surgical Site Infections (SSIs) occur after surgery in the part of the body where the surgery took place. Some are superficial infections, while others are more serious and can involve muscle and other tissues under the skin, organs, or the space around organs, which often result in longer hospital stays or readmissions later. Surgical site infections may be prevented with proper preparation of the skin and administration of an antibiotic just prior to surgery. SSIs are shown in six categories: Cardiovascular & Thoracic, Gastrointestinal, Orthopedic, OB/GYN, Gallbladder/Liver Related, and Organ Transplant.

Surgical Site Infections - OB/GYN (Data Source: CDPH 01/01/2023 -- 12/31/2023)

Surgical Site Infections (SSIs) occur after surgery in the part of the body where the surgery took place. Some are superficial infections, while others are more serious and can involve muscle and other tissues under the skin, organs, or the space around organs, which often result in longer hospital stays or readmissions later. Surgical site infections may be prevented with proper preparation of the skin and administration of an antibiotic just prior to surgery. SSIs are shown in six categories: Cardiovascular & Thoracic, Gastrointestinal, Orthopedic, OB/GYN, Gallbladder/Liver Related, and Organ Transplant.

Surgical Site Infections - Gallbladder/Liver Related (Data Source: CDPH 01/01/2023 -- 12/31/2023)

Surgical Site Infections (SSIs) occur after surgery in the part of the body where the surgery took place. Some are superficial infections, while others are more serious and can involve muscle and other tissues under the skin, organs, or the space around organs, which often result in longer hospital stays or readmissions later. Surgical site infections may be prevented with proper preparation of the skin and administration of an antibiotic just prior to surgery. SSIs are shown in six categories: Cardiovascular & Thoracic, Gastrointestinal, Orthopedic, OB/GYN, Gallbladder/Liver Related, and Organ Transplant.

Surgical Site Infections - Organ Transplant (Data Source: CDPH 01/01/2023 -- 12/31/2023)

Surgical Site Infections (SSIs) occur after surgery in the part of the body where the surgery took place. Some are superficial infections, while others are more serious and can involve muscle and other tissues under the skin, organs, or the space around organs, which often result in longer hospital stays or readmissions later. Surgical site infections may be prevented with proper preparation of the skin and administration of an antibiotic just prior to surgery. SSIs are shown in six categories: Cardiovascular & Thoracic, Gastrointestinal, Orthopedic, OB/GYN, Gallbladder/Liver Related, and Organ Transplant.

Cancer Surgery - Number of Cases (Data Source: HCAI 01/01/2023 -- 12/31/2023)

Research shows that for many types of cancer, patients who have surgery at hospitals that perform a low number of surgeries (sometimes called “surgery volume”) are less likely to survive the surgery and more likely to suffer complications. While surgery is not always the best treatment for cancer, once you decide with your doctor that surgery is a good option, you can use the surgery numbers here to choose a hospital. You should also consider other quality or safety information on this website, such as hospital rates for: deaths; complications; infection prevention; readmissions; and patient experience/satisfaction.

Time in ED before being sent home (Data Source: CMS Hospital Compare 04/01/2023 -- 03/31/2024)

The page shows the average amount of time patients spend in the emergency department before being sent home.

Left the ED before being seen (Data Source: CMS Hospital Compare 01/01/2023 -- 12/31/2023)

This measure shows the percentage of patients who left the emergency department without being seen by a provider.

Death Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 06/30/2023)

This measure estimates the patients who died from any cause within 30 days of being hospitalized for heart attack, regardless of whether the death was in the hospital or after discharge. Note that this death rate is based on data reported by CMS/Medicare and, while measured the same way for all hospitals, may be measured differently than death rates for other conditions. Importantly, the data are based on the Medicare fee-for-service population, which has higher death rates than the general population.

Readmission Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 06/30/2023)

This readmission rate is the percentage of patients who returned to the hospital within 30 days for any reason. Lower rates suggest better quality of care. A readmission may result from incomplete treatment or poor care by the hospital team of the underlying problem, or may reflect poor coordination of care by the hospital team at the time of discharge and afterward. Readmission rates can vary for many reasons and may not always indicate a hospital’s level of quality. Note that this readmission rate is based on data reported by CMS Hospital Compare and, while measured the same way for all hospitals, may be measured differently than readmission rates for other conditions. Importantly, the data are based on the Medicare fee-for-service population, which has higher readmission rates than the general population.

Angioplasty (PTCA) - Number of Cases (Data Source: HCAI 01/01/2022 -- 12/31/2022)

The page shows the number of percutaneous transluminal coronary angioplasties (PTCA or “angioplasty”) performed at this hospital. Angioplasty is a minimally invasive procedure to open up blocked coronary arteries, allowing blood to circulate unobstructed to the heart muscle.

Angioplasty (PTCA) - Death Rate (Data Source: HCAI 01/01/2022 -- 12/31/2022)

The rate of patients who die after having percutaneous transluminal coronary angioplasties (PTCA or “angioplasty”), which is a non-surgical procedure used to treat the narrowed coronary arteries of the heart found in heart disease from the buildup of the cholesterol-laden plaques.

CABG Death Rate - With Valve (Data Source: HCAI 01/01/2022 -- 12/31/2023)

This measure shows the percentage of patients who died within 30 days of discharge after heart bypass surgery that includes aortic valve replacement, mitral valve replacement or repair, or a combination thereof. The rate is adjusted because patients have different chances of dying due to individual risk factors. Lower rates suggest better quality of care. Note that this death rate is based on data reported by California CABG Outcomes Reporting Program (CCORP) / California OSHPD and, while measured the same way for all hospitals, may be measured differently than death rates for other conditions.

Postoperative Stroke (Data Source: HCAI 01/01/2022 -- 12/31/2023)

This measure shows the percentage of patients who suffered a stroke after they had heart bypass surgery.

Death Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 06/30/2023)

This measure estimates the patients who died from any cause within 30 days of being hospitalized for heart failure, regardless of whether the death was in the hospital or after discharge. Note that this death rate is based on data reported by CMS/Medicare and, while measured the same way for all hospitals, may be measured differently than death rates for other conditions. Importantly, the data are based on the Medicare fee-for-service population, which has higher death rates than the general population.

Readmission Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 06/30/2023)

This readmission rate is the percentage of patients who returned to the hospital within 30 days for any reason. Lower rates suggest better quality of care. A readmission may result from incomplete treatment or poor care by the hospital team of the underlying problem, or may reflect poor coordination of care by the hospital team at the time of discharge and afterward. Readmission rates can vary for many reasons and may not always indicate a hospital’s level of quality. Note that this readmission rate is based on data reported by CMS Hospital Compare and, while measured the same way for all hospitals, may be measured differently than readmission rates for other conditions. Importantly, the data are based on the Medicare fee-for-service population, which has higher readmission rates than the general population.

Death Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 06/30/2023)

This measure estimates the patients who died from any cause within 30 days of being hospitalized for pneumonia, regardless of whether the death was in the hospital or after discharge. Note that this death rate is based on data reported by CMS/Medicare and, while measured the same way for all hospitals, may be measured differently than death rates for other conditions. Importantly, the data are based on the Medicare fee-for-service population, which has higher death rates than the general population.

Readmission Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 06/30/2023)

This readmission rate is the percentage of patients who returned to the hospital within 30 days for any reason. Lower rates suggest better quality of care. A readmission may result from incomplete treatment or poor care by the hospital team of the underlying problem, or may reflect poor coordination of care by the hospital team at the time of discharge and afterward. Readmission rates can vary for many reasons and may not always indicate a hospital’s level of quality. Note that this readmission rate is based on data reported by CMS Hospital Compare and, while measured the same way for all hospitals, may be measured differently than readmission rates for other conditions. Importantly, the data are based on the Medicare fee-for-service population, which has higher readmission rates than the general population.

Death Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 06/30/2023)

This measure estimates the patients who died from any cause within 30 days of being hospitalized for COPD, regardless of whether the death was in the hospital or after discharge. Note that this death rate is based on data reported by CMS/Medicare and, while measured the same way for all hospitals, may be measured differently than death rates for other conditions. Importantly, the data are based on the Medicare fee-for-service population, which has higher death rates than the general population.

Readmission Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 06/30/2023)

This readmission rate is the percentage of patients who returned to the hospital within 30 days for any reason. Lower rates suggest better quality of care. A readmission may result from incomplete treatment or poor care by the hospital team of the underlying problem, or may reflect poor coordination of care by the hospital team at the time of discharge and afterward. Readmission rates can vary for many reasons and may not always indicate a hospital’s level of quality. Note that this readmission rate is based on data reported by CMS Hospital Compare and, while measured the same way for all hospitals, may be measured differently than readmission rates for other conditions. Importantly, the data are based on the Medicare fee-for-service population, which has higher readmission rates than the general population.

Death Rate (Data Source: CMS Hospital Compare 07/01/2020 -- 06/30/2023)

This measure estimates the patients who died from any cause within 30 days of being hospitalized for a stroke, regardless of whether the death was in the hospital or after discharge. Note that this death rate is based on data reported by CMS/Medicare and, while measured the same way for all hospitals, may be measured differently than death rates for other conditions. Importantly, the data are based on the Medicare fee-for-service population, which has higher death rates than the general population.

Abdominal Aortic Aneurysm Repair - Number of Cases (Data Source: HCAI 01/01/2022 -- 12/31/2022)

The abdominal aorta is the main blood vessel that supplies blood to the abdomen, pelvis, and legs. If the blood vessel enlarges abnormally, surgery is usually performed to prevent a rupture of the ballooning vessel (“aneurysm”). More cases means the surgical team has more practice, which may lead to better results for the patient. A hospital must perform ten or more abdominal aortic aneurysm repairs per year to be rated as having “enough cases.” This may indicate that this hospital has a basic level of proficiency. If the “service was not provided,” then no cases were attempted and the hospital is not rated for this procedure.

Abdominal Aortic Aneurysm Repair - Death Rate (Data Source: HCAI 01/01/2022 -- 12/31/2022)

If a hospital meets the criteria for “enough cases” (ten or more abdominal aortic aneurysm repairs per year), then the page displays the death rate for this procedure at this hospital. Patients requiring this procedure usually have disease of other major vessels as well, which make them a high risk for stroke, heart attack, or other complications during or after surgery. The type of aneurysm and other patient-related factors greatly affect the death rate for this procedure.

Pancreatic Resection - Death Rate (Data Source: HCAI 01/01/2022 -- 12/31/2022)

If a hospital meets the criteria for “enough cases” (ten or more pancreatic resections per year), then the page displays the death rate for this procedure at this hospital.

Pancreatic Resection - Number of Cases (Data Source: HCAI 01/01/2022 -- 12/31/2022)

This measure indicates the number of cases of pancreatic resection.

Percent of patients receiving follow-up care within 30 days after hospitalization for mental illness (Data Source: CMS Hospital Compare 07/01/2022 -- 06/30/2023)

The percentage of discharges for which the patient received follow-up within 30 days after discharge for patients 6 years of age and older who were hospitalized for treatment of selected mental illness or intentional self-harm diagnoses and who had a follow-up visit with a mental health provider.

Percent of patients receiving follow-up care within 7 days after hospitalization for mental illness (Data Source: CMS Hospital Compare 07/01/2022 -- 06/30/2023)

The percentage of discharges for which the patient received follow-up within 7 days after discharge for patients 6 years of age and older who were hospitalized for treatment of selected mental illness or intentional self-harm diagnoses and who had a follow-up visit with a mental health provider.

Hours of physical-restraint use (Data Source: CMS Hospital Compare 01/01/2023 -- 12/31/2023)

The total number of hours that all patients admitted to a hospital-based inpatient psychiatric setting were maintained in physical restraint per 1000 hours of all patients admissions.

Hours of seclusion use (Data Source: CMS Hospital Compare 01/01/2023 -- 12/31/2023)

The total number of hours that all patients admitted to a hospital-based inpatient psychiatric setting were held in seclusion per 1000 hours of all patients admissions.

Medication Continuation Following Inpatient Psychiatric Discharge (Data Source: CMS Hospital Compare 07/01/2021 -- 06/30/2023)

This measure shows the percentage of patients admitted to an inpatient psychiatric facility for serious mental illness who filled at least one prescription between the 2 days before they were discharged and 30 days after they were discharged from the facility.

Transition record with specified elements received by discharged patients (Data Source: CMS Hospital Compare 01/01/2023 -- 12/31/2023)

This measure assesses the percentage of patients discharged from an inpatient psychiatric facility who received (or whose caregiver received) a complete record of inpatient psychiatric care and plans for follow-up.