Jackson Hospital and Clinic, Inc

Doing business as Jackson Hospital & Clinic Inc

Hospital in Montgomery, AL, Medicare certification number 010024. CMS publishes 64 quality measures for it.

Medicare certification

Provider of Services

CCN: 010024The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Mar 4, 2022
Beds: 344
Overall star rating: 2 of 5Care Compare
Address: 1725 Pine Street
Montgomery, AL 36106
(334) 293-8000

NPI records for this facility (CCN to NPI Mapping) 1

Jackson Hospital & Clinic, Inc.
- General Acute Care Hospital
- Montgomery, AL
- NPI 1043262488
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 2.76 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.69 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse2 of 5
- State average 3.06 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.28 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.31 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.22 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 4 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.39 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.24 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 298

Page 1 of 12Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Jasmine Necole Abebe, NP
- Family Nurse Practitioner
- Montgomery, AL
- NPI 1699336644
Jeffrey Dean Adams, M.D.
- Therapeutic Radiology Physician
- Montgomery, AL
- NPI 1558346205
Kristopher Nathan Adams, CRNP
- Family Nurse Practitioner
- Greenville, AL
- NPI 1881036473
Elaina Adderley, MD
- Endocrinology, Diabetes & Metabolism Physician
- Montgomery, AL
- NPI 1699220988
Oluyinka Adediji, MD
- Internal Medicine Physician
- Montgomery, AL
- NPI 1245226612
Edith C Agee, PHYSICIAN ASSISTANT
- Surgical Physician Assistant
- Montgomery, AL
- NPI 1821295544
Himanshu Aggarwal, M.D., M.S.
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Montgomery, AL
- NPI 1316106164
Syed Ahmed
- Family Medicine Physician
- Montgomery, AL
- NPI 1477087427
Muhammad Zabed Akbar, MD
- Family Medicine Physician
- Georgiana, AL
- NPI 1801994983
Nino Aleksidze, M.D.
- Hematology & Oncology Physician
- Montgomery, AL
- NPI 1427438530
Maegan Lee Allen, CRNP
- Women's Health Nurse Practitioner
- Montgomery, AL
- NPI 1598339038
Steven L Allen, MD
- Family Medicine Physician
- Millbrook, AL
- NPI 1508814922
Ryan Matthew Almeida, MD
- Interventional Pain Medicine Physician
- Birmingham, AL
- NPI 1225250335
Hima Reddy Ammana, MD
- Endocrinology, Diabetes & Metabolism Physician
- Montgomery, AL
- NPI 1902250343
Ace I Anglin, DPM
- Podiatrist
- Montgomery, AL
- NPI 1639165434
Ariel Anguiano, M.D.
- Medical Oncology Physician
- Tuscaloosa, AL
- NPI 1992771448
Mymoon Antony, MD
- Internal Medicine Physician
- Montgomery, AL
- NPI 1689248593
Darien Hull Arrington, CRNA
- Certified Registered Nurse Anesthetist
- Selma, AL
- NPI 1174696116
Tamjeed Arshad, M.D.
- Clinical Cardiac Electrophysiology Physician
- Montgomery, AL
- NPI 1568492544
Hugh Morgan Ashurst Jr., MD
- Internal Medicine Physician
- Mobile, AL
- NPI 1952309965
Winston M Ashurst, MD
- Obstetrics & Gynecology Physician
- Montgomery, AL
- NPI 1396714176
Robert Allen Avery, MD
- Hematology & Oncology Physician
- Prattville, AL
- NPI 1407860380
Steven D Avezzano, MD
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1730123217
John J Bachmann, CRNP
- Family Nurse Practitioner
- Prattville, AL
- NPI 1750004065
Amanda Bailey, CRNP
- Family Nurse Practitioner
- Millbrook, AL
- NPI 1255864732

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.88
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 875 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.95
- State average 1.05 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected176.11
- State average 184.12 (computed here)
- National average 173.3
- No different than the national rate
- 43 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.5
- State average 2.7 (computed here)
- National average 2.4
- No different than the national rate
- 43 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7
- State average 8.87 (computed here)
- National average 8.6
- No different than the national rate
- 69 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.2
- State average 12.46 (computed here)
- National average 11.9
- No different than the national rate
- 129 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected12.9
- State average 11.65 (computed here)
- National average 11.1
- No different than the national rate
- 257 patients
- Period from 07/01/2022
Death rate for pneumonia patients Worse20.3
- State average 16.81 (computed here)
- National average 15.2
- Worse than the national rate
- 276 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12
- State average 14.25 (computed here)
- National average 11.9
- No different than the national rate
- 190 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Worse5.4
- State average 4.66 (computed here)
- National average 3.9
- Worse than the national rate
- 2,160 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.17
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 4,424 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.31
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 4,478 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.08
- State average 3.83 (computed here)
- National average 3.52
- No different than the national rate
- 1,025 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.46
- State average 1.7 (computed here)
- National average 1.67
- No different than the national rate
- 293 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.75
- State average 2.26 (computed here)
- National average 2.34
- No different than the national rate
- 1,058 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.49
- State average 10.91 (computed here)
- National average 9.42
- No different than the national rate
- 327 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.62
- State average 5.91 (computed here)
- National average 5.27
- No different than the national rate
- 299 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.64
- State average 1.8 (computed here)
- National average 1.77
- No different than the national rate
- 266 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.83
- State average 0.62 (computed here)
- National average 0.63
- No different than the national rate
- 3,692 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.8
- State average 0.5
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected1.63
- State average 0.72
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) As expected1.1
- State average 0.44
- National average 1
- No different than national benchmark
- Period from 10/01/2024
MRSA Bacteremia Worse2.39
- State average 0.79
- National average 1
- Worse than the national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.9
- State average 0.67
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 12.3
- State average 7.67 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 4.8
- State average 6.48 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.02
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 88
- State average 91.83 (computed here)
- National average 92.79 (computed here)
- 192 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 92
- State average 64
- National average 65
- 310 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 139
- State average 155
- National average 168
- 1,588 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 185
- State average 302
- National average 287
- 54 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 138
- State average 149
- National average 162
- 1,485 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 136
- State average 212
- National average 257
- 52 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 95.75 (computed here)
- National average 96.1 (computed here)
- 201 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 95
- State average 92
- National average 93
- 128 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 31
- State average 72
- National average 78
- 2,944 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 9
- State average 10 (computed here)
- National average 8.08 (computed here)
- 19,509 patients
- Period from 01/01/2024
Left before being seen 1
- State average 2
- National average 2
- 53,927 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 10
- State average 13
- National average 15
- 3,256 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 99
- State average 73
- National average 73
- 80 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 100
- State average 88
- National average 87
- 63 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 95
- State average 80
- National average 81
- 311 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 95
- State average 93
- National average 93
- 214 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Emergency department volume — high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15
- State average 14.31 (computed here)
- National average 14.4
- No different than the national rate
- 214 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.1
- State average 21.29 (computed here)
- National average 21.3
- No different than the national rate
- 567 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 6.2
- State average 2.62 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 122 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 10.1
- State average 11.68 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 297 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -6.8
- State average 12.55 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 272 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.2
- State average 17.3 (computed here)
- National average 17.3
- No different than the national rate
- 509 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.9
- State average 5.11 (computed here)
- National average 5.4
- No different than the national rate
- 94 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.2
- State average 10.28 (computed here)
- National average 10.7
- No different than the national rate
- 94 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected10.4
- State average 11.67 (computed here)
- National average 11
- No different than the national rate
- 34 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.3
- State average 19.89 (computed here)
- National average 20
- No different than the national rate
- 190 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.1
- State average 12.93 (computed here)
- National average 13
- No different than the national rate
- 401 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.99 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 352 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1

Other hospitals in Montgomery, AL

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.