Yavapai Community Hospital Association

Doing business as Yavapai Regional Medical Center

Hospital in Prescott, AZ, Medicare certification number 030012. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 030012The 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: Jun 29, 2023
Beds: 228
Overall star rating: 2 of 5Care Compare
Address: 1003 Willow Creek Road
Prescott, AZ 86301
(928) 445-2700

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

Yavapai Community Hospital Association

dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 2.91 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.38 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 2.86 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 2.43 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 2.97 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 2.97 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 2.88 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.22 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 2.77 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 786

Page 1 of 32Medicare Care Compare

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

Delmas Lee Abbott, PA-C
- Medical Physician Assistant
- Prescott, AZ
- NPI 1437452836
Joshua Abrams, DO
- Orthopaedic Surgery of the Spine Physician
- Phoenix, AZ
- NPI 1649482084
Islam Mustafa Abujubara, MD
- Neurology Physician
- Phoenix, AZ
- NPI 1265626774
Mica L Adair, PA
- Medical Physician Assistant
- Prescott Valley, AZ
- NPI 1831653377
Caitlin Molly Adamowicz, NP
- Nurse Practitioner
- Scottsdale, AZ
- NPI 1104583152
Steven Adler, PA-C
- Medical Physician Assistant
- Phoenix, AZ
- NPI 1316064363
Rahmat Afrasiabi, M.D.
- Allergy Physician
- Prescott, AZ
- NPI 1811961204
Jeffrey Alexander Aguiar, DO
- Surgery Physician
- Prescott, AZ
- NPI 1801358452
Ahmed Nader Akl, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Scottsdale, AZ
- NPI 1992953541
Ahmad Al-Khashman
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093095739
Mohanad Turki Ali Al-Qaisi, MD
- Transplant Hepatology Physician
- Phoenix, AZ
- NPI 1376838862
Shayan Alam, M.D.
- Gastroenterology Physician
- Prescott, AZ
- NPI 1780654988
Joy Elizabeth Albright, FNP
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1275181844
Andrew J Aldridge, MD
- Surgery Physician
- Flagstaff, AZ
- NPI 1497724017
John R Alessi, DO
- Family Medicine Physician
- Prescott Valley, AZ
- NPI 1629099387
Wendy Alexander, PA
- Physician Assistant
- Wichita Falls, TX
- NPI 1205372182
Holly Ann Allred, FNP
- Family Nurse Practitioner
- Prescott Valley, AZ
- NPI 1013522267
Brian S Allshouse, PA-C
- Surgical Physician Assistant
- Prescott, AZ
- NPI 1801823372
Said Alsidawi, M.D.
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1518196518
Andrew Altman
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1164207684
Heidi Lynn Alton, NP
- Adult Health Nurse Practitioner
- Prescott, AZ
- NPI 1124595509
David R Amstutz, MD
- Specialist
- Prescott, AZ
- NPI 1528054517
Margie Anacaya, MD
- Physical Medicine & Rehabilitation Physician
- Prescott, AZ
- NPI 1467426692
Kishlay Anand, M.D.
- Clinical Cardiac Electrophysiology Physician
- Peoria, AZ
- NPI 1104984491
Brent Cameron Anderson, DO
- Orthopaedic Surgery Physician
- Prescott, AZ
- NPI 1144420472

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.31
- State average 1.16 (computed here)
- National average 1.06
- No different than the national rate
- 1,196 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.4
- State average 1.02 (computed here)
- National average 1
- Worse than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected191.69
- State average 172.34 (computed here)
- National average 173.3
- No different than the national rate
- 86 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected4.6
- State average 2.34 (computed here)
- National average 2.4
- No different than the national rate
- 122 patients
- Period from 07/01/2022
Death rate for COPD patients As expected10.8
- State average 8.66 (computed here)
- National average 8.6
- No different than the national rate
- 217 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.8
- State average 11.88 (computed here)
- National average 11.9
- No different than the national rate
- 410 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected12.4
- State average 10.37 (computed here)
- National average 11.1
- No different than the national rate
- 463 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected16.5
- State average 14.87 (computed here)
- National average 15.2
- No different than the national rate
- 753 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.3
- State average 11.95 (computed here)
- National average 11.9
- No different than the national rate
- 355 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.1
- State average 3.86 (computed here)
- National average 3.9
- No different than the national rate
- 4,564 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.29
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 7,877 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.25
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 7,975 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.33
- State average 3.62 (computed here)
- National average 3.52
- No different than the national rate
- 2,018 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate Worse3.97
- State average 1.89 (computed here)
- National average 1.67
- Worse than the national rate
- 747 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.29
- State average 2.36 (computed here)
- National average 2.34
- No different than the national rate
- 1,955 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected10.48
- State average 9.81 (computed here)
- National average 9.42
- No different than the national rate
- 746 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.71
- State average 5.34 (computed here)
- National average 5.27
- No different than the national rate
- 724 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.86
- State average 1.84 (computed here)
- National average 1.77
- No different than the national rate
- 364 patients
- Period from 07/01/2022
Pressure ulcer rate Worse1.64
- State average 0.62 (computed here)
- National average 0.63
- Worse than the national rate
- 6,618 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.5
- State average 4.19 (computed here)
- National average 4.1
- No different than the national rate
- 166 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.14
- State average 0.39
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0
- State average 0.53
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.09
- State average 0.38
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.31
- State average 0.52
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.32
- State average 0.87
- 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 9
- State average 3.6 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.6
- State average 7.67 (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) 0.99
- State average 0.94
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 63
- State average 82.33 (computed here)
- National average 74.05 (computed here)
- 86 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 93
- State average 93.08 (computed here)
- National average 92.79 (computed here)
- 230 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 61
- State average 59
- National average 65
- 218 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 186
- State average 183
- National average 168
- 398 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 180
- State average 176
- National average 162
- 373 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 361
- State average 273
- National average 257
- 18 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 94
- State average 96.62 (computed here)
- National average 96.1 (computed here)
- 261 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 97
- State average 91
- National average 93
- 114 patients
- Period from 01/01/2024
Head CT results 67
- State average 70
- National average 69
- 54 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 60
- State average 81
- National average 78
- 3,455 patients
- Period from 10/01/2024
Left before being seen 4
- State average 2
- National average 2
- 76,261 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 11
- State average 11
- National average 15
- 3,569 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 73
- State average 65
- National average 73
- 78 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 82
- State average 82
- National average 87
- 44 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 82
- State average 78
- National average 81
- 218 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 92
- State average 90
- National average 93
- 129 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very 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
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 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 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.4
- State average 14.41 (computed here)
- National average 14.4
- No different than the national rate
- 515 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.6
- State average 20.91 (computed here)
- National average 21.3
- No different than the national rate
- 642 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -12.2
- State average 8.42 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 409 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 6.1
- State average 0.64 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 495 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 3.3
- State average 3.74 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 763 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.7
- State average 17.18 (computed here)
- National average 17.3
- No different than the national rate
- 1,048 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.1
- State average 5.53 (computed here)
- National average 5.4
- No different than the national rate
- 67 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.6
- State average 10.33 (computed here)
- National average 10.7
- No different than the national rate
- 67 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.2
- State average 5.8 (computed here)
- National average 5.8
- No different than the national rate
- 157 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected13.1
- State average 11.47 (computed here)
- National average 11
- No different than the national rate
- 130 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20
- State average 19.85 (computed here)
- National average 20
- No different than the national rate
- 328 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.9
- State average 13.22 (computed here)
- National average 13
- No different than the national rate
- 3,367 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1.04 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 748 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Other hospitals in Prescott, AZ

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.