Flagstaff Medical Center

Hospital in Flagstaff, AZ, Medicare certification number 030023. CMS publishes 64 quality measures for it.

Medicare certification

Provider of Services

CCN: 030023The 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: May 20, 2017
Beds: 264
Overall star rating: 4 of 5Care Compare
Address: 1200 North Beaver Street
Flagstaff, AZ 86001
(928) 779-3366

NPI records for this facility 4

Flagstaff Medical Center
- Air Ambulance
- Flagstaff, AZ
- NPI 1427234111
Medicare enrollment
Flagstaff Medical Center
- Land Ambulance
- Flagstaff, AZ
- NPI 1518143205
Medicare enrollment
Flagstaff Medical Center
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
Medicare enrollment
Flagstaff Medical Center
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 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 As expected3 of 5
- State average 2.43 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 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 Worse3 of 5
- State average 2.88 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 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

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.05
- State average 1.16 (computed here)
- National average 1.06
- No different than the national rate
- 1,298 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1
- State average 1.02 (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 expected190.73
- State average 172.34 (computed here)
- National average 173.3
- No different than the national rate
- 95 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.1
- State average 2.34 (computed here)
- National average 2.4
- No different than the national rate
- 72 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.8
- State average 8.66 (computed here)
- National average 8.6
- No different than the national rate
- 54 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.6
- State average 11.88 (computed here)
- National average 11.9
- No different than the national rate
- 190 patients
- Period from 07/01/2022
Death rate for heart failure patients Better7.2
- State average 10.37 (computed here)
- National average 11.1
- Better than the national rate
- 255 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected17.5
- State average 14.87 (computed here)
- National average 15.2
- No different than the national rate
- 320 patients
- Period from 07/01/2022
Death rate for stroke patients As expected10
- State average 11.95 (computed here)
- National average 11.9
- No different than the national rate
- 184 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.7
- State average 3.86 (computed here)
- National average 3.9
- No different than the national rate
- 2,646 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.14
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 5,511 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.29
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 5,714 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.28
- State average 3.62 (computed here)
- National average 3.52
- No different than the national rate
- 2,028 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.43
- State average 1.89 (computed here)
- National average 1.67
- No different than the national rate
- 913 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.22
- State average 2.36 (computed here)
- National average 2.34
- No different than the national rate
- 1,911 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected14.52
- State average 9.81 (computed here)
- National average 9.42
- No different than the national rate
- 911 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.11
- State average 5.34 (computed here)
- National average 5.27
- No different than the national rate
- 872 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.61
- State average 1.84 (computed here)
- National average 1.77
- No different than the national rate
- 527 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.3
- State average 0.62 (computed here)
- National average 0.63
- No different than the national rate
- 4,734 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.6
- State average 4.19 (computed here)
- National average 4.1
- No different than the national rate
- 141 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.12
- 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) Better0.17
- State average 0.53
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.1
- State average 0.38
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.24
- State average 0.52
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery Better0
- State average 0.87
- National average 1
- Better than the national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 1

Medicare Care Compare

Abdomen CT Use of Contrast Material 1.4
- State average 3.6 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024

Measures CMS does not publish for this facility (1)

Breast Cancer Screening Recall Rates — 7

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.05
- State average 0.94
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 83
- State average 59
- National average 65
- 116 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 215
- State average 183
- National average 168
- 429 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 214
- State average 176
- National average 162
- 402 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 264
- State average 273
- National average 257
- 26 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 96.62 (computed here)
- National average 96.1 (computed here)
- 121 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 94
- State average 91
- National average 93
- 67 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 91
- State average 81
- National average 78
- 3,776 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 7
- State average 7.23 (computed here)
- National average 8.08 (computed here)
- 19,175 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 99
- State average 97.4 (computed here)
- National average 93.49 (computed here)
- 1,297 patients
- Period from 01/01/2024
Left before being seen 3
- State average 2
- National average 2
- 48,650 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 9
- State average 11
- National average 15
- 3,408 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 90
- State average 65
- National average 73
- 41 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 94
- State average 82
- National average 87
- 32 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 91
- State average 78
- National average 81
- 116 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 96
- State average 90
- National average 93
- 91 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (15)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
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 — 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
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 expected14.1
- State average 14.41 (computed here)
- National average 14.4
- No different than the national rate
- 246 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.5
- State average 20.91 (computed here)
- National average 21.3
- No different than the national rate
- 324 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 0.3
- State average 8.42 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 197 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 23.5
- State average 0.64 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 294 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 24.4
- State average 3.74 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 322 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.1
- State average 17.18 (computed here)
- National average 17.3
- No different than the national rate
- 397 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.4
- State average 5.53 (computed here)
- National average 5.4
- No different than the national rate
- 47 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.9
- State average 10.33 (computed here)
- National average 10.7
- No different than the national rate
- 47 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.1
- State average 5.8 (computed here)
- National average 5.8
- No different than the national rate
- 154 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10
- State average 11.47 (computed here)
- National average 11
- No different than the national rate
- 89 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.5
- State average 19.85 (computed here)
- National average 20
- No different than the national rate
- 115 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.8
- State average 13.22 (computed here)
- National average 13
- No different than the national rate
- 189 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.04 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 376 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

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

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.
NPPES NPI Registry: the NPI records connected to this certification.

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.