St Josephs Hospital and Medical Center

Hospital in Phoenix, AZ, Medicare certification number 030024. CMS publishes 62 quality measures for it.

Medicare certification

Provider of Services

CCN: 030024The 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 - Church
Control type: Church
Participating since: Jul 1, 1966
Last certification: Jan 16, 2016
Beds: 586
Overall star rating: 4 of 5Care Compare
Address: 350 West Thomas Road
Phoenix, AZ 85013
(602) 406-8225

NPI records for this facility 4

Dignity Health
- Emergency Care Clinic/Center
- Litchfield Park, AZ
- NPI 1265065445
Medicare enrollment
Dignity Health
- Emergency Care Clinic/Center
- Glendale, AZ
- NPI 1609408665
Medicare enrollment
Dignity Health
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
Medicare enrollment
Dignity Health
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 2.91 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 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 Better4 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 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.28
- State average 1.16 (computed here)
- National average 1.06
- No different than the national rate
- 2,236 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.27
- 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 expected152.88
- State average 172.34 (computed here)
- National average 173.3
- No different than the national rate
- 218 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected1.9
- State average 2.34 (computed here)
- National average 2.4
- No different than the national rate
- 65 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.5
- State average 8.66 (computed here)
- National average 8.6
- No different than the national rate
- 90 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.6
- State average 11.88 (computed here)
- National average 11.9
- No different than the national rate
- 141 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.4
- State average 10.37 (computed here)
- National average 11.1
- No different than the national rate
- 174 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.4
- State average 14.87 (computed here)
- National average 15.2
- No different than the national rate
- 247 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11
- State average 11.95 (computed here)
- National average 11.9
- No different than the national rate
- 703 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better3.1
- State average 3.86 (computed here)
- National average 3.9
- Better than the national rate
- 4,880 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate Worse0.42
- State average 0.22 (computed here)
- National average 0.21
- Worse than the national rate
- 8,156 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
- 8,832 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.79
- State average 3.62 (computed here)
- National average 3.52
- No different than the national rate
- 3,649 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.5
- State average 1.89 (computed here)
- National average 1.67
- No different than the national rate
- 2,204 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate Worse3.73
- State average 2.36 (computed here)
- National average 2.34
- Worse than the national rate
- 3,355 patients
- Period from 07/01/2022
Postoperative respiratory failure rate Worse15.8
- State average 9.81 (computed here)
- National average 9.42
- Worse than the national rate
- 2,113 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.72
- State average 5.34 (computed here)
- National average 5.27
- No different than the national rate
- 2,204 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.31
- State average 1.84 (computed here)
- National average 1.77
- No different than the national rate
- 1,019 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.67
- State average 0.62 (computed here)
- National average 0.63
- No different than the national rate
- 7,006 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) Better0.41
- 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) Better0.34
- State average 0.53
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.29
- State average 0.38
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Better0.47
- State average 0.52
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.56
- 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 4.3
- State average 3.6 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 18
- 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) 1.03
- State average 0.94
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 14

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 65
- State average 59
- National average 65
- 147 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 179
- State average 183
- National average 168
- 387 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 175
- State average 176
- National average 162
- 369 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 96.62 (computed here)
- National average 96.1 (computed here)
- 772 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 91
- National average 93
- 73 patients
- Period from 01/01/2024
Head CT results 50
- State average 70
- National average 69
- 16 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 75
- State average 81
- National average 78
- 7,945 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.04 (computed here)
- National average 1.09 (computed here)
- 4,859 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)
- 5,953 patients
- Period from 01/01/2024
Left before being seen 4
- State average 2
- National average 2
- 124,374 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 10
- State average 11
- National average 15
- 9,332 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 79
- State average 65
- National average 73
- 24 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 76
- State average 78
- National average 81
- 147 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 88
- State average 90
- National average 93
- 67 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (16)

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
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. 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
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Septic Shock 6-Hour Bundle — 1, 2
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 expected15.3
- State average 14.41 (computed here)
- National average 14.4
- No different than the national rate
- 335 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.6
- State average 20.91 (computed here)
- National average 21.3
- No different than the national rate
- 493 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 6.7
- State average 8.42 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 176 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -31.8
- State average 0.64 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 195 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -13.3
- State average 3.74 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 265 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.8
- State average 17.18 (computed here)
- National average 17.3
- No different than the national rate
- 574 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.2
- State average 5.53 (computed here)
- National average 5.4
- No different than the national rate
- 145 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.9
- State average 10.33 (computed here)
- National average 10.7
- No different than the national rate
- 145 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected9.2
- State average 11.47 (computed here)
- National average 11
- No different than the national rate
- 88 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
- 254 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.2
- State average 13.22 (computed here)
- National average 13
- No different than the national rate
- 256 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.04 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 496 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

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.