Uch-Memorial Health System

Hospital in Colorado Springs, CO, Medicare certification number 060022. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 060022The 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: Government - Local
Control type: Local
Participating since: Jul 1, 1966
Last certification: Jul 14, 2023
Beds: 583
Overall star rating: 4 of 5Care Compare
Most recent change of ownership: Oct 1, 2012 (1 total)
Address: 1400 E Boulder St
Colorado Springs, CO 80909
(719) 365-5000

NPI records for this facility 18

Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1578053567
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1952917056
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1891354726
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1750940987
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1689233819
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1649980137
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1639669617
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1629746599
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1598324428
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1073172201
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1538958400
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1518526441
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1407532559
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1316506231
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Fountain, CO
- NPI 1295225274
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1154030732
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1144397134
Medicare enrollment
Uch-MHS
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1124518113
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.75 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 3.04 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.48 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.34 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.52 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.66 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.66 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 4.04 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.52 (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 expected0.88
- State average 1.08 (computed here)
- National average 1.06
- No different than the national rate
- 2,620 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Better0.71
- State average 0.98 (computed here)
- National average 1
- Better than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected188.12
- State average 172.29 (computed here)
- National average 173.3
- No different than the national rate
- 197 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected1.9
- State average 2.06 (computed here)
- National average 2.4
- No different than the national rate
- 57 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.7
- State average 8.78 (computed here)
- National average 8.6
- No different than the national rate
- 155 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected9.2
- State average 10.76 (computed here)
- National average 11.9
- No different than the national rate
- 272 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.6
- State average 10.89 (computed here)
- National average 11.1
- No different than the national rate
- 644 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.5
- State average 14.58 (computed here)
- National average 15.2
- No different than the national rate
- 667 patients
- Period from 07/01/2022
Death rate for stroke patients As expected13
- State average 11.48 (computed here)
- National average 11.9
- No different than the national rate
- 554 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better3.3
- State average 3.78 (computed here)
- National average 3.9
- Better than the national rate
- 6,025 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.22
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 11,436 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.24
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 11,617 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate Better1.73
- State average 3.35 (computed here)
- National average 3.52
- Better than the national rate
- 3,490 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.08
- State average 1.7 (computed here)
- National average 1.67
- No different than the national rate
- 1,167 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected3.09
- State average 2.35 (computed here)
- National average 2.34
- No different than the national rate
- 3,016 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected7.46
- State average 9.8 (computed here)
- National average 9.42
- No different than the national rate
- 1,094 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected3.08
- State average 5.1 (computed here)
- National average 5.27
- No different than the national rate
- 1,137 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.77
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 876 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.42
- State average 0.58 (computed here)
- National average 0.63
- No different than the national rate
- 9,105 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 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.45
- State average 0.47
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.29
- State average 0.47
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.37
- State average 0.27
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.66
- State average 0.49
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected1.05
- State average 0.92
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.1
- State average 0.73
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 1.1
- State average 5.7 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.4
- State average 8.56 (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
- State average 0.96
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 87
- State average 94.35 (computed here)
- National average 92.79 (computed here)
- 376 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 74
- State average 72
- National average 65
- 258 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 105
- State average 140
- National average 168
- 400 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 103
- State average 134
- National average 162
- 372 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 166
- State average 235
- National average 257
- 24 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 98.42 (computed here)
- National average 96.1 (computed here)
- 495 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 96
- National average 93
- 72 patients
- Period from 01/01/2024
Head CT results 45
- State average 66
- National average 69
- 20 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 95
- State average 91
- National average 78
- 9,568 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 2
- State average 0.74 (computed here)
- National average 1.09 (computed here)
- 5,567 patients
- Period from 01/01/2024
Left before being seen 0
- State average 1
- National average 2
- 127,103 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 13
- State average 14
- National average 15
- 8,408 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 81
- State average 78
- National average 73
- 124 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 96
- State average 91
- National average 87
- 80 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 89
- State average 85
- National average 81
- 258 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 92
- State average 95
- National average 93
- 158 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 43
- National average 46.51 (computed here)
- 44 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 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 — 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
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected12.8
- State average 13.89 (computed here)
- National average 14.4
- No different than the national rate
- 434 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate Better17.9
- State average 20.06 (computed here)
- National average 21.3
- Better than the national rate
- 908 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -4.5
- State average -18.05 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 329 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -14.7
- State average -22.89 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 701 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 7.8
- State average -5.83 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 687 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.2
- State average 16.88 (computed here)
- National average 17.3
- No different than the national rate
- 915 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected6.2
- State average 5.71 (computed here)
- National average 5.4
- No different than the national rate
- 389 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.3
- State average 10.32 (computed here)
- National average 10.7
- No different than the national rate
- 389 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected9.9
- State average 10.15 (computed here)
- National average 11
- No different than the national rate
- 80 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.6
- State average 19.26 (computed here)
- National average 20
- No different than the national rate
- 275 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected15.7
- State average 13.14 (computed here)
- National average 13
- No different than the national rate
- 967 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1.08 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 1,072 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.