Shands Jacksonville Medical Center Inc

Doing business as Shands Jacksonville

Hospital in Jacksonville, FL, Medicare certification number 100001. CMS publishes 67 quality measures for it.

Medicare certification

Provider of Services

CCN: 100001The 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: Feb 5, 2011
Beds: 715
Overall star rating: 4 of 5Care Compare
Most recent change of ownership: Jan 1, 1982 (1 total)
Address: 655 W 8TH St
Jacksonville, FL 32209
(904) 244-4000

NPI records for this facility (CCN to NPI Mapping) 2

Shands Jacksonville Medical Center Inc
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Medicare enrollment
Shands Jacksonville Medical Center Inc

dba Shands Jacksonville
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.35 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.13 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 2.56 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 2.41 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 2.75 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 2.84 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 2.95 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.25 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 2.69 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,021

Page 1 of 41Medicare Care Compare

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

Anthony Abate, PA-C
- Physician Assistant
- Orange Park, FL
- NPI 1588411623
Atif Abubaker Abdalla, MD
- Nephrology Physician
- Jacksonville, FL
- NPI 1528013042
Mohammed Abdallah, DO
- Vascular Surgery Physician
- Deerfield Beach, FL
- NPI 1457392300
Mohammad Ghazi a.F. Abu-Farsakh, M.D.
- Internal Medicine Physician
- Gainesville, FL
- NPI 1366755837
Hiram Alejandro Acevedo Bonilla, MD
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1942705041
Scot N Ackerman, MD
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1942205364
Christopher Michael Ackerson, DNP CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
- NPI 1598425845
Vinicius Adami Vayego Fornazari, MD
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1790634343
Maria L. Adams, DO
- Ophthalmology Physician
- Jacksonville, FL
- NPI 1225411622
Babafemi Adeleke Adeniyi, MD
- Hospitalist Physician
- Largo, MD
- NPI 1952985467
Grit Armstrong Adler, MD
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1497981989
Pedro Adrover Lopez, M.D.
- Clinical Cardiac Electrophysiology Physician
- Lady Lake, FL
- NPI 1326497827
Javier Francisco Aduen, M.D.
- Pulmonary Disease Physician
- St Augustine, FL
- NPI 1699762641
Dimitrios Philippes Agaliotis, MD
- Hematology & Oncology Physician
- Fernandina Beach, FL
- NPI 1790764272
Nayan Agarwal, MD
- Interventional Cardiology Physician
- Jacksonville, FL
- NPI 1063724326
Jennifer Marie Agosto, ACNPC-AG
- Acute Care Nurse Practitioner
- Palm Coast, FL
- NPI 1053092288
Neha Agrawal, MD
- Hepatology Physician
- Jacksonville, FL
- NPI 1366758187
Nicholas J. Agresti, MD
- Gastroenterology Physician
- Jacksonville, FL
- NPI 1669634010
Bashir Ahmed, M.D.
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1861466641
Merdijana Ahmetovic, APRN
- Nurse Practitioner
- Jacksonville, FL
- NPI 1548700164
Giovanni Antonio Aime, PA-C
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1508607367
Abdullah Mohammed Alanazi, M.D.
- Otolaryngology Physician
- New York City, NY
- NPI 1184244709
Batool Alatrash, MD
- Internal Medicine Physician
- Fernandina Beach, FL
- NPI 1326651266
Abdulaziz H Alburaih, M.D
- Critical Care Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1033340906
Dunbar Alcindor, M.D
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1013264860

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.16
- State average 1.02 (computed here)
- National average 1.06
- No different than the national rate
- 1,037 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.02
- State average 0.97 (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 expected156.27
- State average 157.4 (computed here)
- National average 173.3
- No different than the national rate
- 103 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected1.9
- State average 2.43 (computed here)
- National average 2.4
- No different than the national rate
- 53 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.5
- State average 8.44 (computed here)
- National average 8.6
- No different than the national rate
- 133 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12
- State average 11.73 (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 expected9.2
- State average 10.18 (computed here)
- National average 11.1
- No different than the national rate
- 414 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.8
- State average 14.53 (computed here)
- National average 15.2
- No different than the national rate
- 257 patients
- Period from 07/01/2022
Death rate for stroke patients As expected10.6
- State average 12.29 (computed here)
- National average 11.9
- No different than the national rate
- 420 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better2.8
- State average 3.85 (computed here)
- National average 3.9
- Better than the national rate
- 4,581 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.2
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 6,527 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.24
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 6,647 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.27
- State average 3.45 (computed here)
- National average 3.52
- No different than the national rate
- 1,457 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.03
- State average 1.67 (computed here)
- National average 1.67
- No different than the national rate
- 507 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.36
- State average 2.22 (computed here)
- National average 2.34
- No different than the national rate
- 1,428 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected11.43
- State average 10.09 (computed here)
- National average 9.42
- No different than the national rate
- 474 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected7.77
- State average 5.31 (computed here)
- National average 5.27
- No different than the national rate
- 517 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.58
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 302 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.23
- State average 0.49 (computed here)
- National average 0.63
- No different than the national rate
- 5,268 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.6
- State average 4.08 (computed here)
- National average 4.1
- No different than the national rate
- 45 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.33
- State average 0.27
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.89
- State average 0.43
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.41
- State average 0.21
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.01
- State average 0.69
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0
- State average 0.9
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.9
- State average 0.61
- 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 2.9
- State average 4.69 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 6.4
- State average 13.95 (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) 0.95
- State average 1.02
- 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 87
- State average 92.03 (computed here)
- National average 92.79 (computed here)
- 433 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 66
- State average 73
- National average 65
- 109 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 185
- State average 159
- National average 168
- 396 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 181
- State average 156
- National average 162
- 377 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 249
- State average 220
- National average 257
- 17 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 98
- State average 86
- National average 93
- 80 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 68
- State average 58
- National average 78
- 10,404 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 99
- State average 97.2 (computed here)
- National average 93.49 (computed here)
- 5,395 patients
- Period from 01/01/2024
Left before being seen 4
- State average 1
- National average 2
- 118,534 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 14
- State average 16
- National average 15
- 8,602 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 86
- State average 78
- National average 73
- 36 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 96
- State average 92
- National average 87
- 28 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 78
- State average 85
- National average 81
- 109 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 92
- State average 95
- National average 93
- 66 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 61
- State average 42.04 (computed here)
- National average 46.51 (computed here)
- 28 patients
- Period from 01/01/2024
Venous Thromboembolism Prophylaxis 95
- State average 90.41 (computed here)
- National average 82.23 (computed here)
- 12,236 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (14)

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
Discharged on Antithrombotic Therapy — 5
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
Head CT results — 1
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

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13
- State average 14.67 (computed here)
- National average 14.4
- No different than the national rate
- 274 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected19.6
- State average 21.72 (computed here)
- National average 21.3
- No different than the national rate
- 1,217 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -25.2
- State average 6.58 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 146 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -28.2
- State average 5.09 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 522 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -6.6
- State average 10 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 290 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.9
- State average 17.53 (computed here)
- National average 17.3
- No different than the national rate
- 602 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected6.1
- State average 5.07 (computed here)
- National average 5.4
- No different than the national rate
- 364 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.8
- State average 10.88 (computed here)
- National average 10.7
- No different than the national rate
- 364 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.1
- State average 6.04 (computed here)
- National average 5.8
- No different than the national rate
- 45 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected12.1
- State average 11.26 (computed here)
- National average 11
- No different than the national rate
- 82 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.4
- State average 20.09 (computed here)
- National average 20
- No different than the national rate
- 504 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.6
- State average 12.99 (computed here)
- National average 13
- No different than the national rate
- 655 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 381 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

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

Methodist Medical Cente CCN 100170, Jacksonville, FL

Other hospitals in Jacksonville, FL

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.