Southeast Iowa Regional Medical Center

Hospital in West Burlington, IA, Medicare certification number 160057. CMS publishes 63 quality measures for it.

Medicare certification

Provider of Services

CCN: 160057The 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: Oct 1, 1969
Last certification: Dec 21, 2016
Beds: 173
Overall star rating: 4 of 5Care Compare
Address: 1221 South Gear Avenue
West Burlington, IA 52655
(319) 768-1000

NPI records for this facility 1

Southeast Iowa Regional Medical Center, Inc.
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.69 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 3 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.88 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.46 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 3.69 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 3.63 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.67 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse2 of 5
- State average 4.02 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 3.69 (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 expected1.14
- State average 1.04 (computed here)
- National average 1.06
- No different than the national rate
- 589 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.53
- State average 1.09 (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 expected190.89
- State average 187.05 (computed here)
- National average 173.3
- No different than the national rate
- 47 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.5
- State average 9.52 (computed here)
- National average 8.6
- No different than the national rate
- 192 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.8
- State average 12.16 (computed here)
- National average 11.9
- No different than the national rate
- 206 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected14.5
- State average 13.01 (computed here)
- National average 11.1
- No different than the national rate
- 385 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected16.9
- State average 16.4 (computed here)
- National average 15.2
- No different than the national rate
- 448 patients
- Period from 07/01/2022
Death rate for stroke patients Better8
- State average 11.3 (computed here)
- National average 11.9
- Better than the national rate
- 151 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.4
- State average 4.35 (computed here)
- National average 3.9
- No different than the national rate
- 1,564 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.23 (computed here)
- National average 0.21
- No different than the national rate
- 3,878 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.28
- State average 0.29 (computed here)
- National average 0.27
- No different than the national rate
- 3,802 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected5.18
- State average 3.74 (computed here)
- National average 3.52
- No different than the national rate
- 765 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2
- State average 1.7 (computed here)
- National average 1.67
- No different than the national rate
- 211 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.31
- State average 2.41 (computed here)
- National average 2.34
- No different than the national rate
- 718 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.79
- State average 9.79 (computed here)
- National average 9.42
- No different than the national rate
- 208 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected6.09
- State average 5.37 (computed here)
- National average 5.27
- No different than the national rate
- 180 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.66
- State average 1.73 (computed here)
- National average 1.77
- No different than the national rate
- 156 patients
- Period from 07/01/2022
Pressure ulcer rate Worse2.31
- State average 0.84 (computed here)
- National average 0.63
- Worse than the national rate
- 2,741 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected5
- State average 4.34 (computed here)
- National average 4.1
- No different than the national rate
- 28 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.22
- State average 0.49
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0
- State average 0.62
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.32
- State average 0.42
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.26
- State average 0.73
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.96
- State average 0.77
- 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 3.4
- State average 5.17 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7
- State average 6.3 (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) 0.93
- State average 0.94
- 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 96
- State average 94.67 (computed here)
- National average 92.79 (computed here)
- 84 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 67
- State average 63
- National average 65
- 428 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 136
- State average 130
- National average 168
- 429 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 378
- State average 251
- National average 287
- 13 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 132
- State average 123
- National average 162
- 408 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 96
- State average 97
- National average 93
- 130 patients
- Period from 01/01/2024
Head CT results 56
- State average 64
- National average 69
- 41 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 68
- State average 75
- National average 78
- 3,377 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 12
- State average 8.16 (computed here)
- National average 8.08 (computed here)
- 8,371 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 96
- State average 92.06 (computed here)
- National average 93.49 (computed here)
- 749 patients
- Period from 01/01/2024
Left before being seen 1
- State average 3
- National average 2
- 45,412 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 15
- State average 15
- National average 15
- 1,131 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 62
- State average 74
- National average 73
- 140 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 89
- State average 82
- National average 87
- 46 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 84
- State average 79
- National average 81
- 428 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 94
- State average 92
- National average 93
- 247 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
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
Discharged on Antithrombotic Therapy — 5
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
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 11

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.4
- State average 14.3 (computed here)
- National average 14.4
- No different than the national rate
- 175 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22.8
- State average 21.18 (computed here)
- National average 21.3
- No different than the national rate
- 409 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 7.5
- State average 0.92 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 173 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 35.4
- State average -4.23 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 441 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 1.3
- State average -6.74 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 476 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.2
- State average 16.98 (computed here)
- National average 17.3
- No different than the national rate
- 489 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected6.1
- State average 5.88 (computed here)
- National average 5.4
- No different than the national rate
- 244 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10
- State average 10.07 (computed here)
- National average 10.7
- No different than the national rate
- 244 patients
- Period from 01/01/2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.7
- State average 19.68 (computed here)
- National average 20
- No different than the national rate
- 212 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.9
- State average 12.89 (computed here)
- National average 13
- No different than the national rate
- 2,019 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.2
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 829 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (3)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission after hip/knee replacement — 1
Rate of readmission for CABG — 5

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.