Cape Cod Hospital Inc

Doing business as Cape Cod Hospital

Hospital in Hyannis, MA, Medicare certification number 220012. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 220012The 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: Dec 17, 2013
Beds: 259
Overall star rating: 2 of 5Care Compare
Address: 27 Park Street
Hyannis, MA 02601
(508) 771-1800

NPI records for this facility (CCN to NPI Mapping) 1

Cape Cod Hospital Inc

dba Cape Cod Hospital
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.13 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.7 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.65 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.02 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.46 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 2.98 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 2.11 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.56 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.06 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 935

Page 1 of 38Medicare Care Compare

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

Matthew Abar, PA
- Medical Physician Assistant
- Provincetown, MA
- NPI 1760647812
Scott Lawrence Abramson, MD
- Physical Medicine & Rehabilitation Physician
- E Sandwich, MA
- NPI 1932164076
Nicholas Brian Abt, MD
- Otolaryngology Physician
- Mashpee, MA
- NPI 1942623566
Jaymie Adachi, FNP
- Family Nurse Practitioner
- Harwich Port, MA
- NPI 1780082180
Lisa Ann Adams, MD
- Family Medicine Physician
- Falmouth, MA
- NPI 1235404336
Lori H Adcock, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Brighton, MA
- NPI 1013954023
Tejumola M Adegoke, MD
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1356768600
Krishtina Adhikari, NP
- Registered Nurse
- Provincetown, MA
- NPI 1679134902
Jesse Affonso, M.D.
- Orthopaedic Surgery Physician
- Hyannis, MA
- NPI 1336382373
Ommar Afzal, M.D.
- Internal Medicine Physician
- Urbana, IL
- NPI 1154673879
William O Agel, MD
- Obstetrics & Gynecology Physician
- Hyannis, MA
- NPI 1871560375
Munir Ahmed, MD
- Internal Medicine Physician
- Sandwich, MA
- NPI 1851367312
Daniel Alape Moya, MD
- Pulmonary Disease Physician
- Hyannis, MA
- NPI 1477058816
Sylvia Vania Alarcon Velasco, M.D.
- Hematology & Oncology Physician
- Wakefield, RI
- NPI 1083097091
James C Alban, MD
- Internal Medicine Physician
- Falmouth, MA
- NPI 1194808386
Jorge A Alfonso, MD
- Internal Medicine Physician
- South Yarmouth, MA
- NPI 1013983402
John Sturges Allen, PH.D.
- Clinical Psychologist
- East Sandwich, MA
- NPI 1124001730
Kevin Allen, MD
- Emergency Medicine Physician
- Dallas, TX
- NPI 1265407092
Natalia Allison-Bjoerloew, MD
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1689936890
Sahar Amery, M.D.
- Hospitalist Physician
- Albany, NY
- NPI 1013172485
Afolarin Ayomide Amodu, M.D.
- Nephrology Physician
- Boston, MA
- NPI 1194196410
Derek Adrian Andelloux, MD
- Family Medicine Physician
- E Greenwich, RI
- NPI 1013145275
Michelle Kathryn Angeli
- Certified Registered Nurse Anesthetist
- Hyannis, MA
- NPI 1023317591
Richard Joseph Angelo, M.D.
- Obstetrics & Gynecology Physician
- Hyannis, MA
- NPI 1407837305
Laura B Anthony, M.D.
- Family Medicine Physician
- Harwich Port, MA
- NPI 1033569041

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.07
- State average 1.04 (computed here)
- National average 1.06
- No different than the national rate
- 2,708 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.99
- 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 Worse227.39
- State average 174.7 (computed here)
- National average 173.3
- Worse than the national rate
- 105 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.5
- State average 2.11 (computed here)
- National average 2.4
- No different than the national rate
- 96 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.1
- State average 7.49 (computed here)
- National average 8.6
- No different than the national rate
- 309 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.5
- State average 11.44 (computed here)
- National average 11.9
- No different than the national rate
- 583 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.4
- State average 9.78 (computed here)
- National average 11.1
- No different than the national rate
- 1,157 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15.3
- State average 13.44 (computed here)
- National average 15.2
- No different than the national rate
- 1,765 patients
- Period from 07/01/2022
Death rate for stroke patients As expected10.9
- State average 11.76 (computed here)
- National average 11.9
- No different than the national rate
- 509 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.5
- State average 3.42 (computed here)
- National average 3.9
- No different than the national rate
- 5,982 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.2
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 16,268 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.31
- State average 0.3 (computed here)
- National average 0.27
- No different than the national rate
- 16,235 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.84
- State average 3.74 (computed here)
- National average 3.52
- No different than the national rate
- 3,144 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.01
- State average 1.61 (computed here)
- National average 1.67
- No different than the national rate
- 1,077 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.37
- State average 2.48 (computed here)
- National average 2.34
- No different than the national rate
- 3,001 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected11.72
- State average 9.19 (computed here)
- National average 9.42
- No different than the national rate
- 1,035 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.54
- State average 5.33 (computed here)
- National average 5.27
- No different than the national rate
- 1,061 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.48
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 627 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.26
- State average 0.67 (computed here)
- National average 0.63
- No different than the national rate
- 13,287 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.5
- State average 4.09 (computed here)
- National average 4.1
- No different than the national rate
- 51 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.33
- State average 0.65
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0
- State average 0.52
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.37
- State average 0.49
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Better0
- State average 0.63
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.25
- State average 0.9
- 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 5.9
- State average 4.36 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 9.1
- State average 6.33 (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) 0.97
- State average 0.98
- 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 97
- State average 93 (computed here)
- National average 92.79 (computed here)
- 304 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 68
- State average 56
- National average 65
- 124 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 208
- State average 222
- National average 168
- 405 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 201
- State average 214
- National average 162
- 371 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 620
- State average 338
- National average 257
- 31 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 97.42 (computed here)
- National average 96.1 (computed here)
- 317 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 97
- National average 93
- 71 patients
- Period from 01/01/2024
Head CT results 89
- State average 70
- National average 69
- 36 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 86
- State average 89
- National average 78
- 2,946 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 97
- State average 96.17 (computed here)
- National average 93.49 (computed here)
- 1,879 patients
- Period from 01/01/2024
Left before being seen 2
- State average 4
- National average 2
- 81,517 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 20
- State average 18
- National average 15
- 3,529 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 56
- State average 67
- National average 73
- 41 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 94
- State average 84
- National average 87
- 16 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 86
- State average 75
- National average 81
- 125 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 95
- State average 91
- National average 93
- 73 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 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
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 expected15.7
- State average 14.76 (computed here)
- National average 14.4
- No different than the national rate
- 577 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected23.6
- State average 22.03 (computed here)
- National average 21.3
- No different than the national rate
- 1,094 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 10.7
- State average 18.16 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 655 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 20.4
- State average 17.34 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 1,297 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 15
- State average 17.01 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 1,774 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.3
- State average 17.81 (computed here)
- National average 17.3
- No different than the national rate
- 1,602 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.6
- State average 5.18 (computed here)
- National average 5.4
- No different than the national rate
- 672 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11.9
- State average 10.92 (computed here)
- National average 10.7
- No different than the national rate
- 672 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected7.6
- State average 5.71 (computed here)
- National average 5.8
- No different than the national rate
- 55 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected12.9
- State average 10.82 (computed here)
- National average 11
- No different than the national rate
- 75 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.4
- State average 20.36 (computed here)
- National average 20
- No different than the national rate
- 348 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.5
- State average 12.66 (computed here)
- National average 13
- No different than the national rate
- 1,129 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 0.96 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 1,867 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, 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.