Mayo Clinic Hospital Rochester

Hospital in Rochester, MN, Medicare certification number 240010. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 240010The 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 31, 1968
Last certification: Sep 21, 2010
Beds: 2,059
Overall star rating: 5 of 5Care Compare
Most recent change of ownership: Jan 1, 2014 (3 total)
Address: 1216 Second Street Southwest
Rochester, MN 55902
(507) 255-5123

NPI records for this facility 1

Mayo Clinic Hospital-Rochester
- General Acute Care Hospital
- Rochester, MN
- NPI 1841266194
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.44 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better4 of 5
- State average 3.2 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better5 of 5
- State average 3.93 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.74 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better5 of 5
- State average 4.13 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better5 of 5
- State average 3.67 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.89 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 4.11 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better5 of 5
- State average 3.83 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.75
- State average 1.08 (computed here)
- National average 1.06
- No different than the national rate
- 8,643 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Better0.77
- State average 0.96 (computed here)
- National average 1
- Better than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications Better141.37
- State average 176.28 (computed here)
- National average 173.3
- Better than the national rate
- 726 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2
- State average 2.27 (computed here)
- National average 2.4
- No different than the national rate
- 324 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.9
- State average 7.92 (computed here)
- National average 8.6
- No different than the national rate
- 253 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected8.6
- State average 11.37 (computed here)
- National average 11.9
- No different than the national rate
- 523 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected8.3
- State average 10.72 (computed here)
- National average 11.1
- No different than the national rate
- 1,187 patients
- Period from 07/01/2022
Death rate for pneumonia patients Better10.1
- State average 14.31 (computed here)
- National average 15.2
- Better than the national rate
- 896 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.5
- State average 11.08 (computed here)
- National average 11.9
- No different than the national rate
- 674 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better1.9
- State average 3.77 (computed here)
- National average 3.9
- Better than the national rate
- 11,199 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
- 24,982 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.21
- State average 0.29 (computed here)
- National average 0.27
- No different than the national rate
- 28,469 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.19
- State average 3.56 (computed here)
- National average 3.52
- No different than the national rate
- 13,578 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.91
- State average 1.66 (computed here)
- National average 1.67
- No different than the national rate
- 9,136 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate Worse3.63
- State average 2.27 (computed here)
- National average 2.34
- Worse than the national rate
- 11,424 patients
- Period from 07/01/2022
Postoperative respiratory failure rate Better5.26
- State average 8.45 (computed here)
- National average 9.42
- Better than the national rate
- 8,646 patients
- Period from 07/01/2022
Postoperative sepsis rate Better3.69
- State average 5.28 (computed here)
- National average 5.27
- Better than the national rate
- 8,764 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate Worse2.77
- State average 1.83 (computed here)
- National average 1.77
- Worse than the national rate
- 3,855 patients
- Period from 07/01/2022
Pressure ulcer rate Better0.24
- State average 0.55 (computed here)
- National average 0.63
- Better than the national rate
- 22,863 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.5
- State average 4.24 (computed here)
- National average 4.1
- No different than the national rate
- 244 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.63
- State average 0.66
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.42
- State average 0.59
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.56
- State average 0.38
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Better0.15
- State average 0.5
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected1.08
- State average 1.27
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.72
- State average 0.84
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 1

Medicare Care Compare

Abdomen CT Use of Contrast Material 1
- State average 4.42 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024

Measures CMS does not publish for this facility (1)

Breast Cancer Screening Recall Rates — 7

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.95
- State average 0.9
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 42
- State average 58
- National average 65
- 145 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 252
- State average 138
- National average 168
- 644 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 246
- State average 131
- National average 162
- 611 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 327
- State average 204
- National average 257
- 33 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 99
- State average 98.17 (computed here)
- National average 96.1 (computed here)
- 502 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 77
- State average 95
- National average 93
- 225 patients
- Period from 01/01/2024
Head CT results 58
- State average 73
- National average 69
- 19 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 60
- State average 66
- National average 78
- 32,454 patients
- Period from 10/01/2024
Hospital Harm - Opioid Related Adverse Events 0
- State average 0.21 (computed here)
- National average 0.18 (computed here)
- 21,469 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1 (computed here)
- National average 1.09 (computed here)
- 10,588 patients
- Period from 01/01/2024
Left before being seen 3
- State average 2
- National average 2
- 84,799 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 17
- State average 13
- National average 15
- 13,269 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 46
- State average 65
- National average 73
- 65 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 86
- State average 76
- National average 87
- 22 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 72
- State average 76
- National average 81
- 145 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 92
- State average 94
- National average 93
- 64 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

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 — 7
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 - Severe Hyperglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 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 expected13.3
- State average 14.26 (computed here)
- National average 14.4
- No different than the national rate
- 758 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected19.8
- State average 21.08 (computed here)
- National average 21.3
- No different than the national rate
- 1,588 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -15.6
- State average 3.54 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 584 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 2.4
- State average -6.6 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 1,334 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -10.2
- State average -1.93 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 943 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.9
- State average 17.11 (computed here)
- National average 17.3
- No different than the national rate
- 1,256 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.8
- State average 5.83 (computed here)
- National average 5.4
- No different than the national rate
- 562 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected12.6
- State average 10.87 (computed here)
- National average 10.7
- No different than the national rate
- 562 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.8
- State average 5.8 (computed here)
- National average 5.8
- No different than the national rate
- 225 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.8
- State average 11.06 (computed here)
- National average 11
- No different than the national rate
- 347 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.2
- State average 19.72 (computed here)
- National average 20
- No different than the national rate
- 394 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14.9
- State average 13.16 (computed here)
- National average 13
- No different than the national rate
- 5,586 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.03 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 4,767 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.
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.