Wentworth-Douglass Hospital

Hospital in Dover, NH, Medicare certification number 300018. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 300018The 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: Jun 1, 1998
Beds: 178
Overall star rating: 4 of 5Care Compare
Address: 789 Central Ave
Dover, NH 03820
(603) 740-2580

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

Wentworth Douglass Hospital
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
Medicare enrollment
Wentworth Douglass Hospital
- Diabetes Educator Registered Nurse
- Dover, NH
- NPI 1407385198
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.67 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 3.19 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better5 of 5
- State average 3.95 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.48 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.9 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.57 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 2.9 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 4.05 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.62 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,367

Page 1 of 55Medicare Care Compare

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

Aamir Abbas, DO
- Anesthesiology Physician
- Corvallis, OR
- NPI 1861818957
Cara L Abbott, APRN
- Family Nurse Practitioner
- Lee, NH
- NPI 1285132258
Shadi Abdar Esfahani, MD, MPH
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1497137590
Rachel Occhiogrosso Abelman, MD
- Hematology & Oncology Physician
- Boston, MA
- NPI 1255821617
Philip Abraham, M.D.
- Internal Medicine Physician
- Kittery, ME
- NPI 1497750764
Jeremy S Abramson, MD
- Medical Oncology Physician
- Boston, MA
- NPI 1740262484
Jenna Adams, N.P.
- Family Nurse Practitioner
- Portsmouth, NH
- NPI 1235687658
Charles Joshua Adler, APRN, FNP-BC
- Family Nurse Practitioner
- Lebanon, NH
- NPI 1376412916
Josna Adusumilli, MD
- Sleep Medicine (Psychiatry & Neurology) Physician
- Worcester, MA
- NPI 1568663789
Ayaz Aghayev, M.D.
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1881964674
Sara Ahmadi, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1700082617
Ayman Al Jurdi, M.D.
- Nephrology Physician
- Boston, MA
- NPI 1043690332
Ali Al-Alwan, MD
- Pulmonary Disease Physician
- Dover, NH
- NPI 1235320318
Keenan Al-Hojerry, MD
- Family Medicine Physician
- Portsmouth, NH
- NPI 1063468981
Amanda Jane Alaimo, APRN
- Family Nurse Practitioner
- Stratham, NH
- NPI 1114577426
Abdul-Qader S Alarhayem, M.D.
- Vascular Surgery Physician
- Amarillo, TX
- NPI 1053676049
Ozgu Alcali, MD
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1568111961
Belinda A Alcaraz, CRNA
- Certified Registered Nurse Anesthetist
- Dover, NH
- NPI 1144207598
Tarik Kalil Alkasab, M.D., PH.D.
- Diagnostic Radiology Physician
- Newton, MA
- NPI 1154305803
James Stuart Allan, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Boston, MA
- NPI 1699765859
Andrew S Allegretti, M.D.
- Nephrology Physician
- Boston, MA
- NPI 1427378991
Allison W Allen, PA
- Medical Physician Assistant
- Sanford, ME
- NPI 1659511749
Charelle Michelle Allen, MD
- Family Medicine Physician
- Taunton, MA
- NPI 1114629706
George Kenton Allen, MD
- Anesthesiology Physician
- Lebanon, NH
- NPI 1730474271
Jill N Allen, M.D.
- Medical Oncology Physician
- Boston, MA
- NPI 1285671453

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.87
- State average 0.99 (computed here)
- National average 1.06
- No different than the national rate
- 941 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.75
- 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 As expected161.72
- State average 189.66 (computed here)
- National average 173.3
- No different than the national rate
- 39 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.1
- State average 8.99 (computed here)
- National average 8.6
- No different than the national rate
- 152 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.2
- State average 11.91 (computed here)
- National average 11.9
- No different than the national rate
- 153 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.6
- State average 11.39 (computed here)
- National average 11.1
- No different than the national rate
- 498 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected17.3
- State average 15.68 (computed here)
- National average 15.2
- No different than the national rate
- 617 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.2
- State average 12.24 (computed here)
- National average 11.9
- No different than the national rate
- 166 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better2.9
- State average 4.11 (computed here)
- National average 3.9
- Better than the national rate
- 2,215 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
- 6,396 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.26
- State average 0.29 (computed here)
- National average 0.27
- No different than the national rate
- 6,489 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.66
- State average 3.59 (computed here)
- National average 3.52
- No different than the national rate
- 1,012 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.56
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 356 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.16
- State average 2.55 (computed here)
- National average 2.34
- No different than the national rate
- 979 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.17
- State average 10.72 (computed here)
- National average 9.42
- No different than the national rate
- 352 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.37
- State average 5.22 (computed here)
- National average 5.27
- No different than the national rate
- 330 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.99
- State average 1.7 (computed here)
- National average 1.77
- No different than the national rate
- 254 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.21
- State average 0.58 (computed here)
- National average 0.63
- No different than the national rate
- 5,329 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.5
- State average 4.1 (computed here)
- National average 4.1
- No different than the national rate
- 83 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 expected0.6
- State average 0.47
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.62
- State average 0.5
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.35
- State average 0.48
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.34
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0
- State average 0.98
- 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
- State average 3.81 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 6.2
- State average 6.36 (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) 0.94
- 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 98
- State average 94.3 (computed here)
- National average 92.79 (computed here)
- 127 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 45
- State average 58
- National average 65
- 141 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 243
- State average 133
- National average 168
- 391 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 311
- National average 287
- 12 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 242
- State average 125
- National average 162
- 364 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 236
- State average 234
- National average 257
- 16 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 100
- State average 97.3 (computed here)
- National average 96.1 (computed here)
- 129 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 98
- State average 97
- National average 93
- 91 patients
- Period from 01/01/2024
Head CT results 91
- State average 57
- National average 69
- 11 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 98
- State average 91
- National average 78
- 4,602 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 97
- State average 92.9 (computed here)
- National average 93.49 (computed here)
- 744 patients
- Period from 01/01/2024
Left before being seen 2
- State average 3
- National average 2
- 43,067 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 18
- State average 20
- National average 15
- 1,886 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 44
- State average 64
- National average 73
- 59 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 81
- State average 79
- National average 87
- 21 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 74
- State average 77
- National average 81
- 141 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 96
- State average 94
- National average 93
- 67 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 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 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 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.7
- State average 14.5 (computed here)
- National average 14.4
- No different than the national rate
- 145 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.5
- State average 21.86 (computed here)
- National average 21.3
- No different than the national rate
- 562 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 3.1
- State average 10.05 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 132 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -2.5
- State average 10.67 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 535 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 30.8
- State average 9.22 (computed here)
- National average 5.65 (computed here)
- More days than average per 100 discharges
- 633 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.8
- State average 17.92 (computed here)
- National average 17.3
- No different than the national rate
- 665 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.8
- State average 5.54 (computed here)
- National average 5.4
- No different than the national rate
- 391 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected12
- State average 10.58 (computed here)
- National average 10.7
- No different than the national rate
- 391 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.9
- State average 5.88 (computed here)
- National average 5.8
- No different than the national rate
- 76 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected21
- State average 20.14 (computed here)
- National average 20
- No different than the national rate
- 184 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.2
- State average 12.66 (computed here)
- National average 13
- No different than the national rate
- 2,146 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.97 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 727 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 for CABG — 5

Other hospitals near Dover, NH

No other hospitals are listed in Dover, NH; these share its ZIP code area (038xx).

Frisbie Memorial Hospital Rochester
Hampstead Hospital & Residential Treatment Facilit Hampstead terminated
Huggins Hospital Wolfeboro
Memorial Hospital, the North Conway
Portsmouth Regional Hospital Portsmouth

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.