Unm Hospital

Hospital in Albuquerque, NM, Medicare certification number 320001. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 320001The 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: Government - State
Control type: State
Participating since: Jul 1, 1966
Last certification: Mar 25, 2022
Beds: 527
Overall star rating: 2 of 5Care Compare
Address: 2211 Lomas Boulevard NE
Albuquerque, NM 87106
(505) 272-2111

NPI records for this facility 2

Unm Hospital
- Air Ambulance
- Albuquerque, NM
- NPI 1558054684
Medicare enrollment
Unm Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1689747552
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 3.15 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.73 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 2.58 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 2.88 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 2.92 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 2.88 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 3.27 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.15 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 2.92 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 18

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.96
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 1,174 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.51
- State average 1.08 (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 expected197.29
- State average 175.16 (computed here)
- National average 173.3
- No different than the national rate
- 183 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.8
- State average 9.14 (computed here)
- National average 8.6
- No different than the national rate
- 51 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11
- State average 11.59 (computed here)
- National average 11.9
- No different than the national rate
- 84 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected8.4
- State average 11.32 (computed here)
- National average 11.1
- No different than the national rate
- 186 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15
- State average 15.71 (computed here)
- National average 15.2
- No different than the national rate
- 220 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.9
- State average 12.8 (computed here)
- National average 11.9
- No different than the national rate
- 634 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.3
- State average 4.11 (computed here)
- National average 3.9
- No different than the national rate
- 3,456 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.21
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 4,976 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.29
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 5,104 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate Worse6.01
- State average 3.58 (computed here)
- National average 3.52
- Worse than the national rate
- 1,475 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.25
- State average 1.73 (computed here)
- National average 1.67
- No different than the national rate
- 546 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.75
- State average 2.4 (computed here)
- National average 2.34
- No different than the national rate
- 1,423 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected7.43
- State average 9.83 (computed here)
- National average 9.42
- No different than the national rate
- 497 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.65
- State average 5.61 (computed here)
- National average 5.27
- No different than the national rate
- 531 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.08
- State average 1.85 (computed here)
- National average 1.77
- No different than the national rate
- 433 patients
- Period from 07/01/2022
Pressure ulcer rate Worse2.05
- State average 0.83 (computed here)
- National average 0.63
- Worse than the national rate
- 4,908 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (2)

Death rate for CABG surgery patients — 1
Rate of complications for hip/knee replacement patients — 1

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.68
- State average 0.65
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.88
- State average 0.94
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) As expected0.88
- State average 0.6
- National average 1
- No different than national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.94
- State average 0.66
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0.46
- State average 1.41
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.58
- State average 1.12
- 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 6
- State average 6.75 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 8
- State average 6.68 (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) 1
- State average 0.94
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 45
- State average 54
- National average 65
- 240 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 283
- State average 170
- National average 168
- 360 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 384
- State average 402
- National average 287
- 22 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 273
- State average 163
- National average 162
- 314 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 334
- State average 274
- National average 257
- 26 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 95.63 (computed here)
- National average 96.1 (computed here)
- 557 patients
- Period from 01/01/2024
Head CT results 76
- State average 50
- National average 69
- 94 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 63
- State average 68
- National average 78
- 23,979 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 99
- State average 89.93 (computed here)
- National average 93.49 (computed here)
- 4,181 patients
- Period from 01/01/2024
Left before being seen 2
- State average 3
- National average 2
- 79,884 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 13
- State average 13
- National average 15
- 8,782 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 63
- State average 67
- National average 73
- 89 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 75
- State average 80
- National average 87
- 44 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 68
- State average 75
- National average 81
- 240 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 93
- State average 88
- National average 93
- 128 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 0
- State average 39.4 (computed here)
- National average 46.51 (computed here)
- 35 patients
- Period from 01/01/2024
Venous Thromboembolism Prophylaxis 91
- State average 78.24 (computed here)
- National average 82.23 (computed here)
- 13,306 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Emergency department volume — very high
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients — 5
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

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.1
- State average 14.15 (computed here)
- National average 14.4
- No different than the national rate
- 155 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected18.5
- State average 21.13 (computed here)
- National average 21.3
- No different than the national rate
- 416 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -1.9
- State average 2.35 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 80 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 8.7
- State average -3.92 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 204 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 5.5
- State average -4.25 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 221 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.1
- State average 17 (computed here)
- National average 17.3
- No different than the national rate
- 506 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.4
- State average 5.47 (computed here)
- National average 5.4
- No different than the national rate
- 410 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9
- State average 10.42 (computed here)
- National average 10.7
- No different than the national rate
- 410 patients
- Period from 01/01/2024
Rate of readmission for CABG As expected11.7
- State average 11.06 (computed here)
- National average 11
- No different than the national rate
- 35 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.1
- State average 19.53 (computed here)
- National average 20
- No different than the national rate
- 180 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected11.4
- State average 13.19 (computed here)
- National average 13
- No different than the national rate
- 930 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.06 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 717 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 after hip/knee replacement — 1

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.