Sentara Martha Jefferson Hospital

Hospital in Charlottesville, VA, Medicare certification number 490077. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 490077The 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: Mar 2, 2012
Beds: 176
Overall star rating: 4 of 5Care Compare
Address: 500 Martha Jefferson Drive
Charlottesville, VA 22911
(434) 654-7000

NPI records for this facility 1

Martha Jefferson Hospital
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.72 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.85 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.37 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.52 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.82 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.54 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.41 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.8 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.48 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 653

Page 1 of 27Medicare Care Compare

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

Ahmad Khaled Abdul Ali, DO
- Surgery Physician
- Trenton, MI
- NPI 1700307808
Nassib F Abou Heidar, MD
- Urology Physician
- Charlottesville, VA
- NPI 1457083743
Annika Marie Abrahamson, MD
- Family Medicine Physician
- Charlottesville, VA
- NPI 1881693927
Robert E Adams, MD
- Neurology Physician
- Charlottesville, VA
- NPI 1003896762
Merawi Adane, MD
- Hospitalist Physician
- Richmond, VA
- NPI 1194353201
Nirajan Adhikari, M.D.
- Internal Medicine Physician
- Roanoke, VA
- NPI 1952890071
Jessica Nicole Adkinson, FNP
- Family Nurse Practitioner
- Fishersville, VA
- NPI 1265289540
Michael G Adugna, M.D.
- Internal Medicine Physician
- Newport News, VA
- NPI 1982157830
Samina Afreen, MD
- Endocrinology, Diabetes & Metabolism Physician
- Charlottesville, VA
- NPI 1407274418
Lindsay Alice Aguero, NP
- Family Nurse Practitioner
- Charlottesville, VA
- NPI 1326270034
Rizwan Ahmed, M.D.
- Gastroenterology Physician
- Manassas, VA
- NPI 1841469061
Avnit Ahuja, MD
- Rheumatology Physician
- Richmond, VA
- NPI 1962616474
Akinbola Adewole Ajayi-Obe, MD
- Internal Medicine Physician
- Lanham, MD
- NPI 1265850549
Shalom Sylvia Akauola, MD
- Family Medicine Physician
- Ruckersville, VA
- NPI 1790289411
Adedoyin Akintide, MD
- Nephrology Physician
- Haymarket, VA
- NPI 1518142991
Adanna Akujuo, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlottesville, VA
- NPI 1114188117
Dana P. Albon, M.D.
- Pulmonary Disease Physician
- Charlottesville, VA
- NPI 1932322948
Ali Aldabbagh
- Internal Medicine Physician
- Midland, MI
- NPI 1568843324
Lois A Alderfer, N.P.
- Family Nurse Practitioner
- Arrington, VA
- NPI 1194703876
Steven R Alderfer, NP
- Family Nurse Practitioner
- Arrington, VA
- NPI 1952389645
Elaine Allen, DPM
- Foot & Ankle Surgery Podiatrist
- Charlottesville, VA
- NPI 1417970492
Navon Shane Allen, DNAP
- Certified Registered Nurse Anesthetist
- Charlottesville, VA
- NPI 1740870864
Elaine Connor Alpern, C.R.N.P.
- Adult Health Nurse Practitioner
- Charlottesville, VA
- NPI 1912099607
Anmar Naser Alrabadi, M.D
- Specialist
- South Charleston, WV
- NPI 1730314998
Kaitlyn Castagna Altizer, PA
- Physician Assistant
- Zion Crossroads, VA
- NPI 1659815884

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.07
- State average 1.11 (computed here)
- National average 1.06
- No different than the national rate
- 998 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.86
- State average 0.97 (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 expected185.76
- State average 167.55 (computed here)
- National average 173.3
- No different than the national rate
- 69 patients
- Period from 07/01/2022
Death rate for COPD patients As expected12.1
- State average 8.63 (computed here)
- National average 8.6
- No different than the national rate
- 99 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12
- State average 11.72 (computed here)
- National average 11.9
- No different than the national rate
- 246 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.3
- State average 10.98 (computed here)
- National average 11.1
- No different than the national rate
- 517 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.6
- State average 15.17 (computed here)
- National average 15.2
- No different than the national rate
- 523 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.2
- State average 11.65 (computed here)
- National average 11.9
- No different than the national rate
- 218 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.5
- State average 3.7 (computed here)
- National average 3.9
- No different than the national rate
- 2,508 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
- 5,762 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.25
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 5,712 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.97
- State average 3.36 (computed here)
- National average 3.52
- No different than the national rate
- 1,340 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.54
- State average 1.78 (computed here)
- National average 1.67
- No different than the national rate
- 440 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.77
- State average 2.34 (computed here)
- National average 2.34
- No different than the national rate
- 1,257 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected5.99
- State average 9.5 (computed here)
- National average 9.42
- No different than the national rate
- 427 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected7
- State average 5.55 (computed here)
- National average 5.27
- No different than the national rate
- 402 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.59
- State average 1.77 (computed here)
- National average 1.77
- No different than the national rate
- 291 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.17
- State average 0.51 (computed here)
- National average 0.63
- No different than the national rate
- 4,599 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.9
- State average 4.22 (computed here)
- National average 4.1
- No different than the national rate
- 80 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 expected1.19
- State average 0.37
- 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 0.5
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.13
- State average 0.27
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.5
- State average 0.58
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.64
- State average 0.75
- 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 6
- State average 4.51 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 8
- State average 6.41 (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) 0.92
- State average 0.97
- 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 96
- State average 96.03 (computed here)
- National average 92.79 (computed here)
- 118 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 77
- State average 67
- National average 65
- 265 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 143
- State average 166
- National average 168
- 1,577 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 249
- State average 348
- National average 287
- 38 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 140
- State average 161
- National average 162
- 1,512 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 262
- State average 242
- National average 257
- 28 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 100
- State average 98.2 (computed here)
- National average 96.1 (computed here)
- 145 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 96
- State average 91
- National average 93
- 132 patients
- Period from 01/01/2024
Head CT results 50
- State average 69
- National average 69
- 12 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 83
- State average 87
- National average 78
- 1,705 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.13 (computed here)
- National average 1.09 (computed here)
- 1,873 patients
- Period from 01/01/2024
Left before being seen 3
- State average 2
- National average 2
- 55,443 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 14
- State average 13
- National average 15
- 1,941 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 81
- State average 73
- National average 73
- 84 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 93
- State average 87
- National average 87
- 57 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 89
- State average 83
- National average 81
- 265 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 93
- State average 93
- National average 93
- 175 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
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 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.6
- State average 14.25 (computed here)
- National average 14.4
- No different than the national rate
- 217 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.7
- State average 21.23 (computed here)
- National average 21.3
- No different than the national rate
- 603 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -6.3
- State average 0.82 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 224 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -10
- State average -3.12 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 564 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -26.1
- State average 4.9 (computed here)
- National average 5.65 (computed here)
- Fewer days than average per 100 discharges
- 531 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected15.5
- State average 17.36 (computed here)
- National average 17.3
- No different than the national rate
- 597 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected6
- State average 5.31 (computed here)
- National average 5.4
- No different than the national rate
- 252 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.4
- State average 10.87 (computed here)
- National average 10.7
- No different than the national rate
- 252 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.9
- State average 5.92 (computed here)
- National average 5.8
- No different than the national rate
- 72 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.7
- State average 19.7 (computed here)
- National average 20
- No different than the national rate
- 129 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected14.1
- State average 12.88 (computed here)
- National average 13
- No different than the national rate
- 2,403 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 914 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

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.