JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Ascension Providence Hospital, Southfield and Novi

4 / 5

At a glance

Ascension Providence Hospital, Southfield and Novi carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.211Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.602Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5597Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.024Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.664Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.067Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.719Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8975Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.356Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.264Better than national
SSI - Colon Surgery: Lower Confidence Limit0.067Same as national
SSI - Colon Surgery: Upper Confidence Limit1.325Same as national
SSI - Colon Surgery: Number of Procedures182Same as national
SSI - Colon Surgery: Predicted Cases4.986Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.401Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.029Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.836Same as national
SSI - Abdominal Hysterectomy: Number of Procedures208Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.739Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.575Same as national
MRSA Bacteremia: Lower Confidence Limit0.039Better than national
MRSA Bacteremia: Upper Confidence Limit0.768Better than national
MRSA Bacteremia: Patient Days121274Better than national
MRSA Bacteremia: Predicted Cases8.609Better than national
MRSA Bacteremia: Observed Cases2Better than national
MRSA Bacteremia0.232Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.195Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.508Better than national
Clostridium Difficile (C.Diff): Patient Days116040Better than national
Clostridium Difficile (C.Diff): Predicted Cases52.530Better than national
Clostridium Difficile (C.Diff): Observed Cases17Better than national
Clostridium Difficile (C.Diff)0.324Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.8Same as national96
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national1768
Death rate for heart attack patients11.9Same as national141
Death rate for CABG surgery patients1.9Same as national57
Death rate for COPD patients6.7Same as national196
Death rate for heart failure patients10.5Same as national808
Death rate for pneumonia patients12Better than national465
Death rate for stroke patients12.6Same as national282
Pressure ulcer rate0.10Same as national8534
Death rate among surgical inpatients with serious treatable complications149.96Same as national81
Iatrogenic pneumothorax rate0.18Same as national10330
In-hospital fall-associated fracture rate0.18Same as national10491
Postoperative hemorrhage or hematoma rate1.73Same as national2196
Postoperative acute kidney injury requiring dialysis rate1.55Same as national1019
Postoperative respiratory failure rate6.49Same as national1073
Perioperative pulmonary embolism or deep vein thrombosis rate2.04Same as national2267
Postoperative sepsis rate4.02Same as national1008
Postoperative wound dehiscence rate1.54Same as national485
Abdominopelvic accidental puncture or laceration rate0.98Same as national1657
CMS Medicare PSI 90: Patient safety and adverse events composite0.62Better than national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-29.6Not available133
Hospital return days for heart failure patients14.2Not available962
Hospital return days for pneumonia patients-4.2Not available481
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national2688
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.8Same as national806
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national235
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national133
Rate of readmission for CABG10.1Same as national57
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national220
Heart failure (HF) 30-Day Readmission Rate19.9Same as national962
Rate of readmission after hip/knee replacement3.9Same as national81
Pneumonia (PN) 30-Day Readmission Rate15Same as national481

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating2947
Doctor communication - star rating2947
Communication about medicines - star rating2947
Discharge information - star rating2947
Cleanliness - star rating1947
Quietness - star rating2947
Overall hospital rating - star rating2947
Recommend hospital - star rating3947
Summary star rating2947

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volume
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination915795
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 better196607
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 better192571
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28527
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock62188
Septic Shock 3-Hour Bundle6749
Septic Shock 6-Hour Bundle9625
Severe Sepsis 3-Hour Bundle79190
Severe Sepsis 6-Hour Bundle90103
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Ascension Providence Hospital, Southfield and Novi rated?
Ascension Providence Hospital, Southfield and Novi has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Ascension Providence Hospital, Southfield and Novi have emergency services?
Yes. Ascension Providence Hospital, Southfield and Novi operates a 24/7 emergency department.
Where is Ascension Providence Hospital, Southfield and Novi located?
Ascension Providence Hospital, Southfield and Novi is located at 16001 W Nine Mile Rd, Southfield, MI 48075.
What type of hospital is Ascension Providence Hospital, Southfield and Novi?
Ascension Providence Hospital, Southfield and Novi is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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