JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Ascension St John Jane Phillips

3 / 5

At a glance

Ascension St John Jane Phillips carries a 3-star CMS overall rating — in line with the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days667Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.482Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.653Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1614Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.129Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures28Not available
SSI - Colon Surgery: Predicted Cases0.673Not available
SSI - Colon Surgery: Observed Cases2Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures54Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.424Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days12592Not available
MRSA Bacteremia: Predicted Cases0.740Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.254Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.930Same as national
Clostridium Difficile (C.Diff): Patient Days11900Same as national
Clostridium Difficile (C.Diff): Predicted Cases4.999Same as national
Clostridium Difficile (C.Diff): Observed Cases4Same as national
Clostridium Difficile (C.Diff)0.800Same as 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 patients4.3Same as national43
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5Same as national451
Death rate for heart attack patients13.4Same as national100
Death rate for CABG surgery patientsNot available
Death rate for COPD patients12.1Same as national71
Death rate for heart failure patients17.5Worse than national178
Death rate for pneumonia patients16.2Same as national218
Death rate for stroke patients15.8Same as national94
Pressure ulcer rate0.36Same as national1525
Death rate among surgical inpatients with serious treatable complications183.33Same as national29
Iatrogenic pneumothorax rate0.19Same as national2396
In-hospital fall-associated fracture rate0.25Same as national2391
Postoperative hemorrhage or hematoma rate2.08Same as national439
Postoperative acute kidney injury requiring dialysis rate1.56Same as national162
Postoperative respiratory failure rate8.44Same as national169
Perioperative pulmonary embolism or deep vein thrombosis rate3.83Same as national451
Postoperative sepsis rate5.46Same as national150
Postoperative wound dehiscence rate2.04Same as national89
Abdominopelvic accidental puncture or laceration rate0.96Same as national307
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same as 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-25.7Not available103
Hospital return days for heart failure patients-7.3Not available211
Hospital return days for pneumonia patients6.6Not available231
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national660
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national759
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 national62
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.2Same as national103
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.5Same as national73
Heart failure (HF) 30-Day Readmission Rate19.6Same as national211
Rate of readmission after hip/knee replacement5.1Same as national27
Pneumonia (PN) 30-Day Readmission Rate16.7Same as national231

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 rating4321
Doctor communication - star rating4321
Communication about medicines - star rating2321
Discharge information - star rating3321
Cleanliness - star rating5321
Quietness - star rating4321
Overall hospital rating - star rating4321
Recommend hospital - star rating4321
Summary star rating4321

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 Events0627
Healthcare workers given influenza vaccination90717
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 better176326
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 better169291
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21220
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better38015
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 Prescribing6246
Appropriate care for severe sepsis and septic shock37203
Septic Shock 3-Hour Bundle4646
Septic Shock 6-Hour Bundle7117
Severe Sepsis 3-Hour Bundle55203
Severe Sepsis 6-Hour Bundle9376
Discharged on Antithrombotic Therapy10031
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis99543
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 St John Jane Phillips rated?
Ascension St John Jane Phillips has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Ascension St John Jane Phillips have emergency services?
Yes. Ascension St John Jane Phillips operates a 24/7 emergency department.
Where is Ascension St John Jane Phillips located?
Ascension St John Jane Phillips is located at 3500 East Frank Phillips Boulevard, Bartlesville, OK 74006.
What type of hospital is Ascension St John Jane Phillips?
Ascension St John Jane Phillips is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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