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Acute Care Hospitals · Voluntary non-profit - Private

Ascension St John Medical Center

3 / 5

At a glance

Ascension St John Medical Center carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 12.

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 Limit0.563Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.392Same as national
Central Line Associated Bloodstream Infection: Number of Device Days19532Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases20.922Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases19Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.908Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.267Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.882Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days16941Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases21.669Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.508Better than national
SSI - Colon Surgery: Lower Confidence Limit1.169Worse than national
SSI - Colon Surgery: Upper Confidence Limit2.890Worse than national
SSI - Colon Surgery: Number of Procedures376Worse than national
SSI - Colon Surgery: Predicted Cases10.078Worse than national
SSI - Colon Surgery: Observed Cases19Worse than national
SSI - Colon Surgery1.885Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.179Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.436Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures428Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases3.723Worse than national
SSI - Abdominal Hysterectomy: Observed Cases9Worse than national
SSI - Abdominal Hysterectomy2.417Worse than national
MRSA Bacteremia: Lower Confidence Limit0.117Better than national
MRSA Bacteremia: Upper Confidence Limit0.885Better than national
MRSA Bacteremia: Patient Days111994Better than national
MRSA Bacteremia: Predicted Cases10.904Better than national
MRSA Bacteremia: Observed Cases4Better than national
MRSA Bacteremia0.367Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.231Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.525Better than national
Clostridium Difficile (C.Diff): Patient Days104099Better than national
Clostridium Difficile (C.Diff): Predicted Cases64.742Better than national
Clostridium Difficile (C.Diff): Observed Cases23Better than national
Clostridium Difficile (C.Diff)0.355Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1370
Death rate for heart attack patients12.4Same as national200
Death rate for CABG surgery patients4.5Same as national67
Death rate for COPD patients6.7Same as national118
Death rate for heart failure patients11.9Same as national442
Death rate for pneumonia patients18Same as national382
Death rate for stroke patients14.7Same as national412
Pressure ulcer rate0.20Same as national6444
Death rate among surgical inpatients with serious treatable complications185.19Same as national185
Iatrogenic pneumothorax rate0.28Same as national7813
In-hospital fall-associated fracture rate0.40Same as national7768
Postoperative hemorrhage or hematoma rate2.18Same as national2221
Postoperative acute kidney injury requiring dialysis rate2.03Same as national810
Postoperative respiratory failure rate15.23Worse than national805
Perioperative pulmonary embolism or deep vein thrombosis rate2.54Same as national2364
Postoperative sepsis rate7.57Same as national841
Postoperative wound dehiscence rate1.43Same as national619
Abdominopelvic accidental puncture or laceration rate1.16Same as national1813
CMS Medicare PSI 90: Patient safety and adverse events composite1.11Same 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-2.8Not available224
Hospital return days for heart failure patients-4.3Not available527
Hospital return days for pneumonia patients-30.3Not available391
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.8Same as national2160
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12Same as national578
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 surgery1.1Same as national100
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national224
Rate of readmission for CABG9.3Same as national62
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national137
Heart failure (HF) 30-Day Readmission Rate18.6Same as national527
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.1Same as national391

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 rating2325
Doctor communication - star rating2325
Communication about medicines - star rating2325
Discharge information - star rating2325
Cleanliness - star rating2325
Quietness - star rating2325
Overall hospital rating - star rating2325
Recommend hospital - star rating3325
Summary star rating2325

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 Events03957
Healthcare workers given influenza vaccination903958
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 better204313
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 better195284
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29017
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better26412
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 Prescribing111864
Appropriate care for severe sepsis and septic shock45517
Septic Shock 3-Hour Bundle55118
Septic Shock 6-Hour Bundle6752
Severe Sepsis 3-Hour Bundle67517
Severe Sepsis 6-Hour Bundle85241
Discharged on Antithrombotic Therapy98139
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis972966
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 Medical Center rated?
Ascension St John Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Ascension St John Medical Center have emergency services?
Yes. Ascension St John Medical Center operates a 24/7 emergency department.
Where is Ascension St John Medical Center located?
Ascension St John Medical Center is located at 1923 South Utica Avenue, Tulsa, OK 74104.
What type of hospital is Ascension St John Medical Center?
Ascension St John Medical Center 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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