JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mymichigan Medical Center Alma

4 / 5

At a glance

Mymichigan Medical Center Alma carries a 4-star CMS overall rating — above 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 Days880Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.745Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days974Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.995Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.036Same as national
SSI - Colon Surgery: Upper Confidence Limit3.553Same as national
SSI - Colon Surgery: Number of Procedures55Same as national
SSI - Colon Surgery: Predicted Cases1.388Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.720Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures7Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.060Not 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 Days16549Not available
MRSA Bacteremia: Predicted Cases0.469Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.103Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.022Same as national
Clostridium Difficile (C.Diff): Patient Days15769Same as national
Clostridium Difficile (C.Diff): Predicted Cases3.268Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.612Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national371
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.3Same as national72
Death rate for heart failure patients13.3Same as national135
Death rate for pneumonia patients22.5Worse than national173
Death rate for stroke patients12.7Same as national61
Pressure ulcer rate0.38Same as national1200
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1555
In-hospital fall-associated fracture rate0.26Same as national1568
Postoperative hemorrhage or hematoma rate2.26Same as national184
Postoperative acute kidney injury requiring dialysis rate1.65Same as national56
Postoperative respiratory failure rate8.86Same as national56
Perioperative pulmonary embolism or deep vein thrombosis rate3.18Same as national195
Postoperative sepsis rate5.10Same as national53
Postoperative wound dehiscence rate1.73Same as national55
Abdominopelvic accidental puncture or laceration rate1.00Same as national197
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patientsNot available
Hospital return days for heart failure patients-3.7Not available150
Hospital return days for pneumonia patients-3.7Not available162
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national570
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national364
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.5Same as national38
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national38
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national153
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national74
Heart failure (HF) 30-Day Readmission Rate20.6Same as national150
Rate of readmission after hip/knee replacement5.3Same as national26
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national162

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 rating5451
Doctor communication - star rating4451
Communication about medicines - star rating4451
Discharge information - star rating5451
Cleanliness - star rating4451
Quietness - star rating4451
Overall hospital rating - star rating4451
Recommend hospital - star rating5451
Summary star rating4451

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 volumelow
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 vaccination791362
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 better224433
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 better204369
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better40224
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better35241
Left before being seen418474
Head CT results9212
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96129
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing11775
Appropriate care for severe sepsis and septic shock59122
Septic Shock 3-Hour Bundle7044
Septic Shock 6-Hour Bundle9122
Severe Sepsis 3-Hour Bundle77122
Severe Sepsis 6-Hour Bundle9063
Discharged on Antithrombotic Therapy9863
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29649
Venous Thromboembolism Prophylaxis731836
Intensive Care Unit Venous Thromboembolism Prophylaxis78299

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 Mymichigan Medical Center Alma rated?
Mymichigan Medical Center Alma has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mymichigan Medical Center Alma have emergency services?
Yes. Mymichigan Medical Center Alma operates a 24/7 emergency department.
Where is Mymichigan Medical Center Alma located?
Mymichigan Medical Center Alma is located at 300 E Warwick Dr, Alma, MI 48801.
What type of hospital is Mymichigan Medical Center Alma?
Mymichigan Medical Center Alma 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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