JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Mymichigan Medical Center Alpena

3 / 5

At a glance

Mymichigan Medical Center Alpena 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 Days600Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.464Not 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 Days1263Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.920Not 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 Limit0.862Same as national
SSI - Colon Surgery: Upper Confidence Limit6.541Same as national
SSI - Colon Surgery: Number of Procedures54Same as national
SSI - Colon Surgery: Predicted Cases1.475Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery2.712Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures20Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.184Not 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 Days20054Not available
MRSA Bacteremia: Predicted Cases0.911Not available
MRSA Bacteremia: Observed Cases2Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.128Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.368Same as national
Clostridium Difficile (C.Diff): Patient Days19343Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.967Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.503Same 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 patients3.9Same as national96
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national623
Death rate for heart attack patients12.4Same as national26
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national76
Death rate for heart failure patients15Same as national189
Death rate for pneumonia patients15.2Same as national187
Death rate for stroke patients12.8Same as national102
Pressure ulcer rate0.36Same as national1712
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.30Same as national2311
In-hospital fall-associated fracture rate0.29Same as national2277
Postoperative hemorrhage or hematoma rate2.20Same as national381
Postoperative acute kidney injury requiring dialysis rate1.65Same as national152
Postoperative respiratory failure rate8.24Same as national150
Perioperative pulmonary embolism or deep vein thrombosis rate4.33Same as national398
Postoperative sepsis rate4.96Same as national148
Postoperative wound dehiscence rate1.70Same as national79
Abdominopelvic accidental puncture or laceration rate1.01Same as national244
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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-7.5Not available212
Hospital return days for pneumonia patients-14.4Not available201
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national894
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national1214
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national439
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national439
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national290
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national80
Heart failure (HF) 30-Day Readmission Rate18.8Same as national212
Rate of readmission after hip/knee replacement4.9Same as national106
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national201

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 rating5626
Doctor communication - star rating3626
Communication about medicines - star rating3626
Discharge information - star rating4626
Cleanliness - star rating5626
Quietness - star rating4626
Overall hospital rating - star rating4626
Recommend hospital - star rating4626
Summary star rating4626

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 volumemedium
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 vaccination761682
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 better246436
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 better232390
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better39322
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better51824
Left before being seen523097
Head CT results7311
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98132
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing16814
Appropriate care for severe sepsis and septic shock62181
Septic Shock 3-Hour Bundle6175
Septic Shock 6-Hour Bundle8336
Severe Sepsis 3-Hour Bundle86182
Severe Sepsis 6-Hour Bundle9285
Discharged on Antithrombotic Therapy9894
Anticoagulation Therapy for Atrial Fibrillation/Flutter8329
Antithrombotic Therapy by End of Hospital Day 28371
Venous Thromboembolism Prophylaxis721739
Intensive Care Unit Venous Thromboembolism Prophylaxis73398

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 Alpena rated?
Mymichigan Medical Center Alpena has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mymichigan Medical Center Alpena have emergency services?
Yes. Mymichigan Medical Center Alpena operates a 24/7 emergency department.
Where is Mymichigan Medical Center Alpena located?
Mymichigan Medical Center Alpena is located at 1501 W Chisholm St, Alpena, MI 49707.
What type of hospital is Mymichigan Medical Center Alpena?
Mymichigan Medical Center Alpena is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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