JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

St Josephs Hospital and Medical Center

4 / 5

At a glance

St Josephs Hospital and Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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 Limit0.242Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.672Better than national
Central Line Associated Bloodstream Infection: Number of Device Days31988Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases35.989Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases15Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.417Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.196Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.564Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days21395Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases40.653Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases14Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.344Better than national
SSI - Colon Surgery: Lower Confidence Limit0.302Same as national
SSI - Colon Surgery: Upper Confidence Limit1.549Same as national
SSI - Colon Surgery: Number of Procedures248Same as national
SSI - Colon Surgery: Predicted Cases8.054Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.745Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures86Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.888Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.126Better than national
MRSA Bacteremia: Upper Confidence Limit0.762Better than national
MRSA Bacteremia: Patient Days171784Better than national
MRSA Bacteremia: Predicted Cases14.546Better than national
MRSA Bacteremia: Observed Cases5Better than national
MRSA Bacteremia0.344Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.160Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.396Better than national
Clostridium Difficile (C.Diff): Patient Days154964Better than national
Clostridium Difficile (C.Diff): Predicted Cases73.581Better than national
Clostridium Difficile (C.Diff): Observed Cases19Better than national
Clostridium Difficile (C.Diff)0.258Better 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 Rate3.9Same as national2067
Death rate for heart attack patients10.8Same as national144
Death rate for CABG surgery patients2Same as national62
Death rate for COPD patients7.5Same as national103
Death rate for heart failure patients9.6Same as national156
Death rate for pneumonia patients13.7Same as national216
Death rate for stroke patients15.3Same as national450
Pressure ulcer rate0.67Same as national7006
Death rate among surgical inpatients with serious treatable complications152.88Same as national218
Iatrogenic pneumothorax rate0.42Worse than national8156
In-hospital fall-associated fracture rate0.25Same as national8832
Postoperative hemorrhage or hematoma rate3.73Worse than national3355
Postoperative acute kidney injury requiring dialysis rate1.50Same as national2204
Postoperative respiratory failure rate15.80Worse than national2113
Perioperative pulmonary embolism or deep vein thrombosis rate4.79Same as national3649
Postoperative sepsis rate4.72Same as national2204
Postoperative wound dehiscence rate2.31Same as national1019
Abdominopelvic accidental puncture or laceration rate1.28Same as national2236
CMS Medicare PSI 90: Patient safety and adverse events composite1.27Worse 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 patients2.8Not available184
Hospital return days for heart failure patients-26Not available188
Hospital return days for pneumonia patients33Not available241
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national3453
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national256
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national145
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.2Same as national145
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national496
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national184
Rate of readmission for CABG11.3Same as national62
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national108
Heart failure (HF) 30-Day Readmission Rate19Same as national188
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national241

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 rating3722
Doctor communication - star rating3722
Communication about medicines - star rating2722
Discharge information - star rating3722
Cleanliness - star rating3722
Quietness - star rating3722
Overall hospital rating - star rating4722
Recommend hospital - star rating4722
Summary star rating3722

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 volumevery high
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 Hypoglycemia14859
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination757945
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 better179393
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 better177375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32712
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 seen4124374
Head CT results6118
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10073
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing109332
Appropriate care for severe sepsis and septic shock65157
Septic Shock 3-Hour Bundle7625
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle75157
Severe Sepsis 6-Hour Bundle8972
Discharged on Antithrombotic Therapy97772
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis995953

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 St Josephs Hospital and Medical Center rated?
St Josephs Hospital and Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does St Josephs Hospital and Medical Center have emergency services?
Yes. St Josephs Hospital and Medical Center operates a 24/7 emergency department.
Where is St Josephs Hospital and Medical Center located?
St Josephs Hospital and Medical Center is located at 350 West Thomas Road, Phoenix, AZ 85013.
What type of hospital is St Josephs Hospital and Medical Center?
St Josephs Hospital and Medical Center 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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