JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Vincent's Birmingham

3 / 5

At a glance

St Vincent's Birmingham 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 12 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 Limit0.926Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.569Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8644Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.414Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases15Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.593Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.127Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.768Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days11233Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.429Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.347Better than national
SSI - Colon Surgery: Lower Confidence Limit0.139Same as national
SSI - Colon Surgery: Upper Confidence Limit1.487Same as national
SSI - Colon Surgery: Number of Procedures214Same as national
SSI - Colon Surgery: Predicted Cases5.491Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.546Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.714Same as national
SSI - Abdominal Hysterectomy: Number of Procedures200Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.748Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.299Same as national
MRSA Bacteremia: Upper Confidence Limit1.536Same as national
MRSA Bacteremia: Patient Days74671Same as national
MRSA Bacteremia: Predicted Cases8.127Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.738Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.234Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.672Better than national
Clostridium Difficile (C.Diff): Patient Days70687Better than national
Clostridium Difficile (C.Diff): Predicted Cases34.101Better than national
Clostridium Difficile (C.Diff): Observed Cases14Better than national
Clostridium Difficile (C.Diff)0.411Better 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 patients4.7Same as national69
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national896
Death rate for heart attack patients12.1Same as national111
Death rate for CABG surgery patients3.8Same as national81
Death rate for COPD patients7.9Same as national66
Death rate for heart failure patients10.7Same as national313
Death rate for pneumonia patients14.5Same as national377
Death rate for stroke patients13.1Same as national164
Pressure ulcer rate0.19Same as national4063
Death rate among surgical inpatients with serious treatable complications140.17Same as national79
Iatrogenic pneumothorax rate0.17Same as national4838
In-hospital fall-associated fracture rate0.23Same as national4939
Postoperative hemorrhage or hematoma rate1.90Same as national1295
Postoperative acute kidney injury requiring dialysis rate1.32Same as national754
Postoperative respiratory failure rate9.20Same as national765
Perioperative pulmonary embolism or deep vein thrombosis rate3.24Same as national1341
Postoperative sepsis rate3.32Same as national629
Postoperative wound dehiscence rate1.63Same as national319
Abdominopelvic accidental puncture or laceration rate0.85Same as national917
CMS Medicare PSI 90: Patient safety and adverse events composite0.74Same 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 patients9Not available122
Hospital return days for heart failure patients21Not available360
Hospital return days for pneumonia patients32.4Not available393
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1377
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.5Same as national1027
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 surgery0.8Same as national330
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.6Same as national122
Rate of readmission for CABG11.5Same as national75
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national69
Heart failure (HF) 30-Day Readmission Rate19.3Same as national360
Rate of readmission after hip/knee replacement5.4Same as national58
Pneumonia (PN) 30-Day Readmission Rate17.2Same as national393

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 rating21198
Doctor communication - star rating31198
Communication about medicines - star rating21198
Discharge information - star rating31198
Cleanliness - star rating11198
Quietness - star rating41198
Overall hospital rating - star rating31198
Recommend hospital - star rating31198
Summary star rating31198

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 Events
Healthcare workers given influenza vaccination654372
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 better247279
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 better245250
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better36124
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 Prescribing131328
Appropriate care for severe sepsis and septic shock52153
Septic Shock 3-Hour Bundle6058
Septic Shock 6-Hour Bundle9029
Severe Sepsis 3-Hour Bundle71153
Severe Sepsis 6-Hour Bundle9764
Discharged on Antithrombotic Therapy10070
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis921987
Intensive Care Unit Venous Thromboembolism Prophylaxis93518

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 Vincent's Birmingham rated?
St Vincent's Birmingham has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does St Vincent's Birmingham have emergency services?
Yes. St Vincent's Birmingham operates a 24/7 emergency department.
Where is St Vincent's Birmingham located?
St Vincent's Birmingham is located at 810 St Vincent's Drive, Birmingham, AL 35205.
What type of hospital is St Vincent's Birmingham?
St Vincent's Birmingham 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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