JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

the Hospitals of Providence - Memorial Campus

2 / 5

At a glance

the Hospitals of Providence - Memorial Campus carries a 2-star CMS overall rating — below 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 Limit0.011Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.039Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4212Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.749Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.211Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.011Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.099Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4525Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.489Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.223Same as national
SSI - Colon Surgery: Lower Confidence Limit0.009Better than national
SSI - Colon Surgery: Upper Confidence Limit0.843Better than national
SSI - Colon Surgery: Number of Procedures221Better than national
SSI - Colon Surgery: Predicted Cases5.848Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.171Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures62Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.534Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.020Same as national
MRSA Bacteremia: Upper Confidence Limit1.940Same as national
MRSA Bacteremia: Patient Days52083Same as national
MRSA Bacteremia: Predicted Cases2.542Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.393Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.088Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.452Better than national
Clostridium Difficile (C.Diff): Patient Days41051Better than national
Clostridium Difficile (C.Diff): Predicted Cases27.638Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.217Better 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 patients4.1Same as national27
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national402
Death rate for heart attack patients12.3Same as national32
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients11.2Same as national68
Death rate for pneumonia patients18.2Same as national114
Death rate for stroke patientsNot available
Pressure ulcer rate0.32Same as national1388
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.31Same as national1638
In-hospital fall-associated fracture rate0.25Same as national1632
Postoperative hemorrhage or hematoma rate2.06Same as national430
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.36Same as national430
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.72Same as national146
Abdominopelvic accidental puncture or laceration rate0.95Same as national428
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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 patients27Not available69
Hospital return days for pneumonia patients2.5Not available102
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national628
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national32
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 national152
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national31
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate19.4Same as national69
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national102

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 rating1529
Doctor communication - star rating2529
Communication about medicines - star rating1529
Discharge information - star rating2529
Cleanliness - star rating2529
Quietness - star rating2529
Overall hospital rating - star rating1529
Recommend hospital - star rating2529
Summary star rating2529

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 Hyperglycemia812476
Hospital Harm - Severe Hypoglycemia22121
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination782640
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 better170481
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 better169462
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20717
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 seen129147
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9789
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing10944
Appropriate care for severe sepsis and septic shock4798
Septic Shock 3-Hour Bundle7225
Septic Shock 6-Hour Bundle6715
Severe Sepsis 3-Hour Bundle6598
Severe Sepsis 6-Hour Bundle8746
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis824082
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 the Hospitals of Providence - Memorial Campus rated?
the Hospitals of Providence - Memorial Campus has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does the Hospitals of Providence - Memorial Campus have emergency services?
Yes. the Hospitals of Providence - Memorial Campus operates a 24/7 emergency department.
Where is the Hospitals of Providence - Memorial Campus located?
the Hospitals of Providence - Memorial Campus is located at 2001 N Oregon St, El Paso, TX 79902.
What type of hospital is the Hospitals of Providence - Memorial Campus?
the Hospitals of Providence - Memorial Campus 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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