JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Valleywise Health Medical Center

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At a glance

Valleywise Health Medical Center carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 6.

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 Limit0.004Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.420Better than national
Central Line Associated Bloodstream Infection: Number of Device Days5122Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases11.731Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.085Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.036Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.715Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3297Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.239Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.216Better than national
SSI - Colon Surgery: Lower Confidence Limit1.011Worse than national
SSI - Colon Surgery: Upper Confidence Limit3.805Worse than national
SSI - Colon Surgery: Number of Procedures125Worse than national
SSI - Colon Surgery: Predicted Cases4.341Worse than national
SSI - Colon Surgery: Observed Cases9Worse than national
SSI - Colon Surgery2.073Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures71Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.627Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.012Same as national
MRSA Bacteremia: Upper Confidence Limit1.134Same as national
MRSA Bacteremia: Patient Days74053Same as national
MRSA Bacteremia: Predicted Cases4.348Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.230Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.184Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.552Better than national
Clostridium Difficile (C.Diff): Patient Days67726Better than national
Clostridium Difficile (C.Diff): Predicted Cases39.271Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.331Better 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 Rate4.2Same as national125
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients9.7Same as national30
Death rate for pneumonia patients16.1Same as national34
Death rate for stroke patientsNot available
Pressure ulcer rate1.18Same as national886
Death rate among surgical inpatients with serious treatable complications200.15Same as national29
Iatrogenic pneumothorax rate0.33Same as national1037
In-hospital fall-associated fracture rate0.26Same as national1040
Postoperative hemorrhage or hematoma rate2.16Same as national247
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.94Same as national248
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate2.07Same as national42
Abdominopelvic accidental puncture or laceration rate1.29Same as national181
CMS Medicare PSI 90: Patient safety and adverse events composite1.20Same 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 patients135.4Not available38
Hospital return days for pneumonia patients42.2Not available40
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national253
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20.9Same as national38
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national40

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 rating3687
Doctor communication - star rating3687
Communication about medicines - star rating2687
Discharge information - star rating2687
Cleanliness - star rating2687
Quietness - star rating3687
Overall hospital rating - star rating4687
Recommend hospital - star rating4687
Summary star rating3687

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination944601
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 better208395
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 better200380
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better46213
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 seen1111699
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10070
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing73778
Appropriate care for severe sepsis and septic shock9187
Septic Shock 3-Hour Bundle10021
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle9787
Severe Sepsis 6-Hour Bundle9157
Discharged on Antithrombotic Therapy9881
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28877
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis893014

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 Valleywise Health Medical Center rated?
Valleywise Health Medical Center has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Valleywise Health Medical Center have emergency services?
According to CMS records, Valleywise Health Medical Center does not report a 24/7 emergency department.
Where is Valleywise Health Medical Center located?
Valleywise Health Medical Center is located at 2601 East Roosevelt Street, Phoenix, AZ 85008.
What type of hospital is Valleywise Health Medical Center?
Valleywise Health Medical Center is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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