★★★★★5 out of 5 StarsWhy 5 stars?Hoag Memorial Hospital Presbyterian's 5-star rating reflects above-average performance on Readmissions and Timely Care.
CMS Overall Hospital Quality Star Rating · Hoag Memorial Hospital Presbyterian
How was Hoag Memorial Hospital Presbyterian's 5-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Hoag Memorial Hospital Presbyterian. CMS standardizes
every underlying measure against the national rate, computes
a weighted score for each of five domains, sums them by the
fixed weights below, and assigns 1–5 stars using k-means
clustering across all reporting hospitals.
Domains that fed Hoag Memorial Hospital Presbyterian's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
7 of 7
1 better6 same0 worse
Safety of Care
22%
18 of 19
3 better13 same2 worse
Readmissions
22%
5 of 6
3 better2 same0 worse
Timely & Effective Care
12%
17 of 22
7 better5 same5 worse
Patient Experience
22%
HCAHPS
See HCAHPS detail below
How star meaning varies by hospital type.
This CMS Overall Star Rating only applies to acute care
hospitals. Children's hospitals (Pediatric Quality), psychiatric
hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP),
long-term acute care hospitals (LTACH QRP), and VA medical centers
each use separate quality programs designed for their patient
populations. Comparing star ratings across these facility types
isn't meaningful — see the methodology page for the full mapping
of which program applies to which facility.
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Hoag Memorial Hospital…
WorseUS AvgBetter
Underlying measures:Death rate for stroke patientsBetter Than the National RateHospital score: 10.30 95% interval: 8.60 – 12.50 Sample size: 497Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STKHybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 3.80 95% interval: 3.30 – 4.30 Sample size: 4,477Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for CABG surgery patientsNo Different Than the National RateHospital score: 2.10 95% interval: 0.90 – 4.60 Sample size: 137Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for COPD patientsNo Different Than the National RateHospital score: 7.60 95% interval: 5.40 – 10.70 Sample size: 142Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 12.70 95% interval: 10.50 – 15.30 Sample size: 336Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNo Different Than the National RateHospital score: 12.50 95% interval: 10.80 – 14.50 Sample size: 855Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 15.00 95% interval: 13.30 – 16.90 Sample size: 1,166Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PN
Safety of Care
Same as National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Hoag Memorial Hospital…
WorseUS AvgBetter
Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.43 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)Better than the National BenchmarkHospital score: 0.28 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)Better than the National BenchmarkHospital score: 0.08 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRAbdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.38 95% interval: 0.66 – 2.11 Sample size: 4,300Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Iatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.16 95% interval: 0.00 – 0.33 Sample size: 16,407Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06In-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.24 95% interval: 0.07 – 0.40 Sample size: 17,438Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08MRSA BacteremiaNo Different than National BenchmarkHospital score: 0.38 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRPostoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 2.53 95% interval: 1.38 – 3.69 Sample size: 3,951Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Postoperative respiratory failure rateNo Different Than the National RateHospital score: 9.19 95% interval: 5.21 – 13.18 Sample size: 1,671Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 3.57 95% interval: 0.98 – 6.16 Sample size: 1,736Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.32 95% interval: 0.00 – 0.77 Sample size: 13,612Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03CMS Medicare PSI 90: Patient safety and adverse events compositeNo Different Than the National ValueHospital score: 0.98 95% interval: 0.77 – 1.20 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90SSI - Abdominal HysterectomyNo Different than National BenchmarkHospital score: 0.72 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIRSSI - Colon SurgeryNo Different than National BenchmarkHospital score: 0.85 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRDeath rate among surgical inpatients with serious treatable complicationsNo Different Than the National RateHospital score: 177.94 95% interval: 136.85 – 219.02 Sample size: 205Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.32 95% interval: 0.00 – 2.65 Sample size: 1,305Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Perioperative pulmonary embolism or deep vein thrombosis rateWorse Than the National RateHospital score: 5.50 95% interval: 4.00 – 7.01 Sample size: 4,199Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateWorse Than the National RateHospital score: 2.98 95% interval: 1.70 – 4.26 Sample size: 1,783Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Rate of complications for hip/knee replacement patientsNot AvailableHospital score: — Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEE
Readmissions
Better than National Average
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
Hoag Memorial Hospital…
WorseUS AvgBetter
Patient survey detail — the questions feeding the Patient Experience domain above
expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey.
Each bar below is one survey question; the percentage is the share of
Hoag's recent patients who gave the most positive
response. HCAHPS percentages aren't directly comparable across all measures —
see the methodology page for how CMS weights them.
Communication with Nurses80%
Communication with Doctors81%
Hospital Cleanliness78%
Hospital Quietness53%
Staff ResponsivenessN/A
Discharge Information87%
Overall Hospital Rating (9 or 10)81%
Would Recommend Hospital84%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Better than National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Hoag Memorial Hospital…
WorseUS AvgBetter
Underlying measures:Discharged on Antithrombotic TherapyBetter than ~75% of hospitalsHospital score: 99.00 % National median: 98.00 % (higher is better)
Sample size: 711Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_02Safe Use of Opioids - Concurrent PrescribingBetter than ~75% of hospitalsHospital score: 12.00 % National median: 15.00 % (lower is better)
Sample size: 9,064Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSLeft before being seenBetter than ~75% of hospitalsHospital score: 1.00 % National median: 1.00 % (lower is better)
Sample size: 145,364Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Appropriate care for severe sepsis and septic shockBetter than ~75% of hospitalsHospital score: 77.00 % National median: 64.00 % (higher is better)
Sample size: 197Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Severe Sepsis 3-Hour BundleBetter than ~75% of hospitalsHospital score: 91.00 % National median: 81.00 % (higher is better)
Sample size: 199Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRSevere Sepsis 6-Hour BundleBetter than ~75% of hospitalsHospital score: 97.00 % National median: 94.00 % (higher is better)
Sample size: 139Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRVenous Thromboembolism ProphylaxisBetter than ~75% of hospitalsHospital score: 96.00 % National median: 90.00 % (higher is better)
Sample size: 16,860Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterNear the national medianHospital score: 231.00 min National median: 248.00 min (lower is better)
Sample size: 20Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cIntensive Care Unit Venous Thromboembolism ProphylaxisNear the national medianHospital score: 98.00 % National median: 97.00 % (higher is better)
Sample size: 2,716Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_2Septic Shock 3-Hour BundleNear the national medianHospital score: 76.00 % National median: 72.00 % (higher is better)
Sample size: 70Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSeptic Shock 6-Hour BundleNear the national medianHospital score: 83.00 % National median: 89.00 % (higher is better)
Sample size: 41Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRHealthcare workers given influenza vaccinationNear the national medianHospital score: 78.00 % National median: 79.00 % (higher is better)
Sample size: 11,807Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsWorse than ~75% of hospitalsHospital score: 80.00 % National median: 97.00 % (higher is better)
Sample size: 70Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Average (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 betterWorse than ~75% of hospitalsHospital score: 196.00 min National median: 148.00 min (lower is better)
Sample size: 385Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (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 betterWorse than ~75% of hospitalsHospital score: 196.00 min National median: 154.00 min (lower is better)
Sample size: 405Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aHead CT resultsWorse than ~75% of hospitalsHospital score: 46.00 % National median: 74.00 % (higher is better)
Sample size: 54Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23ST-Segment Elevation Myocardial Infarction (STEMI)Worse than ~75% of hospitalsHospital score: 74.00 min National median: 53.00 min (lower is better)
Sample size: 38Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_40
Clinical Staff
Hoag Memorial Hospital Presbyterian has 1,676 CMS-affiliated
clinicians on its roster — physicians, advanced practice providers, and other
Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
Internal Medicine228
Family Practice180
Physician Assistant144
Nurse Practitioner134
Anesthesiology81
Obstetrics/Gynecology75
Hospitalist73
Diagnostic Radiology63
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
1,635(98%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
784(47%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
840 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 249
(30%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores
are not a reliable consumer signal. We surface roster-level coverage and the share
above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file
and MIPS Performance Year final scores, as of 2026-05-27.
Affiliations from the CMS Facility Affiliations dataset. About 16% of small
facilities (critical access, rural emergency, freestanding psych, IRF/LTCH)
do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 1,676 clinicians affiliated with Hoag Memorial Hospital Presbyterian.
Each name links to that clinician's official Medicare Care Compare profile, where you can see
their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Quality and ratings data are sourced from the U.S. Centers for
Medicare & Medicaid Services (CMS) Hospital Compare program.
Star ratings are CMS's own calculation; CareRanks does not modify
or re-weight them. Facility-level details (address, beds,
ownership, teaching status) come from CMS provider files and the
CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own
Machine-Readable File (MRF) published under the federal Hospital
Price Transparency Rule. See our methodology for the full update
cadence and limitations.