★★★☆☆3 out of 5 StarsWhy 3 stars?Santa Clara Valley Medical Center (Acute Care)'s 3-star rating reflects above-average performance on Mortality and Safety of Care.
CMS Overall Hospital Quality Star Rating · Santa Clara Valley Medical Center (Acute Care)
How was Santa Clara Valley Medical Center (Acute Care)'s 3-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Santa Clara Valley Medical Center (Acute Care). 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 Santa Clara Valley Medical Center (Acute Care)'s rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
7 of 7
2 better5 same0 worse
Safety of Care
22%
19 of 19
3 better15 same1 worse
Readmissions
22%
6 of 6
0 better6 same0 worse
Timely & Effective Care
12%
17 of 22
3 better12 same2 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.
Santa Clara Valley
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateBetter Than the National RateHospital score: 3.20 95% interval: 2.70 – 3.80 Sample size: 1,846Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for heart failure patientsBetter Than the National RateHospital score: 8.30 95% interval: 6.60 – 10.60 Sample size: 543Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for CABG surgery patientsNo Different Than the National RateHospital score: 2.90 95% interval: 1.40 – 6.20 Sample size: 39Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for COPD patientsNo Different Than the National RateHospital score: 7.70 95% interval: 5.20 – 11.20 Sample size: 126Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 11.80 95% interval: 9.30 – 15.00 Sample size: 151Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 15.60 95% interval: 13.30 – 18.40 Sample size: 566Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNo Different Than the National RateHospital score: 11.70 95% interval: 9.00 – 14.90 Sample size: 213Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STK
Safety of Care
Better than National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Santa Clara Valley
WorseUS AvgBetter
Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.20 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)Better than the National BenchmarkHospital score: 0.47 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRMRSA BacteremiaBetter than the National BenchmarkHospital score: 0.38 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRAbdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.25 95% interval: 0.30 – 2.20 Sample size: 1,535Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Catheter Associated Urinary Tract Infections (ICU + select Wards)No Different than National BenchmarkHospital score: 0.90 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRIatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.24 95% interval: 0.04 – 0.43 Sample size: 9,014Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06Rate of complications for hip/knee replacement patientsNo Different Than the National RateHospital score: 4.40 95% interval: 2.40 – 8.10 Sample size: 61Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEEIn-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.34 95% interval: 0.15 – 0.52 Sample size: 9,216Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08Postoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 2.11 95% interval: 0.66 – 3.56 Sample size: 1,446Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 4.54 95% interval: 2.51 – 6.58 Sample size: 1,421Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.54 95% interval: 0.00 – 3.20 Sample size: 288Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 11.61 95% interval: 4.09 – 19.14 Sample size: 294Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 7.29 95% interval: 3.39 – 11.20 Sample size: 299Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.23 95% interval: 0.00 – 0.78 Sample size: 7,538Reporting 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: 1.07 95% interval: 0.76 – 1.38 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90SSI - Abdominal HysterectomyNo Different than National BenchmarkHospital score: 2.59 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIRDeath rate among surgical inpatients with serious treatable complicationsNo Different Than the National RateHospital score: 214.59 95% interval: 167.38 – 261.80 Sample size: 108Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.90 95% interval: 0.45 – 3.36 Sample size: 333Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14SSI - Colon SurgeryWorse than the National BenchmarkHospital score: 2.74 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIR
Readmissions
Same as 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.
Santa Clara Valley
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
Santa'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 Nurses73%
Communication with Doctors75%
Hospital Cleanliness69%
Hospital Quietness43%
Staff ResponsivenessN/A
Discharge Information83%
Overall Hospital Rating (9 or 10)67%
Would Recommend Hospital68%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Same as National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Santa Clara Valley
WorseUS AvgBetter
Underlying measures:Safe Use of Opioids - Concurrent PrescribingBetter than ~75% of hospitalsHospital score: 9.00 % National median: 15.00 % (lower is better)
Sample size: 6,905Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSLeft before being seenBetter than ~75% of hospitalsHospital score: 0.00 % National median: 1.00 % (lower is better)
Sample size: 204,664Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Severe Sepsis 6-Hour BundleBetter than ~75% of hospitalsHospital score: 98.00 % National median: 94.00 % (higher is better)
Sample size: 212Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRDischarged on Antithrombotic TherapyNear the national medianHospital score: 97.00 % National median: 98.00 % (higher is better)
Sample size: 380Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_02Antithrombotic Therapy by End of Hospital Day 2Near the national medianHospital score: 92.00 % National median: 94.00 % (higher is better)
Sample size: 358Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_05Average (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: 244.00 min National median: 248.00 min (lower is better)
Sample size: 48Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cAverage (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 betterNear the national medianHospital score: 152.00 min National median: 148.00 min (lower is better)
Sample size: 1,158Reporting 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 betterNear the national medianHospital score: 155.00 min National median: 154.00 min (lower is better)
Sample size: 1,212Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aHead CT resultsNear the national medianHospital score: 76.00 % National median: 74.00 % (higher is better)
Sample size: 58Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23Intensive Care Unit Venous Thromboembolism ProphylaxisNear the national medianHospital score: 98.00 % National median: 97.00 % (higher is better)
Sample size: 3,411Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_2Appropriate care for severe sepsis and septic shockNear the national medianHospital score: 72.00 % National median: 64.00 % (higher is better)
Sample size: 353Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleNear the national medianHospital score: 77.00 % National median: 72.00 % (higher is better)
Sample size: 127Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSeptic Shock 6-Hour BundleNear the national medianHospital score: 91.00 % National median: 89.00 % (higher is better)
Sample size: 87Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRSevere Sepsis 3-Hour BundleNear the national medianHospital score: 84.00 % National median: 81.00 % (higher is better)
Sample size: 353Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRST-Segment Elevation Myocardial Infarction (STEMI)Near the national medianHospital score: 52.00 min National median: 53.00 min (lower is better)
Sample size: 50Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_40Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsWorse than ~75% of hospitalsHospital score: 83.00 % National median: 97.00 % (higher is better)
Sample size: 35Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Healthcare workers given influenza vaccinationWorse than ~75% of hospitalsHospital score: 37.00 % National median: 79.00 % (higher is better)
Sample size: 11,444Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3
Psychiatric Unit Quality (IPFQR)
Santa Clara Valley Medical Center (Acute Care) operates a Medicare-certified inpatient psychiatric unit that reports under the federal IPFQR program. The measures below are specific to that unit — not the hospital as a whole. They cover restraint and seclusion use, screening for medication side effects, substance-use and tobacco treatment, transitions of care, follow-up after discharge, and readmissions.
Physical Restraint Use 5.8 hours per 1,000 patient-hours
National median: 0.1 hours Worse than national median
HBIPS-2 — hours of physical restraint use per 1,000 patient-hours. Lower is better; restraints carry physical and psychological risks.
Seclusion Use 0.0 hours per 1,000 patient-hours
National median: 0.0 hours Near national median
HBIPS-3 — hours of seclusion per 1,000 patient-hours. Lower is better; seclusion is used only when no other intervention works.
Metabolic Screening (SMD) 87.0 %
National median: 92.0 % Near national median
SMD — % of patients on antipsychotics screened for metabolic side effects (BMI, blood glucose, cholesterol). Antipsychotics raise metabolic-syndrome risk; screening catches it early.
Transition Record Completed 0.0 %
National median: 77.0 % Worse than national median
TR-1 — % of discharges with a completed transition record including medications, follow-up plan, and crisis instructions.
Follow-up Within 7 Days 15.4 %
National median: 35.4 % Worse than national median
FAPH-7 — % of patients with a follow-up outpatient mental-health visit within 7 days of discharge. Predicts lower readmission risk.
Follow-up Within 30 Days 20.0 %
National median: 60.7 % Worse than national median
FAPH-30 — % of patients with a follow-up outpatient mental-health visit within 30 days of discharge.
30-Day Readmission Rate 16.8 %
National median: 19.1 % Better than national median
READM-30-IPF — risk-standardized 30-day readmission rate. No Different Than the National Rate
Influenza Immunization 71.0 %
National median: 87.0 % Worse than national median
IMM-2 — % of patients given a flu vaccine during the inpatient stay.
Santa Clara Valley Medical Center (Acute Care) has 1,081 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 Medicine213
Emergency Medicine113
Family Practice89
Diagnostic Radiology84
Anesthesiology84
General Surgery39
Hospitalist33
Psychiatry28
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
1,059(98%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
215(20%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
670 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 122
(18%) 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 1,081 clinicians affiliated with Santa Clara Valley Medical Center (Acute Care).
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.