★★★★☆4 out of 5 StarsWhy 4 stars?Ascension Providence Hospital - Southfield and Novi Campuses's 4-star rating reflects above-average performance on Mortality, Safety of Care, and Readmissions and below-average performance on Patient Experience.
CMS Overall Hospital Quality Star Rating · Ascension Providence Hospital - Southfield and Novi Campuses
How was Ascension Providence Hospital - Southfield and Novi Campuses's 4-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Ascension Providence Hospital - Southfield and Novi Campuses. 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 Ascension Providence Hospital - Southfield and Novi Campuses'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
4 better15 same0 worse
Readmissions
22%
6 of 6
3 better3 same0 worse
Timely & Effective Care
12%
9 of 22
2 better5 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.
Ascension Providence Hospital -…
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateBetter Than the National RateHospital score: 3.20 95% interval: 2.70 – 3.70 Sample size: 1,768Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for pneumonia patientsBetter Than the National RateHospital score: 12.00 95% interval: 9.80 – 14.50 Sample size: 465Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for CABG surgery patientsNo Different Than the National RateHospital score: 1.90 95% interval: 0.90 – 4.30 Sample size: 57Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for COPD patientsNo Different Than the National RateHospital score: 6.70 95% interval: 4.60 – 9.60 Sample size: 196Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 11.90 95% interval: 9.40 – 14.90 Sample size: 141Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNo Different Than the National RateHospital score: 10.50 95% interval: 8.80 – 12.40 Sample size: 808Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for stroke patientsNo Different Than the National RateHospital score: 12.60 95% interval: 10.30 – 15.20 Sample size: 282Reporting 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.
Ascension Providence Hospital -…
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Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.32 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: 0.26 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRMRSA BacteremiaBetter than the National BenchmarkHospital score: 0.23 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRCMS Medicare PSI 90: Patient safety and adverse events compositeBetter Than the National ValueHospital score: 0.62 95% interval: 0.36 – 0.88 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90Abdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 0.98 95% interval: 0.05 – 1.91 Sample size: 1,657Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Central Line Associated Bloodstream Infection (ICU + select Wards)No Different than National BenchmarkHospital score: 0.66 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRIatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.18 95% interval: 0.00 – 0.37 Sample size: 10,330Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06Rate of complications for hip/knee replacement patientsNo Different Than the National RateHospital score: 3.80 95% interval: 2.10 – 6.40 Sample size: 96Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEEIn-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.18 95% interval: 0.00 – 0.36 Sample size: 10,491Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08Postoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 1.73 95% interval: 0.42 – 3.05 Sample size: 2,196Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 2.04 95% interval: 0.27 – 3.82 Sample size: 2,267Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.55 95% interval: 0.08 – 3.02 Sample size: 1,019Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 6.49 95% interval: 1.26 – 11.73 Sample size: 1,073Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 4.02 95% interval: 0.76 – 7.28 Sample size: 1,008Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.10 95% interval: 0.00 – 0.63 Sample size: 8,534Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03SSI - Abdominal HysterectomyNo Different than National BenchmarkHospital score: 0.57 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIRSSI - Colon SurgeryNo Different than National BenchmarkHospital score: 0.40 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: 149.96 95% interval: 98.08 – 201.84 Sample size: 81Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.54 95% interval: 0.11 – 2.97 Sample size: 485Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14
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.
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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
Ascension'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 Doctors71%
Hospital Cleanliness57%
Hospital Quietness50%
Staff ResponsivenessN/A
Discharge Information82%
Overall Hospital Rating (9 or 10)64%
Would Recommend Hospital64%
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.
Ascension Providence Hospital -…
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Underlying measures:Septic Shock 6-Hour BundleBetter than ~75% of hospitalsHospital score: 96.00 % National median: 89.00 % (higher is better)
Sample size: 25Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRHealthcare workers given influenza vaccinationBetter than ~75% of hospitalsHospital score: 91.00 % National median: 79.00 % (higher is better)
Sample size: 5,795Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Average (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: 285.00 min National median: 248.00 min (lower is better)
Sample size: 27Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cAppropriate care for severe sepsis and septic shockNear the national medianHospital score: 62.00 % National median: 64.00 % (higher is better)
Sample size: 188Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleNear the national medianHospital score: 67.00 % National median: 72.00 % (higher is better)
Sample size: 49Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSevere Sepsis 3-Hour BundleNear the national medianHospital score: 79.00 % National median: 81.00 % (higher is better)
Sample size: 190Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRSevere Sepsis 6-Hour BundleNear the national medianHospital score: 90.00 % National median: 94.00 % (higher is better)
Sample size: 103Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRAverage (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: 192.00 min National median: 148.00 min (lower is better)
Sample size: 571Reporting 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: 607Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18a
Psychiatric Unit Quality (IPFQR)
Ascension Providence Hospital - Southfield and Novi Campuses 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.
Metabolic Screening (SMD) 97.0 %
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.
30-Day Readmission Rate 16.4 %
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 76.0 %
National median: 87.0 % Worse than national median
IMM-2 — % of patients given a flu vaccine during the inpatient stay.
Ascension Providence Hospital - Southfield and Novi Campuses has 883 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 Medicine161
Family Practice99
Certified Registered Nurse Anesthetist (Crna)94
Physician Assistant56
Emergency Medicine53
Obstetrics/Gynecology39
Nurse Practitioner34
Cardiovascular Disease (Cardiology)28
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
871(99%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
244(28%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
362 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 97
(27%) 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 883 clinicians affiliated with Ascension Providence Hospital - Southfield and Novi Campuses.
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.
Pricing & Costs
This hospital participates in price transparency under the federal
Hospital Price Transparency Rule. View 771 published procedures
— gross charges, cash prices, and per-payer negotiated rates where available.
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.