UCI HEALTH - FOUNTAIN VALLEY
NPI 1821002007
General Acute Care Hospital in Fountain Valley, CA

Hospital Compare Quality Information

Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.

• Overall Quality Rating - 2 out of 5 stars - Fair

  The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.

• Nurse Communication - 1 out of 5 stars - Poor

  Nurse communication - star rating

• Doctor Communication - 1 out of 5 stars - Poor

  Doctor communication - star rating

• Staff Responsiveness - 2 out of 5 stars - Fair

  Staff responsiveness - star rating

• Communication About Medicines - 2 out of 5 stars - Fair

  Communication about medicines - star rating

• Discharge Information - 2 out of 5 stars - Fair

  Discharge information - star rating

• Care Transition - 1 out of 5 stars - Poor

  Care transition - star rating

• Cleanliness - 2 out of 5 stars - Fair

  Cleanliness - star rating

• Quietness - 1 out of 5 stars - Poor

  Quietness - star rating

• Recommend Hospital - 1 out of 5 stars - Poor

  Recommend hospital - star rating

• Hospital Type Acute Care Hospitals - Proprietary

• Emergency Services: Yes

  Shows if the hospital provides emergency services like acute medical care or trauma care.

• Meaningful Use of Electronic Health Records: Y

  Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).

Hospital Complications and Mortality Quality Ratings

• Rate of complications for hip/knee replacement patients is no different than the national rate

  Evaluation Period: July 2020 - March 2023

• Death rate for heart attack patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Death rate for CABG surgery patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Death rate for COPD patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Death rate for heart failure patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Death rate for pneumonia patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Death rate for stroke patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Pressure ulcer rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Death rate among surgical inpatients with serious treatable complications is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Iatrogenic pneumothorax rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• In-hospital fall-associated fracture rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Postoperative hemorrhage or hematoma rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Postoperative acute kidney injury requiring dialysis rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Postoperative respiratory failure rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Perioperative pulmonary embolism or deep vein thrombosis rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Postoperative sepsis rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Postoperative wound dehiscence rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• Abdominopelvic accidental puncture or laceration rate is no different than the national rate

  Evaluation Period: July 2021 - June 2023

• CMS Medicare PSI 90: Patient safety and adverse events composite is no different than the national value

  Evaluation Period: July 2021 - June 2023

Hospital Associated Infections Quality Ratings

• Central Line Associated Bloodstream Infection (ICU + select Wards) is no different than national benchmark

  Evaluation Period: January 2023 - December 2023

• Catheter Associated Urinary Tract Infections (ICU + select Wards) is no different than national benchmark

  Evaluation Period: January 2023 - December 2023

• SSI - Colon Surgery is no different than national benchmark

  Evaluation Period: January 2023 - December 2023

• SSI - Abdominal Hysterectomy is no different than national benchmark

  Evaluation Period: January 2023 - December 2023

• MRSA Bacteremia is no different than national benchmark

  Evaluation Period: January 2023 - December 2023

• Clostridium Difficile (C.Diff) is better than the national benchmark

  Evaluation Period: January 2023 - December 2023

Unplanned Hospital Visits Quality Ratings

• Hospital return days for heart attack patients is average days per 100 discharges

  Evaluation Period: July 2020 - June 2023

• Hospital return days for heart failure patients is more days than average per 100 discharges

  Evaluation Period: July 2020 - June 2023

• Hospital return days for pneumonia patients is average days per 100 discharges

  Evaluation Period: July 2020 - June 2023

• Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is number of cases too small

  Evaluation Period: January 2020 - December 2022

• Rate of inpatient admissions for patients receiving outpatient chemotherapy is number of cases too small

  Evaluation Period: January 2022 - December 2022

• Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy is number of cases too small

  Evaluation Period: January 2022 - December 2022

• Ratio of unplanned hospital visits after hospital outpatient surgery is no different than expected

  Evaluation Period: January 2022 - December 2022

• Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Rate of readmission for CABG is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Heart failure (HF) 30-Day Readmission Rate is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Rate of readmission after hip/knee replacement is no different than the national rate

  Evaluation Period: July 2020 - June 2023

• Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate

  Evaluation Period: July 2022 - June 2023

• Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate

  Evaluation Period: July 2020 - June 2023

Hospital Maternal Health Quality Ratings

• Elective Delivery percentage is 6%

  Percentage of mothers whose deliveries were scheduled 1 to 2 weeks early.
  Evaluation Period: January 2023 - December 2023

• Maternal Morbidity Structural Measure: Yes

  Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
  Evaluation Period: January 2023 - December 2023

Hospital Timely and Effective Care Quality Ratings

• Emergency department volume is high

  Evaluation Period: January 2022 - December 2022

• Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is not available

  Evaluation Period: January 2023 - December 2023

• Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available

  Evaluation Period: January 2023 - December 2023

• Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 35.6%

  Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
  Evaluation Period: October 2023 - December 2023

• Hospital Harm - Severe Hypoglycemia is not available

  Evaluation Period: January 2023 - December 2023

• Hospital Harm - Severe Hyperglycemia is not available

  Evaluation Period: January 2023 - December 2023

• Healthcare workers given influenza vaccination is 68%

  Percentage of healthcare workers given influenza vaccination.
  Evaluation Period: October 2023 - March 2024

• Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 181 minutes

  Average time patients spent in the emergency department before leaving from the visit.
  Evaluation Period: January 2023 - December 2023

• Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 315 minutes

  Average time patients spent in the emergency department before being sent home.
  Evaluation Period: January 2023 - December 2023

• Left before being seen is 1 %

  Percentage of patients who left the emergency department before being seen.
  Evaluation Period: January 2022 - December 2022

• Head CT results is not available %

  Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
  Evaluation Period: January 2023 - December 2023

• Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is not available %

  Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
  Evaluation Period: January 2022 - December 2022

• Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %

  Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
  Evaluation Period: January 2022 - December 2022

• ST-Segment Elevation Myocardial Infarction (STEMI) is not available

  Evaluation Period: January 2023 - December 2023

• Safe Use of Opioids - Concurrent Prescribing is 16

  Evaluation Period: January 2023 - December 2023

• Appropriate care for severe sepsis and septic shock is 43 %

  Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
  Evaluation Period: January 2023 - December 2023

• Septic Shock 3-Hour Bundle is 64 %

  Septic Shock 3 Hour.
  Evaluation Period: January 2023 - December 2023

• Septic Shock 6-Hour Bundle is 78 %

  Severe Sepsis 6 Hour.
  Evaluation Period: January 2023 - December 2023

• Severe Sepsis 3-Hour Bundle is 72

  Evaluation Period: January 2023 - December 2023

• Severe Sepsis 6-Hour Bundle is 78 %

  Septic Shock 6 Hour.
  Evaluation Period: January 2023 - December 2023

• Discharged on Antithrombotic Therapy is 91

  Evaluation Period: January 2023 - December 2023

• Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available

  Evaluation Period: January 2023 - December 2023

• Antithrombotic Therapy by End of Hospital Day 2 is not available

  Evaluation Period: January 2023 - December 2023

• Discharged on Statin Medication is not available

  Evaluation Period: January 2023 - December 2023

• Venous Thromboembolism Prophylaxis is 79

  Evaluation Period: January 2023 - December 2023

• Intensive Care Unit Venous Thromboembolism Prophylaxis is 88

  Evaluation Period: January 2023 - December 2023

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number

05D2161879

Facility Type

Hospital

Certificate Effective Date

June 08, 2025

Certificate Expiration Date

June 07, 2027

Laboratory Director

DR. MARK L. WU

Certificate Type

Certificate of Accreditation

Certificate Type Description

This is a CLIA certificate is issued to Uci Health - Fountain Valley on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Frequently Asked Questions