SSM Health DePaul Hospital – St. Louis

12303 DePaul Drive | Bridgeton, MO 63044-2512
phone: 314/344-6000
VIEW WEBSITE phone:
image/svg+xml
The quality measures were selected based on agreement from Missouri providers and national organizations and experts. The measures chosen represent the primary goal of quality care — do no harm. Infections, falls and unnecessary hospitalization or unplanned readmission are areas hospitals strive to improve.

The data used for the quality data measures is patient hospital discharge data. This source was used to ensure consistent data sources from all providers. However, this data source is not perfect. It is recognized that other data sources and calculations could provide more accurate rates, at the hospital level. In particular, this source and method of calculation for infection rates may result in higher rates when calculated with more exact and sensitive data sources. These measures do not fully explain the level of quality care provided in a hospital. If you have questions, please talk to your care provider.

Please note some hospitals do not treat patients with these conditions and therefore may not have information displayed in some categories. Similarly, if there are not enough cases for a particular measure, the data can be misleading. Therefore, harm and infection information will only be shown if there are at least 25 cases per 12-month reporting period. Readmission information will be displayed if a hospital has at least 25 cases in the three-year reporting period. If a hospital does not have the minimum amount of cases required, their data will not be displayed. In addition, only acute care hospitals are required to submit infection data to the National Healthcare Surveillance Network. Hospitals that are not required to submit will not have data displayed.

Because different patient populations have different health outcomes, simply comparing the number or percentage of some quality measures will not provide an accurate comparison. To make a more accurate comparison, some measures are “adjusted.” This is a common statistical step so that comparison may be similar. However, even adjusting the data cannot guarantee an identical comparison of “apples to apples.” Read the methodology report for risk adjustment for sociodemographic status in 30-day hospital readmissions.

Measures calculated from time periods including data on or after October 1, 2015 display rates using provisional methodology. This methodology has been tested at the state level, however, has not been nationally tested or approved.

Understanding the Data

Hospital data can be complex. We hope these resources will assist you in navigating the data on Focus on Hospitals.

FAQs Resources Glossary

Have questions about the data? Feel free to contact us, we’ll do our best to answer your questions promptly.


What data would you like to see?

Hospital Data
SSM Health DePaul Hospital – St. Louis
Average Averages include data from Missouri hospitals and service areas within the state's two metropolitan areas.
Reducing Harm
Lower is better
Major bedsores obtained during hospital stay People who get a serious bedsore while in the hospital

Reporting Date:
7/1/2023-06/30/2024
0.3 per 1,000 discharges
Age, gender and medical condition adjusted
0.6 per 1,000 discharges
Age, gender and medical condition adjusted
Unexpected patient deaths during hospital stay People who die unexpectedly while in the hospital

Reporting Date:
7/1/2023-06/30/2024
0.6 per 1,000 discharges
Age, gender and medical condition adjusted
0.3 per 1,000 discharges
Age, gender and medical condition adjusted
Falls with injury during hospital stay People who fall and become injured while in the hospital

Reporting Date:
7/1/2023-06/30/2024
0.1 per 1,000 discharges
Unadjusted rate
0.3 per 1,000 discharges
Unadjusted rate
Blood clots following surgery People who get a blood clot after surgery

Reporting Date:
7/1/2023-06/30/2024
1.0 per 1,000 discharges
Age, gender and medical condition adjusted
2.4 per 1,000 discharges
Age, gender and medical condition adjusted
Preventing Infection
Lower is better
Serious complications from infection following surgery People who have serious complications from an infection following surgery

Reporting Date:
7/1/2023-06/30/2024
1.2 per 1,000 discharges
Age, gender and medical condition adjusted
3.0 per 1,000 discharges
Age, gender and medical condition adjusted
Surgical site infections following colon surgery People who get an infection after colon surgery

Reporting Date:
7/1/2023-06/30/2024
SIR Not Calculated When Number Of Predicted Infections <1.0
Not enough cases / does not provide services
Standardized Infection Ratio
Urinary tract infections among patients with a urine tube placed during hospital stay People who get a urinary tract infection from a urine tube, which is used to drain the bladder, while in the hospital

Reporting Date:
7/1/2023-06/30/2024
SIR Not Calculated When Number Of Predicted Infections <1.0
1.540
Standardized Infection Ratio
Bloodstream infections among patients with a tube placed in a vein during hospital stay People who get an infection from a tube placed in a vein while in the hospital

Reporting Date:
7/1/2023-06/30/2024
SIR Not Calculated When Number Of Predicted Infections <1.0
0.940
Standardized Infection Ratio
Clostridium Difficile (C.Diff) infections obtained during hospital stay People who get sick from a germ obtained while in the hospital, which causes severe diarrhea, stomach pain and fever

Reporting Date:
7/1/2023-06/30/2024
SIR Not Calculated When Number Of Predicted Infections <1.0
0.713
Standardized Infection Ratio
Antibiotic resistant forms of staph infection obtained during hospital stay People who get an infection while in the hospital caused by a type of bacteria that has become resistant to many of the antibiotics used to treat ordinary staph infections

Reporting Date:
7/1/2023-06/30/2024
SIR Not Calculated When Number Of Predicted Infections <1.0
Not enough cases / does not provide services
Standardized Infection Ratio
Surgical site infections following abdominal surgery to remove the uterus People who get an infection after an abdominal surgery to remove the uterus

Reporting Date:
7/1/2023-06/30/2024
SIR Not Calculated When Number Of Predicted Infections <1.0
Not enough cases / does not provide services
Standardized Infection Ratio
Managing Readmissions
Lower is better
Readmissions to the hospital within 30 days of leaving the hospital for any reason People readmitted to the hospital within 30 days of when they were last in the hospital

Reporting Date:
6/1/2021-05/31/2024
Most Recent Quarter Reporting Date:
3/1/2024-05/31/2024
11.6% (of 28,014 cases during the last 36 months)
Age, medical condition and poverty adjusted rate
11.5%
Most recent 36-months unadjusted rate
Readmissions to the hospital within 30 days of leaving the hospital for a heart attack People readmitted to the hospital within 30 days of when they were last in the hospital for a heart attack

Reporting Date:
6/1/2021-05/31/2024
Most Recent Quarter Reporting Date:
3/1/2024-05/31/2024
10.5% (of 833 cases during the last 36 months)
Age, gender, medical condition and poverty adjusted rate
10.5%
Most recent 36-months unadjusted rate
Readmissions to the hospital within 30 days of leaving the hospital for a serious lung infection People readmitted to the hospital within 30 days of when they were last in the hospital for a serious lung infection (pneumonia)

Reporting Date:
6/1/2021-05/31/2024
Most Recent Quarter Reporting Date:
3/1/2024-05/31/2024
14.3% (of 1,245 cases during the last 36 months)
Age, gender, medical condition and poverty adjusted rate
14.2%
Most recent 36-months unadjusted rate
Readmissions to the hospital within 30 days of leaving the hospital for chronic obstructive pulmonary disease People readmitted to the hospital within 30 days of when they were last in the hospital for long-term lung disease

Reporting Date:
6/1/2021-05/31/2024
Most Recent Quarter Reporting Date:
3/1/2024-05/31/2024
16.9% (of 546 cases during the last 36 months)
Age, medical condition and poverty adjusted rate
16.9%
Most recent 36-months unadjusted rate
Readmissions to the hospital within 30 days of leaving the hospital for congestive heart failure People readmitted to the hospital within 30 days of when they were last in the hospital for a weak heart muscle

Reporting Date:
6/1/2021-05/31/2024
Most Recent Quarter Reporting Date:
3/1/2024-05/31/2024
18.5% (of 1,880 cases during the last 36 months)
Age, gender, medical condition and poverty adjusted rate
18.6%
Most recent 36-months unadjusted rate
Readmissions to the hospital within 30 days of leaving the hospital for hip or knee replacement People readmitted to the hospital within 30 days of when they were last in the hospital for hip or knee replacement

Reporting Date:
6/1/2021-05/31/2024
Most Recent Quarter Reporting Date:
3/1/2024-05/31/2024
5.8% (of 660 cases during the last 36 months)
Age, gender, medical condition and poverty adjusted rate
5.4%
Most recent 36-months unadjusted rate

Select a Hospital

  • Barnes-Jewish Hospital
  • Barnes-Jewish Hospital Psychiatric
  • Barnes-Jewish St. Peters Hospital
  • Barnes-Jewish West County Hospital
  • Bates County Memorial Hospital
  • Belton Regional Medical Center
  • BJC Healthcare
  • Boone Hospital Center
  • Bothwell Regional Health Center
  • Cameron Regional Medical Center Inc.
  • Capital Region Medical Center
  • Carroll County Memorial Hospital
  • Cass Regional Medical Center
  • Cedar County Memorial Hospital
  • Center for Behavioral Medicine
  • Centerpoint Medical Center
  • CenterPointe Hospital
  • CenterPointe Hospital of Columbia
  • Children's Mercy Kansas City
  • Christian Hospital
  • Citizens Memorial Hospital
  • Community Hospital - Fairfax
  • Cox Barton County Hospital
  • Cox Medical Center Branson
  • Cox Monett Hospital, Inc.
  • CoxHealth
  • Ellett Memorial Hospital
  • Excelsior Springs Hospital
  • Fitzgibbon Hospital
  • Freeman Health System
  • Freeman Neosho Hospital
  • Fulton Medical Center, LLC
  • Fulton State Hospital
  • Golden Valley Memorial Healthcare
  • Hannibal Regional Hospital
  • Harrison County Community Hospital
  • Hawthorn Children's Psychiatric Hospital
  • HCA Midwest Health System
  • Heartland Behavioral Health Services
  • Hedrick Medical Center
  • Hermann Area District Hospital
  • Iron County Medical Center
  • Kindred Hospital Northland
  • Kindred Hospital St. Louis
  • Lafayette Regional Health Center
  • Lake Regional Health System
  • Lakeland Behavioral Health System
  • Landmark Hospital of Cape Girardeau
  • Landmark Hospital of Columbia
  • Landmark Hospital of Joplin
  • Lee's Summit Medical Center
  • Liberty Hospital
  • Long-Term Acute Care Hospital, Mosaic Life Care at St. Joseph
  • Madison Medical Center
  • Mercy Hospital Aurora
  • Mercy Hospital Carthage
  • Mercy Hospital Cassville
  • Mercy Hospital Jefferson
  • Mercy Hospital Joplin
  • Mercy Hospital Lebanon
  • Mercy Hospital Lincoln
  • Mercy Hospital Perry
  • Mercy Hospital South
  • Mercy Hospital Southeast
  • Mercy Hospital Springfield
  • Mercy Hospital St. Louis
  • Mercy Hospital Stoddard
  • Mercy Hospital Washington
  • Mercy Rehabilitation Hospital Springfield
  • Mercy Rehabilitation Hospital St. Louis
  • Mercy St. Francis Hospital
  • Missouri Baptist Medical Center
  • Missouri Baptist Sullivan Hospital
  • Missouri Delta Medical Center
  • Moberly Regional Medical Center
  • Mosaic Life Care at St. Joseph Medical Center
  • Mosaic Medical Center - Albany
  • Mosaic Medical Center Maryville
  • Nevada Regional Medical Center
  • North Kansas City Hospital
  • Northeast Regional Medical Center
  • Northwest Missouri Psychiatric Rehabilitation Center
  • Osage Beach Center for Cognitive Disorders
  • Ozarks Medical Center
  • Parkland Health Center - Farmington
  • Pemiscot Memorial Health Systems
  • Perimeter Behavioral Hospital of Springfield
  • Pershing Memorial Hospital
  • Phelps Health
  • Pike County Memorial Hospital
  • Poplar Bluff Regional Medical Center
  • Progress West Hospital
  • Putnam County Memorial Hospital
  • Ranken Jordan Pediatric Bridge Hospital
  • Ray County Memorial Hospital
  • Research Medical Center
  • Royal Oaks Hospital
  • Rusk Rehabilitation Hospital
  • Saint Francis Medical Center
  • Saint Luke's East Hospital
  • Saint Luke's Health System
  • Saint Luke's Hospital of Kansas City
  • Saint Luke's North Hospital -- Barry Road
  • Saint Luke's North Hospital -- Smithville
  • Salem Memorial District Hospital
  • Samaritan Hospital
  • Scotland County Hospital
  • Shriners Hospitals for Children
  • Signature Psychiatric Hospital
  • Southeast Missouri Mental Health Center
  • SSM Health
  • SSM Health Cardinal Glennon Children's Hospital
  • SSM Health DePaul Hospital - St. Louis
  • SSM Health Saint Louis University Hospital
  • SSM Health St. Clare Hospital - Fenton
  • SSM Health St. Joseph Hospital - Lake Saint Louis
  • SSM Health St. Joseph Hospital - St. Charles
  • SSM Health St. Mary's Hospital - Jefferson City
  • SSM Health St. Mary's Hospital - St. Louis
  • St. Alexius Hospital, Broadway Campus
  • St. Joseph Medical Center
  • St. Louis Children's Hospital
  • St. Louis Forensic Treatment Center - North
  • St. Louis Psychiatric Rehabilitation Center
  • St. Luke's Des Peres Hospital
  • St. Luke's Hospital
  • St. Luke's Rehabilitation Hospital
  • St. Mary's Medical Center
  • Ste. Genevieve County Memorial Hospital
  • Sullivan County Memorial Hospital
  • Texas County Memorial Hospital
  • The Rehabilitation Institute of St. Louis
  • University Health Lakewood Medical Center
  • University Health Truman Medical Center
  • University of Missouri Health Care
  • Washington County Memorial Hospital
  • Western Missouri Medical Center
  • Wright Memorial Hospital