What Verdica's 850 score means for PHELPS HEALTH
PHELPS HEALTH has achieved Verdica's maximum composite score of 850 out of 850, placing it in the "excellent" performance band (800–850). This score reflects performance across three equally weighted dimensions of healthcare provider accountability: inspection and deficiency findings, quality measures reported to regulators, and enforcement history. A perfect composite score indicates that the organization has demonstrated compliance across all three measurable domains that CMS and state regulators use to assess provider performance.
For a business considering partnerships, referrals, or contracting relationships with PHELPS HEALTH, this score suggests minimal regulatory risk based on available public data. Readers should understand that this reflects performance as captured in regulatory and quality reporting systems—it does not measure patient satisfaction, operational efficiency, or clinical outcomes beyond the specific metrics CMS tracks. It does, however, indicate that external compliance oversight has not identified systemic deficiencies or enforcement actions that would lower the organization's standing.
How the sub-scores break down
Inspection & Deficiencies: 850/850
This sub-score is derived from state and federal inspection results, typically conducted by state survey agencies under CMS oversight. Inspections examine compliance with conditions of participation, life safety codes, staffing requirements, and infection control protocols. A perfect score in this dimension means no substantive deficiencies were identified during recent surveys, or any deficiencies found were minor and quickly remediated. In the healthcare compliance world, this is a strong indicator that the organization's operations and environment meet regulatory baseline standards.
Quality Measures: 850/850
CMS collects standardized quality metrics from healthcare providers, including measures related to patient safety, mortality, readmission rates, and process adherence (such as timely administration of antibiotics or appropriate use of medications). A perfect sub-score here indicates that PHELPS HEALTH's reported performance meets or exceeds benchmarks set by CMS for these measures. Typically, scores in this dimension reflect data submitted by the provider itself, verified through medical records and administrative claims data.
Enforcement History: 850/850
This sub-score tracks formal enforcement actions—such as citations, fines, license restrictions, or operational sanctions—imposed by state or federal regulators. A perfect score means no recent or active enforcement actions are recorded in CMS systems. In practice, this dimension is most sensitive to serious compliance failures; organizations with enforcement histories show lower scores. A clean enforcement history, like PHELPS HEALTH's, indicates the organization has not triggered formal regulatory intervention.
What regulators in MO track for healthcare providers
Missouri's healthcare provider oversight operates through the Missouri Department of Health and Senior Services, working in partnership with CMS. Regulators conduct unannounced surveys to verify compliance with conditions of participation. They document deficiencies by severity level—minor, serious, and immediate jeopardy—and require corrective action plans for substantive findings.
CMS quality measures vary by provider type but commonly include metrics such as hospital-acquired infection rates, surgical site infections, sepsis mortality, readmission rates within 30 days, and care process measures (e.g., timing of prophylactic antibiotics). These are reported publicly on Hospital Compare and similar registries.
Enforcement action in Missouri can result from repeated deficiencies, complaints, or patient harm incidents. Actions range from warning letters and corrective action plans to civil penalties, state plan non-coverage, or termination from Medicare participation. Verdica's enforcement dimension reflects whether any such actions appear in the regulatory record.
Bottom line
PHELPS HEALTH's perfect 850 score indicates strong regulatory compliance across inspections, quality reporting, and enforcement records. Before engaging with the organization, readers should verify the score reflects their specific service line of interest and cross-check current CMS Hospital Compare or state licensing databases to ensure no new actions have been initiated since this score was calculated.