JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Anna Jaques Hospital

3 / 5

At a glance

Anna Jaques Hospital carries a 3-star CMS overall rating — in line with the national norm.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1059Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.753Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.524Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1698Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.187Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures35Not available
SSI - Colon Surgery: Predicted Cases0.885Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures14Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.127Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days20687Not available
MRSA Bacteremia: Predicted Cases0.613Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.059Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.169Same as national
Clostridium Difficile (C.Diff): Patient Days18636Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.651Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.354Same as national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.3Same as national306
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1137
Death rate for heart attack patients13Same as national32
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.5Same as national159
Death rate for heart failure patients9.5Same as national302
Death rate for pneumonia patients17.3Same as national443
Death rate for stroke patients12.5Same as national99
Pressure ulcer rate0.99Same as national2821
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national4242
In-hospital fall-associated fracture rate0.24Same as national4241
Postoperative hemorrhage or hematoma rate2.76Same as national622
Postoperative acute kidney injury requiring dialysis rate1.60Same as national312
Postoperative respiratory failure rate7.93Same as national318
Perioperative pulmonary embolism or deep vein thrombosis rate3.21Same as national649
Postoperative sepsis rate4.88Same as national304
Postoperative wound dehiscence rate1.70Same as national112
Abdominopelvic accidental puncture or laceration rate1.22Same as national506
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients2.7Not available354
Hospital return days for pneumonia patients17.2Not available461
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national1733
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.5Same as national1250
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.6Same as national79
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national79
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national429
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.9Same as national186
Heart failure (HF) 30-Day Readmission Rate20.5Same as national354
Rate of readmission after hip/knee replacement5.5Same as national307
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national461

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating3571
Doctor communication - star rating2571
Communication about medicines - star rating2571
Discharge information - star rating3571
Cleanliness - star rating3571
Quietness - star rating2571
Overall hospital rating - star rating2571
Recommend hospital - star rating3571
Summary star rating3571

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumelow
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination951383
Average (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 better206514
Average (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 better192454
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better42933
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better35729
Left before being seen2319211
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9889
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161017
Appropriate care for severe sepsis and septic shock5066
Septic Shock 3-Hour Bundle5721
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle7366
Severe Sepsis 6-Hour Bundle9237
Discharged on Antithrombotic Therapy9856
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 27655
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Anna Jaques Hospital rated?
Anna Jaques Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Anna Jaques Hospital have emergency services?
Yes. Anna Jaques Hospital operates a 24/7 emergency department.
Where is Anna Jaques Hospital located?
Anna Jaques Hospital is located at 25 Highland Avenue, Newburyport, MA 01950.
What type of hospital is Anna Jaques Hospital?
Anna Jaques Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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