JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Ascension Seton Medical Center Austin

3 / 5

At a glance

Ascension Seton Medical Center Austin carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0.

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 Limit0.257Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.053Same as national
Central Line Associated Bloodstream Infection: Number of Device Days12963Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.431Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases8Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.554Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.094Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.714Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10562Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.514Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.296Better than national
SSI - Colon Surgery: Lower Confidence Limit0.626Same as national
SSI - Colon Surgery: Upper Confidence Limit2.830Same as national
SSI - Colon Surgery: Number of Procedures179Same as national
SSI - Colon Surgery: Predicted Cases4.893Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery1.431Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.632Same as national
SSI - Abdominal Hysterectomy: Number of Procedures229Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.836Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.262Same as national
MRSA Bacteremia: Upper Confidence Limit1.347Same as national
MRSA Bacteremia: Patient Days94871Same as national
MRSA Bacteremia: Predicted Cases9.265Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.648Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.142Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.498Better than national
Clostridium Difficile (C.Diff): Patient Days75867Better than national
Clostridium Difficile (C.Diff): Predicted Cases35.764Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.280Better than 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 patients3.5Same as national88
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national768
Death rate for heart attack patients12Same as national99
Death rate for CABG surgery patients3.2Same as national50
Death rate for COPD patients8.1Same as national53
Death rate for heart failure patients11.6Same as national288
Death rate for pneumonia patients17.4Same as national287
Death rate for stroke patients10.5Better than national228
Pressure ulcer rate0.55Same as national3543
Death rate among surgical inpatients with serious treatable complications176.60Same as national71
Iatrogenic pneumothorax rate0.15Same as national4302
In-hospital fall-associated fracture rate0.23Same as national4597
Postoperative hemorrhage or hematoma rate2.52Same as national1370
Postoperative acute kidney injury requiring dialysis rate1.35Same as national822
Postoperative respiratory failure rate7.44Same as national811
Perioperative pulmonary embolism or deep vein thrombosis rate3.21Same as national1471
Postoperative sepsis rate3.93Same as national792
Postoperative wound dehiscence rate1.61Same as national347
Abdominopelvic accidental puncture or laceration rate0.79Same as national1006
CMS Medicare PSI 90: Patient safety and adverse events composite0.83Same 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 patients28.9Not available125
Hospital return days for heart failure patients7.8Not available342
Hospital return days for pneumonia patients21.1Not available321
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national1134
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national43
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national36
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national36
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national163
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national125
Rate of readmission for CABG9.8Same as national48
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national62
Heart failure (HF) 30-Day Readmission Rate19.5Same as national342
Rate of readmission after hip/knee replacement5.2Same as national76
Pneumonia (PN) 30-Day Readmission Rate17.3Same as national321

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 rating3320
Doctor communication - star rating3320
Communication about medicines - star rating2320
Discharge information - star rating2320
Cleanliness - star rating3320
Quietness - star rating2320
Overall hospital rating - star rating2320
Recommend hospital - star rating3320
Summary star rating3320

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 volume
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 vaccination785090
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 better188301
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 better186286
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32214
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141421
Appropriate care for severe sepsis and septic shock3770
Septic Shock 3-Hour Bundle3027
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle7470
Severe Sepsis 6-Hour Bundle8843
Discharged on Antithrombotic Therapy9387
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29668
Venous Thromboembolism Prophylaxis801982
Intensive Care Unit Venous Thromboembolism Prophylaxis92735

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 Ascension Seton Medical Center Austin rated?
Ascension Seton Medical Center Austin has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Ascension Seton Medical Center Austin have emergency services?
Yes. Ascension Seton Medical Center Austin operates a 24/7 emergency department.
Where is Ascension Seton Medical Center Austin located?
Ascension Seton Medical Center Austin is located at 1201 W 38th St, Austin, TX 78705.
What type of hospital is Ascension Seton Medical Center Austin?
Ascension Seton Medical Center Austin 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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