JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Atrium Health University City

3 / 5

At a glance

Atrium Health University City 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 6 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 Limit0.386Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.132Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2193Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.976Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.518Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.021Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.082Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2351Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.369Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.422Same as national
SSI - Colon Surgery: Lower Confidence Limit0.258Same as national
SSI - Colon Surgery: Upper Confidence Limit5.091Same as national
SSI - Colon Surgery: Number of Procedures48Same as national
SSI - Colon Surgery: Predicted Cases1.298Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.541Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures48Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.394Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.022Same as national
MRSA Bacteremia: Upper Confidence Limit2.206Same as national
MRSA Bacteremia: Patient Days46441Same as national
MRSA Bacteremia: Predicted Cases2.236Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.447Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.036Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.383Better than national
Clostridium Difficile (C.Diff): Patient Days40775Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.308Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.141Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national430
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.9Same as national33
Death rate for heart failure patients11.1Same as national154
Death rate for pneumonia patients16.1Same as national171
Death rate for stroke patients11.9Same as national75
Pressure ulcer rate0.74Same as national1771
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1954
In-hospital fall-associated fracture rate0.26Same as national1993
Postoperative hemorrhage or hematoma rate2.21Same as national208
Postoperative acute kidney injury requiring dialysis rate1.66Same as national48
Postoperative respiratory failure rate8.91Same as national47
Perioperative pulmonary embolism or deep vein thrombosis rate3.59Same as national228
Postoperative sepsis rate5.17Same as national48
Postoperative wound dehiscence rate2.07Same as national77
Abdominopelvic accidental puncture or laceration rate1.00Same as national396
CMS Medicare PSI 90: Patient safety and adverse events composite1.01Same 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 patients7.1Not available170
Hospital return days for pneumonia patients-4.6Not available158
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national621
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national89
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national146
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.3Same as national36
Heart failure (HF) 30-Day Readmission Rate19.6Same as national170
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national158

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 rating3829
Doctor communication - star rating3829
Communication about medicines - star rating2829
Discharge information - star rating2829
Cleanliness - star rating3829
Quietness - star rating3829
Overall hospital rating - star rating3829
Recommend hospital - star rating3829
Summary star rating3829

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 volumevery high
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 vaccination841323
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 better150392
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 better144374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen2119466
Head CT results6414
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9123
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing82176
Appropriate care for severe sepsis and septic shock3474
Septic Shock 3-Hour Bundle7117
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle5974
Severe Sepsis 6-Hour Bundle9328
Discharged on Antithrombotic Therapy98200
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis904580
Intensive Care Unit Venous Thromboembolism Prophylaxis95709

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 Atrium Health University City rated?
Atrium Health University City has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Atrium Health University City have emergency services?
Yes. Atrium Health University City operates a 24/7 emergency department.
Where is Atrium Health University City located?
Atrium Health University City is located at 8800 North Tyron Street, Charlotte, NC 28262.
What type of hospital is Atrium Health University City?
Atrium Health University City is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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