JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Borgess Medical Center

3 / 5

At a glance

Borgess Medical Center 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 Limit0.017Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.654Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2779Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.981Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.335Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.006Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.576Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4529Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.566Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.117Better than national
SSI - Colon Surgery: Lower Confidence Limit0.498Same as national
SSI - Colon Surgery: Upper Confidence Limit5.329Same as national
SSI - Colon Surgery: Number of Procedures60Same as national
SSI - Colon Surgery: Predicted Cases1.532Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.958Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures12Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.102Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.111Same as national
MRSA Bacteremia: Upper Confidence Limit2.181Same as national
MRSA Bacteremia: Patient Days37588Same as national
MRSA Bacteremia: Predicted Cases3.030Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.660Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.109Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.662Better than national
Clostridium Difficile (C.Diff): Patient Days37588Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.743Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.299Better 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 patients3.6Same as national42
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national528
Death rate for heart attack patients13.2Same as national244
Death rate for CABG surgery patients1.9Same as national74
Death rate for COPD patients10.2Same as national40
Death rate for heart failure patients14.1Same as national297
Death rate for pneumonia patients21Worse than national230
Death rate for stroke patients16.3Same as national135
Pressure ulcer rate0.47Same as national2562
Death rate among surgical inpatients with serious treatable complications178.34Same as national51
Iatrogenic pneumothorax rate0.21Same as national3126
In-hospital fall-associated fracture rate0.24Same as national3254
Postoperative hemorrhage or hematoma rate2.04Same as national1032
Postoperative acute kidney injury requiring dialysis rate2.32Same as national543
Postoperative respiratory failure rate5.42Same as national574
Perioperative pulmonary embolism or deep vein thrombosis rate3.40Same as national1105
Postoperative sepsis rate3.95Same as national535
Postoperative wound dehiscence rate1.66Same as national166
Abdominopelvic accidental puncture or laceration rate0.88Same as national578
CMS Medicare PSI 90: Patient safety and adverse events composite0.81Same 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 patients-30.4Not available256
Hospital return days for heart failure patients-42Not available326
Hospital return days for pneumonia patients-17.9Not available243
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national836
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national421
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 national89
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.9Same as national256
Rate of readmission for CABG10.9Same as national74
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national43
Heart failure (HF) 30-Day Readmission Rate17.2Same as national326
Rate of readmission after hip/knee replacement5Same as national36
Pneumonia (PN) 30-Day Readmission Rate15Same as national243

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 rating2922
Doctor communication - star rating2922
Communication about medicines - star rating1922
Discharge information - star rating3922
Cleanliness - star rating1922
Quietness - star rating3922
Overall hospital rating - star rating2922
Recommend hospital - star rating2922
Summary star rating2922

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 vaccination872602
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 better212292
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 better206266
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28624
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 Prescribing14636
Appropriate care for severe sepsis and septic shock5397
Septic Shock 3-Hour Bundle5730
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle6897
Severe Sepsis 6-Hour Bundle9845
Discharged on Antithrombotic Therapy9373
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28650
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis89270

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 Borgess Medical Center rated?
Borgess Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Borgess Medical Center have emergency services?
Yes. Borgess Medical Center operates a 24/7 emergency department.
Where is Borgess Medical Center located?
Borgess Medical Center is located at 1521 Gull Road, Kalamazoo, MI 49048.
What type of hospital is Borgess Medical Center?
Borgess Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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