JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

Denver Health & Hospital Authority

3 / 5

At a glance

Denver Health & Hospital Authority 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 Limit0.223Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.142Same as national
Central Line Associated Bloodstream Infection: Number of Device Days10002Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.927Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.549Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.356Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.175Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10941Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases16.270Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.676Same as national
SSI - Colon Surgery: Lower Confidence Limit0.232Same as national
SSI - Colon Surgery: Upper Confidence Limit2.479Same as national
SSI - Colon Surgery: Number of Procedures110Same as national
SSI - Colon Surgery: Predicted Cases3.294Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.911Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures56Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.585Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.299Same as national
MRSA Bacteremia: Upper Confidence Limit1.809Same as national
MRSA Bacteremia: Patient Days112259Same as national
MRSA Bacteremia: Predicted Cases6.127Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.816Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.135Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.341Better than national
Clostridium Difficile (C.Diff): Patient Days100476Better than national
Clostridium Difficile (C.Diff): Predicted Cases81.737Better than national
Clostridium Difficile (C.Diff): Observed Cases18Better than national
Clostridium Difficile (C.Diff)0.220Better 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 Rate4.1Same as national303
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national27
Death rate for heart failure patients9.9Same as national48
Death rate for pneumonia patients14.6Same as national46
Death rate for stroke patientsNot available
Pressure ulcer rate0.60Same as national1371
Death rate among surgical inpatients with serious treatable complications169.32Same as national44
Iatrogenic pneumothorax rate0.19Same as national1688
In-hospital fall-associated fracture rate0.25Same as national1601
Postoperative hemorrhage or hematoma rate2.37Same as national413
Postoperative acute kidney injury requiring dialysis rate2.09Same as national85
Postoperative respiratory failure rate14.09Same as national80
Perioperative pulmonary embolism or deep vein thrombosis rate3.68Same as national453
Postoperative sepsis rate5.62Same as national84
Postoperative wound dehiscence rate2.04Same as national63
Abdominopelvic accidental puncture or laceration rate1.55Same as national279
CMS Medicare PSI 90: Patient safety and adverse events composite1.16Same 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 patients1.9Not available57
Hospital return days for pneumonia patients67.6Not available49
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national476
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national205
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national26
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national26
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national62
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national38
Heart failure (HF) 30-Day Readmission Rate20Same as national57
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national49

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 rating33158
Doctor communication - star rating33158
Communication about medicines - star rating33158
Discharge information - star rating33158
Cleanliness - star rating33158
Quietness - star rating33158
Overall hospital rating - star rating43158
Recommend hospital - star rating43158
Summary star rating33158

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 vaccination
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 better216401
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 better211355
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26546
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 seen4103128
Head CT results5012
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9989
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing105468
Appropriate care for severe sepsis and septic shock55128
Septic Shock 3-Hour Bundle6453
Septic Shock 6-Hour Bundle9327
Severe Sepsis 3-Hour Bundle77128
Severe Sepsis 6-Hour Bundle9175
Discharged on Antithrombotic Therapy98128
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295107
Venous Thromboembolism Prophylaxis877419
Intensive Care Unit Venous Thromboembolism Prophylaxis962502

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 Denver Health & Hospital Authority rated?
Denver Health & Hospital Authority has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Denver Health & Hospital Authority have emergency services?
Yes. Denver Health & Hospital Authority operates a 24/7 emergency department.
Where is Denver Health & Hospital Authority located?
Denver Health & Hospital Authority is located at 777 Bannock St, Denver, CO 80204.
What type of hospital is Denver Health & Hospital Authority?
Denver Health & Hospital Authority is classified by CMS as a Acute Care Hospitals facility (Government - State).

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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