JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Doctors Hospital

4 / 5

At a glance

Doctors Hospital carries a 4-star CMS overall rating — above 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 Limit0.387Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.341Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5152Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.735Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.056Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.010Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.993Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4550Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.968Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.201Better than national
SSI - Colon Surgery: Lower Confidence Limit0.028Same as national
SSI - Colon Surgery: Upper Confidence Limit2.743Same as national
SSI - Colon Surgery: Number of Procedures67Same as national
SSI - Colon Surgery: Predicted Cases1.798Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.556Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures97Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.994Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.288Same as national
MRSA Bacteremia: Upper Confidence Limit3.086Same as national
MRSA Bacteremia: Patient Days54531Same as national
MRSA Bacteremia: Predicted Cases2.646Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.134Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.313Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.794Better than national
Clostridium Difficile (C.Diff): Patient Days52356Better than national
Clostridium Difficile (C.Diff): Predicted Cases35.151Better than national
Clostridium Difficile (C.Diff): Observed Cases18Better than national
Clostridium Difficile (C.Diff)0.512Better 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 Rate4Same as national558
Death rate for heart attack patients12Same as national63
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national60
Death rate for heart failure patients9.4Same as national173
Death rate for pneumonia patients16.7Same as national189
Death rate for stroke patients14Same as national64
Pressure ulcer rate0.25Same as national2256
Death rate among surgical inpatients with serious treatable complications163.98Same as national33
Iatrogenic pneumothorax rate0.19Same as national2738
In-hospital fall-associated fracture rate0.25Same as national2804
Postoperative hemorrhage or hematoma rate2.04Same as national416
Postoperative acute kidney injury requiring dialysis rate1.55Same as national105
Postoperative respiratory failure rate12.02Same as national107
Perioperative pulmonary embolism or deep vein thrombosis rate2.89Same as national441
Postoperative sepsis rate5.57Same as national101
Postoperative wound dehiscence rate1.69Same as national101
Abdominopelvic accidental puncture or laceration rate0.96Same as national490
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patients0.3Not available57
Hospital return days for heart failure patients-25.9Not available198
Hospital return days for pneumonia patients11.7Not available190
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national921
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national180
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national28
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national28
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national132
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national57
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national64
Heart failure (HF) 30-Day Readmission Rate18.2Same as national198
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national190

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 rating3524
Doctor communication - star rating3524
Communication about medicines - star rating2524
Discharge information - star rating3524
Cleanliness - star rating4524
Quietness - star rating3524
Overall hospital rating - star rating3524
Recommend hospital - star rating3524
Summary star rating3524

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 vaccination802013
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 better176409
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 better174389
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better35418
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 seen263286
Head CT results6411
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99213
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing132676
Appropriate care for severe sepsis and septic shock72159
Septic Shock 3-Hour Bundle8462
Septic Shock 6-Hour Bundle9041
Severe Sepsis 3-Hour Bundle84160
Severe Sepsis 6-Hour Bundle94108
Discharged on Antithrombotic Therapy100134
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 294121
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis972490

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 Doctors Hospital rated?
Doctors Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Doctors Hospital have emergency services?
Yes. Doctors Hospital operates a 24/7 emergency department.
Where is Doctors Hospital located?
Doctors Hospital is located at 5100 West Broad Street, Columbus, OH 43228.
What type of hospital is Doctors Hospital?
Doctors Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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