Acute Care Hospitals · Voluntary non-profit - Private
Doylestown Hospital
- 595 West State St, Doylestown, PA 18901
- (215) 345-2200
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Doylestown 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 6 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.183 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.392 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 6646 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 6.929 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 4 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.577 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.521 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.959 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 6934 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 8.432 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 9 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 1.067 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.415 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.511 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 180 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 4.414 | Same as national |
| SSI - Colon Surgery: Observed Cases | 5 | Same as national |
| SSI - Colon Surgery | 1.133 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 13 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.101 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.136 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 2.676 | Same as national |
| MRSA Bacteremia: Patient Days | 59326 | Same as national |
| MRSA Bacteremia: Predicted Cases | 2.469 | Same as national |
| MRSA Bacteremia: Observed Cases | 2 | Same as national |
| MRSA Bacteremia | 0.810 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.326 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.937 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 57058 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 24.476 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 14 | Better than national |
| Clostridium Difficile (C.Diff) | 0.572 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.1 | Same as national | 491 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4 | Same as national | 2757 |
| Death rate for heart attack patients | 11.2 | Same as national | 283 |
| Death rate for CABG surgery patients | 3.3 | Same as national | 140 |
| Death rate for COPD patients | 8.5 | Same as national | 227 |
| Death rate for heart failure patients | 10.7 | Same as national | 902 |
| Death rate for pneumonia patients | 15.3 | Same as national | 618 |
| Death rate for stroke patients | 11.8 | Same as national | 305 |
| Pressure ulcer rate | 0.32 | Same as national | 6724 |
| Death rate among surgical inpatients with serious treatable complications | 139.93 | Same as national | 73 |
| Iatrogenic pneumothorax rate | 0.16 | Same as national | 9663 |
| In-hospital fall-associated fracture rate | 0.30 | Same as national | 10002 |
| Postoperative hemorrhage or hematoma rate | 2.07 | Same as national | 2311 |
| Postoperative acute kidney injury requiring dialysis rate | 1.08 | Same as national | 1275 |
| Postoperative respiratory failure rate | 4.97 | Same as national | 1345 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.14 | Same as national | 2529 |
| Postoperative sepsis rate | 5.04 | Same as national | 1314 |
| Postoperative wound dehiscence rate | 1.59 | Same as national | 377 |
| Abdominopelvic accidental puncture or laceration rate | 0.74 | Same as national | 1571 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.73 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 25.2 | Not available | 343 |
| Hospital return days for heart failure patients | -20.6 | Not available | 1096 |
| Hospital return days for pneumonia patients | -3.8 | Not available | 655 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.5 | Same as national | 4390 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 10.3 | Better than national | 4167 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.5 | Same as national | 42 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.2 | Same as national | 42 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 844 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.7 | Same as national | 343 |
| Rate of readmission for CABG | 12 | Same as national | 135 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.2 | Same as national | 249 |
| Heart failure (HF) 30-Day Readmission Rate | 20.2 | Same as national | 1096 |
| Rate of readmission after hip/knee replacement | 5.1 | Same as national | 498 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.3 | Same as national | 655 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 804 |
| Doctor communication - star rating | 4 | 804 |
| Communication about medicines - star rating | 3 | 804 |
| Discharge information - star rating | 4 | 804 |
| Cleanliness - star rating | 3 | 804 |
| Quietness - star rating | 2 | 804 |
| Overall hospital rating - star rating | 4 | 804 |
| Recommend hospital - star rating | 5 | 804 |
| Summary star rating | 4 | 804 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | 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 | 86 | 4031 |
| 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 better | 231 | 382 |
| 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 better | 224 | 351 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 346 | 29 |
| 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 | 1 | 54062 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 80 | 64 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 18 | 3091 |
| Appropriate care for severe sepsis and septic shock | 26 | 117 |
| Septic Shock 3-Hour Bundle | 27 | 37 |
| Septic Shock 6-Hour Bundle | — | — |
| Severe Sepsis 3-Hour Bundle | 56 | 117 |
| Severe Sepsis 6-Hour Bundle | 84 | 37 |
| Discharged on Antithrombotic Therapy | 97 | 281 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 96 | 225 |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 95 | 1169 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Doylestown Hospital rated?
- Doylestown Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Doylestown Hospital have emergency services?
- Yes. Doylestown Hospital operates a 24/7 emergency department.
- Where is Doylestown Hospital located?
- Doylestown Hospital is located at 595 West State St, Doylestown, PA 18901.
- What type of hospital is Doylestown Hospital?
- Doylestown Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.