Acute Care Hospitals · Proprietary
Duke University Hospital
- 2301 Erwin Rd, Durham, NC 27705
- (919) 684-8111
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Duke University Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures 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 | 0.541 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.892 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 78992 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 88.547 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 62 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.700 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.275 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.595 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 40160 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 63.072 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 26 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.412 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.674 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.593 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 695 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 19.810 | Same as national |
| SSI - Colon Surgery: Observed Cases | 21 | Same as national |
| SSI - Colon Surgery | 1.060 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.442 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 3.358 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 308 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 2.873 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 4 | Same as national |
| SSI - Abdominal Hysterectomy | 1.392 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.367 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.820 | Better than national |
| MRSA Bacteremia: Patient Days | 410252 | Better than national |
| MRSA Bacteremia: Predicted Cases | 42.871 | Better than national |
| MRSA Bacteremia: Observed Cases | 24 | Better than national |
| MRSA Bacteremia | 0.560 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.305 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.474 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 379068 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 209.132 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 80 | Better than national |
| Clostridium Difficile (C.Diff) | 0.383 | 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 | 4.7 | Same as national | 274 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.1 | Better than national | 3504 |
| Death rate for heart attack patients | 9.8 | Better than national | 329 |
| Death rate for CABG surgery patients | 1.8 | Same as national | 282 |
| Death rate for COPD patients | 7.7 | Same as national | 153 |
| Death rate for heart failure patients | 9.2 | Better than national | 742 |
| Death rate for pneumonia patients | 12 | Better than national | 433 |
| Death rate for stroke patients | 13.4 | Same as national | 376 |
| Pressure ulcer rate | 0.50 | Same as national | 14819 |
| Death rate among surgical inpatients with serious treatable complications | 216.01 | Worse than national | 366 |
| Iatrogenic pneumothorax rate | 0.16 | Same as national | 15279 |
| In-hospital fall-associated fracture rate | 0.20 | Same as national | 16992 |
| Postoperative hemorrhage or hematoma rate | 2.62 | Same as national | 5880 |
| Postoperative acute kidney injury requiring dialysis rate | 2.95 | Worse than national | 3680 |
| Postoperative respiratory failure rate | 8.88 | Same as national | 3482 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 5.50 | Worse than national | 6581 |
| Postoperative sepsis rate | 5.96 | Same as national | 3644 |
| Postoperative wound dehiscence rate | 2.49 | Same as national | 1495 |
| Abdominopelvic accidental puncture or laceration rate | 0.91 | Same as national | 4083 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.10 | 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 | 2.3 | Not available | 409 |
| Hospital return days for heart failure patients | -23.8 | Not available | 887 |
| Hospital return days for pneumonia patients | -7.3 | Not available | 453 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.9 | Same as national | 6055 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.7 | Same as national | 2489 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 8.6 | Better than national | 2101 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.9 | Same as national | 2101 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 2623 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.2 | Same as national | 409 |
| Rate of readmission for CABG | 9.5 | Same as national | 275 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.4 | Same as national | 172 |
| Heart failure (HF) 30-Day Readmission Rate | 16.6 | Better than national | 887 |
| Rate of readmission after hip/knee replacement | 4.5 | Same as national | 262 |
| Pneumonia (PN) 30-Day Readmission Rate | 14.4 | Same as national | 453 |
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 | 1653 |
| Doctor communication - star rating | 4 | 1653 |
| Communication about medicines - star rating | 3 | 1653 |
| Discharge information - star rating | 5 | 1653 |
| Cleanliness - star rating | 3 | 1653 |
| Quietness - star rating | 3 | 1653 |
| Overall hospital rating - star rating | 4 | 1653 |
| Recommend hospital - star rating | 5 | 1653 |
| Summary star rating | 4 | 1653 |
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 | very 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 | 96 | 20875 |
| 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 | 300 | 405 |
| 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 | 296 | 390 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 377 | 15 |
| 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 | 5 | 112076 |
| Head CT results | 73 | 15 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 98 | 89 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 15 | 15007 |
| Appropriate care for severe sepsis and septic shock | 49 | 172 |
| Septic Shock 3-Hour Bundle | 58 | 85 |
| Septic Shock 6-Hour Bundle | 96 | 26 |
| Severe Sepsis 3-Hour Bundle | 73 | 172 |
| Severe Sepsis 6-Hour Bundle | 96 | 78 |
| Discharged on Antithrombotic Therapy | 99 | 606 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 90 | 25822 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 95 | 7317 |
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 Duke University Hospital rated?
- Duke University Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
- Does Duke University Hospital have emergency services?
- Yes. Duke University Hospital operates a 24/7 emergency department.
- Where is Duke University Hospital located?
- Duke University Hospital is located at 2301 Erwin Rd, Durham, NC 27705.
- What type of hospital is Duke University Hospital?
- Duke University Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).
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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.