JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Emory Johns Creek Hospital

4 / 5

At a glance

Emory Johns Creek 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.

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 Limit0.310Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.872Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6391Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.919Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.845Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.638Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.887Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4648Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.796Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.460Same as national
SSI - Colon Surgery: Lower Confidence Limit0.852Same as national
SSI - Colon Surgery: Upper Confidence Limit3.207Same as national
SSI - Colon Surgery: Number of Procedures192Same as national
SSI - Colon Surgery: Predicted Cases5.150Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery1.748Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures114Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.883Not available
SSI - Abdominal Hysterectomy: Observed Cases5Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.113Same as national
MRSA Bacteremia: Upper Confidence Limit2.232Same as national
MRSA Bacteremia: Patient Days52942Same as national
MRSA Bacteremia: Predicted Cases2.961Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.675Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.083Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.503Better than national
Clostridium Difficile (C.Diff): Patient Days50049Better than national
Clostridium Difficile (C.Diff): Predicted Cases22.029Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.227Better 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 patients3.1Same as national57
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national1016
Death rate for heart attack patients12.6Same as national90
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8Same as national50
Death rate for heart failure patients10.3Same as national295
Death rate for pneumonia patients10.7Better than national303
Death rate for stroke patients10.4Same as national137
Pressure ulcer rate0.19Same as national3456
Death rate among surgical inpatients with serious treatable complications169.29Same as national35
Iatrogenic pneumothorax rate0.17Same as national4400
In-hospital fall-associated fracture rate0.35Same as national4383
Postoperative hemorrhage or hematoma rate2.16Same as national797
Postoperative acute kidney injury requiring dialysis rate1.92Same as national326
Postoperative respiratory failure rate9.52Same as national339
Perioperative pulmonary embolism or deep vein thrombosis rate3.24Same as national834
Postoperative sepsis rate4.86Same as national305
Postoperative wound dehiscence rate1.64Same as national237
Abdominopelvic accidental puncture or laceration rate0.83Same as national900
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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-29.9Not available79
Hospital return days for heart failure patients11.8Not available343
Hospital return days for pneumonia patients-15.7Not available340
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national1790
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national562
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 surgery1Same as national370
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national79
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national57
Heart failure (HF) 30-Day Readmission Rate18.9Same as national343
Rate of readmission after hip/knee replacement4.7Same as national56
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national340

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 rating2666
Doctor communication - star rating3666
Communication about medicines - star rating2666
Discharge information - star rating2666
Cleanliness - star rating3666
Quietness - star rating3666
Overall hospital rating - star rating3666
Recommend hospital - star rating4666
Summary star rating3666

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 volumehigh
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 Hyperglycemia612872
Hospital Harm - Severe Hypoglycemia12563
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination932137
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 better213399
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 better210385
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21911
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 seen140737
Head CT results3315
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients55192
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152983
Appropriate care for severe sepsis and septic shock48129
Septic Shock 3-Hour Bundle4745
Septic Shock 6-Hour Bundle4117
Severe Sepsis 3-Hour Bundle80129
Severe Sepsis 6-Hour Bundle8856
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis865149
Intensive Care Unit Venous Thromboembolism Prophylaxis941224

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 Emory Johns Creek Hospital rated?
Emory Johns Creek Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Emory Johns Creek Hospital have emergency services?
Yes. Emory Johns Creek Hospital operates a 24/7 emergency department.
Where is Emory Johns Creek Hospital located?
Emory Johns Creek Hospital is located at 6325 Hospital Parkway, Johns Creek, GA 30097.
What type of hospital is Emory Johns Creek Hospital?
Emory Johns Creek Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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