JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Emory University Hospital

4 / 5

At a glance

Emory University 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 18 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 Limit0.789Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.328Same as national
Central Line Associated Bloodstream Infection: Number of Device Days52029Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases55.230Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases57Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.032Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.399Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.809Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days30989Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases53.740Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases31Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.577Better than national
SSI - Colon Surgery: Lower Confidence Limit0.124Better than national
SSI - Colon Surgery: Upper Confidence Limit0.940Better than national
SSI - Colon Surgery: Number of Procedures390Better than national
SSI - Colon Surgery: Predicted Cases10.259Better than national
SSI - Colon Surgery: Observed Cases4Better than national
SSI - Colon Surgery0.390Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.036Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.564Same as national
SSI - Abdominal Hysterectomy: Number of Procedures150Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.384Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.723Same as national
MRSA Bacteremia: Lower Confidence Limit0.573Same as national
MRSA Bacteremia: Upper Confidence Limit1.384Same as national
MRSA Bacteremia: Patient Days207268Same as national
MRSA Bacteremia: Predicted Cases21.918Same as national
MRSA Bacteremia: Observed Cases20Same as national
MRSA Bacteremia0.912Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.264Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.481Better than national
Clostridium Difficile (C.Diff): Patient Days207268Better than national
Clostridium Difficile (C.Diff): Predicted Cases119.414Better than national
Clostridium Difficile (C.Diff): Observed Cases43Better than national
Clostridium Difficile (C.Diff)0.360Better 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 patients3.9Same as national44
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national1786
Death rate for heart attack patients11.8Same as national62
Death rate for CABG surgery patients2Same as national46
Death rate for COPD patients7.5Same as national62
Death rate for heart failure patients8.4Better than national418
Death rate for pneumonia patients12.6Better than national333
Death rate for stroke patients11.7Same as national278
Pressure ulcer rate0.83Same as national8918
Death rate among surgical inpatients with serious treatable complications160.16Same as national222
Iatrogenic pneumothorax rate0.38Same as national9728
In-hospital fall-associated fracture rate0.31Same as national10603
Postoperative hemorrhage or hematoma rate3.85Worse than national2977
Postoperative acute kidney injury requiring dialysis rate2.33Same as national1664
Postoperative respiratory failure rate13.06Same as national1654
Perioperative pulmonary embolism or deep vein thrombosis rate5.89Worse than national3224
Postoperative sepsis rate7.04Same as national1705
Postoperative wound dehiscence rate1.54Same as national1260
Abdominopelvic accidental puncture or laceration rate1.56Same as national2905
CMS Medicare PSI 90: Patient safety and adverse events composite1.42Worse than 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 patients39.8Not available89
Hospital return days for heart failure patients4.9Not available516
Hospital return days for pneumonia patients18.8Not available365
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national3027
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national94
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.4Same as national118
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national118
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national917
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national89
Rate of readmission for CABG11.3Same as national45
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national72
Heart failure (HF) 30-Day Readmission Rate19.7Same as national516
Rate of readmission after hip/knee replacement4.4Same as national39
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national365

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 rating3486
Doctor communication - star rating4486
Communication about medicines - star rating2486
Discharge information - star rating3486
Cleanliness - star rating4486
Quietness - star rating4486
Overall hospital rating - star rating4486
Recommend hospital - star rating4486
Summary star rating3486

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 Hyperglycemia861939
Hospital Harm - Severe Hypoglycemia38871
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination947001
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 better308395
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 better305375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better40712
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 seen247926
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8635
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing196524
Appropriate care for severe sepsis and septic shock32101
Septic Shock 3-Hour Bundle2142
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle83101
Severe Sepsis 6-Hour Bundle7257
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis7815609
Intensive Care Unit Venous Thromboembolism Prophylaxis935467

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Emory University Hospital rated?
Emory University Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Emory University Hospital have emergency services?
Yes. Emory University Hospital operates a 24/7 emergency department.
Where is Emory University Hospital located?
Emory University Hospital is located at 1364 Clifton Road, Ne, Atlanta, GA 30322.
What type of hospital is Emory University Hospital?
Emory University Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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