JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Emory University Hospital Midtown

2 / 5

At a glance

Emory University Hospital Midtown carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 6.

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 Limit0.476Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.241Same as national
Central Line Associated Bloodstream Infection: Number of Device Days19822Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases21.495Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases17Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.791Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.295Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.924Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days14860Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases22.067Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases12Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.544Better than national
SSI - Colon Surgery: Lower Confidence Limit0.585Same as national
SSI - Colon Surgery: Upper Confidence Limit2.645Same as national
SSI - Colon Surgery: Number of Procedures193Same as national
SSI - Colon Surgery: Predicted Cases5.235Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery1.337Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.184Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit6.076Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures227Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases2.054Worse than national
SSI - Abdominal Hysterectomy: Observed Cases6Worse than national
SSI - Abdominal Hysterectomy2.921Worse than national
MRSA Bacteremia: Lower Confidence Limit0.207Better than national
MRSA Bacteremia: Upper Confidence Limit0.847Better than national
MRSA Bacteremia: Patient Days184893Better than national
MRSA Bacteremia: Predicted Cases17.934Better than national
MRSA Bacteremia: Observed Cases8Better than national
MRSA Bacteremia0.446Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.202Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.436Better than national
Clostridium Difficile (C.Diff): Patient Days170369Better than national
Clostridium Difficile (C.Diff): Predicted Cases86.074Better than national
Clostridium Difficile (C.Diff): Observed Cases26Better than national
Clostridium Difficile (C.Diff)0.302Better 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 Rate3.8Same as national1026
Death rate for heart attack patients13.2Same as national52
Death rate for CABG surgery patients1.7Same as national97
Death rate for COPD patients7.7Same as national58
Death rate for heart failure patients10.9Same as national298
Death rate for pneumonia patients15.3Same as national149
Death rate for stroke patients12.8Same as national66
Pressure ulcer rate0.75Same as national4965
Death rate among surgical inpatients with serious treatable complications143.95Same as national107
Iatrogenic pneumothorax rate0.24Same as national5448
In-hospital fall-associated fracture rate0.25Same as national5960
Postoperative hemorrhage or hematoma rate3.38Same as national1969
Postoperative acute kidney injury requiring dialysis rate2.22Same as national1215
Postoperative respiratory failure rate12.29Same as national1036
Perioperative pulmonary embolism or deep vein thrombosis rate3.64Same as national2075
Postoperative sepsis rate5.99Same as national1241
Postoperative wound dehiscence rate1.60Same as national472
Abdominopelvic accidental puncture or laceration rate2.00Worse than national1256
CMS Medicare PSI 90: Patient safety and adverse events composite1.21Same 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-21.7Not available73
Hospital return days for heart failure patients40.7Not available366
Hospital return days for pneumonia patients-2.4Not available148
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1910
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national139
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.1Same as national1558
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national1558
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national506
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national73
Rate of readmission for CABG10.3Same as national95
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national67
Heart failure (HF) 30-Day Readmission Rate21.3Same as national366
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national148

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 rating2491
Doctor communication - star rating3491
Communication about medicines - star rating2491
Discharge information - star rating2491
Cleanliness - star rating3491
Quietness - star rating3491
Overall hospital rating - star rating3491
Recommend hospital - star rating3491
Summary star rating3491

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 Hyperglycemia742985
Hospital Harm - Severe Hypoglycemia46233
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination916310
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 better341395
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 better345364
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27229
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 seen688599
Head CT results7713
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients3786
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing146041
Appropriate care for severe sepsis and septic shock26127
Septic Shock 3-Hour Bundle2829
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle65127
Severe Sepsis 6-Hour Bundle6365
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis7810545
Intensive Care Unit Venous Thromboembolism Prophylaxis963451

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 University Hospital Midtown rated?
Emory University Hospital Midtown has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Emory University Hospital Midtown have emergency services?
Yes. Emory University Hospital Midtown operates a 24/7 emergency department.
Where is Emory University Hospital Midtown located?
Emory University Hospital Midtown is located at 550 Peachtree Street, Ne, Atlanta, GA 30308.
What type of hospital is Emory University Hospital Midtown?
Emory University Hospital Midtown 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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