JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Fort Hamilton Hughes Memorial Hospital

3 / 5

At a glance

Fort Hamilton Hughes Memorial Hospital carries a 3-star CMS overall rating — in line with 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 Limit0.379Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.052Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2822Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.015Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.489Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.017Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1971Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.485Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures27Not available
SSI - Colon Surgery: Predicted Cases0.706Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures19Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.177Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.230Same as national
MRSA Bacteremia: Upper Confidence Limit4.523Same as national
MRSA Bacteremia: Patient Days30570Same as national
MRSA Bacteremia: Predicted Cases1.461Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.369Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.109Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.824Better than national
Clostridium Difficile (C.Diff): Patient Days27172Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.706Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.342Better 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 national519
Death rate for heart attack patients13.3Same as national88
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.3Same as national70
Death rate for heart failure patients12Same as national239
Death rate for pneumonia patients16.4Same as national219
Death rate for stroke patients13.2Same as national97
Pressure ulcer rate0.87Same as national1871
Death rate among surgical inpatients with serious treatable complications162.67Same as national25
Iatrogenic pneumothorax rate0.18Same as national2434
In-hospital fall-associated fracture rate0.25Same as national2348
Postoperative hemorrhage or hematoma rate2.77Same as national400
Postoperative acute kidney injury requiring dialysis rate1.62Same as national81
Postoperative respiratory failure rate7.74Same as national88
Perioperative pulmonary embolism or deep vein thrombosis rate4.49Same as national461
Postoperative sepsis rate5.76Same as national77
Postoperative wound dehiscence rate1.72Same as national67
Abdominopelvic accidental puncture or laceration rate0.97Same as national338
CMS Medicare PSI 90: Patient safety and adverse events composite1.08Same 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 patients26.8Not available76
Hospital return days for heart failure patients-25.8Not available277
Hospital return days for pneumonia patients-18Not available229
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national926
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national163
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.1Same as national51
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national51
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national199
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national76
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.1Same as national79
Heart failure (HF) 30-Day Readmission Rate19Same as national277
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national229

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 rating4627
Doctor communication - star rating3627
Communication about medicines - star rating2627
Discharge information - star rating3627
Cleanliness - star rating3627
Quietness - star rating2627
Overall hospital rating - star rating3627
Recommend hospital - star rating3627
Summary star rating3627

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 volumemedium
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 Events04018
Healthcare workers given influenza vaccination97985
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 better121407
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 better118378
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better18521
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 seen037919
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients84176
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing171838
Appropriate care for severe sepsis and septic shock7192
Septic Shock 3-Hour Bundle8335
Septic Shock 6-Hour Bundle8621
Severe Sepsis 3-Hour Bundle8692
Severe Sepsis 6-Hour Bundle9649
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis963992
Intensive Care Unit Venous Thromboembolism Prophylaxis98721

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 Fort Hamilton Hughes Memorial Hospital rated?
Fort Hamilton Hughes Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Fort Hamilton Hughes Memorial Hospital have emergency services?
Yes. Fort Hamilton Hughes Memorial Hospital operates a 24/7 emergency department.
Where is Fort Hamilton Hughes Memorial Hospital located?
Fort Hamilton Hughes Memorial Hospital is located at 630 Eaton Avenue, Hamilton, OH 45013.
What type of hospital is Fort Hamilton Hughes Memorial Hospital?
Fort Hamilton Hughes Memorial 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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