JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Henry Ford Macomb Hospital

3 / 5

At a glance

Henry Ford Macomb 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 12 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 Limit0.436Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.782Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8059Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.524Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases8Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.939Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.163Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13487Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases18.401Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.302Same as national
SSI - Colon Surgery: Upper Confidence Limit2.291Same as national
SSI - Colon Surgery: Number of Procedures165Same as national
SSI - Colon Surgery: Predicted Cases4.212Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery0.950Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures98Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.915Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.098Same as national
MRSA Bacteremia: Upper Confidence Limit1.044Same as national
MRSA Bacteremia: Patient Days101870Same as national
MRSA Bacteremia: Predicted Cases7.822Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.384Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.211Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.465Better than national
Clostridium Difficile (C.Diff): Patient Days99451Better than national
Clostridium Difficile (C.Diff): Predicted Cases78.233Better than national
Clostridium Difficile (C.Diff): Observed Cases25Better than national
Clostridium Difficile (C.Diff)0.320Better 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 patients4.3Same as national25
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national2370
Death rate for heart attack patients11Same as national304
Death rate for CABG surgery patients2.7Same as national87
Death rate for COPD patients8.8Same as national271
Death rate for heart failure patients11.4Same as national882
Death rate for pneumonia patients15.2Same as national664
Death rate for stroke patients15.3Same as national296
Pressure ulcer rate0.26Same as national8494
Death rate among surgical inpatients with serious treatable complications169.77Same as national69
Iatrogenic pneumothorax rate0.27Same as national9568
In-hospital fall-associated fracture rate0.26Same as national9778
Postoperative hemorrhage or hematoma rate2.33Same as national1905
Postoperative acute kidney injury requiring dialysis rate1.22Same as national749
Postoperative respiratory failure rate6.89Same as national714
Perioperative pulmonary embolism or deep vein thrombosis rate4.59Same as national2021
Postoperative sepsis rate3.79Same as national749
Postoperative wound dehiscence rate1.80Same as national416
Abdominopelvic accidental puncture or laceration rate0.72Same as national1632
CMS Medicare PSI 90: Patient safety and adverse events composite0.80Same 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 patients15.4Not available296
Hospital return days for heart failure patients8.1Not available983
Hospital return days for pneumonia patients18.7Not available680
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national3993
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national1224
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.1Same as national137
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.4Same as national137
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national720
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national296
Rate of readmission for CABG9.9Same as national84
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national294
Heart failure (HF) 30-Day Readmission Rate18.3Same as national983
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national680

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 rating21082
Doctor communication - star rating21082
Communication about medicines - star rating21082
Discharge information - star rating31082
Cleanliness - star rating31082
Quietness - star rating21082
Overall hospital rating - star rating31082
Recommend hospital - star rating31082
Summary star rating21082

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination944288
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 better302383
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 better292355
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better48626
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 seen566611
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97177
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing175267
Appropriate care for severe sepsis and septic shock66197
Septic Shock 3-Hour Bundle6662
Septic Shock 6-Hour Bundle9436
Severe Sepsis 3-Hour Bundle83197
Severe Sepsis 6-Hour Bundle93115
Discharged on Antithrombotic Therapy98391
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis989480
Intensive Care Unit Venous Thromboembolism Prophylaxis953889

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 Henry Ford Macomb Hospital rated?
Henry Ford Macomb Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Henry Ford Macomb Hospital have emergency services?
Yes. Henry Ford Macomb Hospital operates a 24/7 emergency department.
Where is Henry Ford Macomb Hospital located?
Henry Ford Macomb Hospital is located at 15855 Nineteen Mile Rd, Clinton Township, MI 48038.
What type of hospital is Henry Ford Macomb Hospital?
Henry Ford Macomb 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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