JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Highland Hospital

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At a glance

Highland Hospital carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.384Better than national
Central Line Associated Bloodstream Infection: Number of Device Days9373Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.794Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.242Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.466Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8239Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.560Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.661Same as national
SSI - Colon Surgery: Lower Confidence Limit1.231Worse than national
SSI - Colon Surgery: Upper Confidence Limit4.321Worse than national
SSI - Colon Surgery: Number of Procedures125Worse than national
SSI - Colon Surgery: Predicted Cases4.125Worse than national
SSI - Colon Surgery: Observed Cases10Worse than national
SSI - Colon Surgery2.424Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures36Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.323Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.324Same as national
MRSA Bacteremia: Upper Confidence Limit2.461Same as national
MRSA Bacteremia: Patient Days67205Same as national
MRSA Bacteremia: Predicted Cases3.921Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia1.020Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.399Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.944Better than national
Clostridium Difficile (C.Diff): Patient Days63586Better than national
Clostridium Difficile (C.Diff): Predicted Cases33.413Better than national
Clostridium Difficile (C.Diff): Observed Cases21Better than national
Clostridium Difficile (C.Diff)0.628Better 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 Rate3.7Same as national748
Death rate for heart attack patients12.8Same as national66
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.5Same as national86
Death rate for heart failure patients12.3Same as national160
Death rate for pneumonia patients13.5Same as national219
Death rate for stroke patients15.8Same as national66
Pressure ulcer rate0.76Same as national3387
Death rate among surgical inpatients with serious treatable complications198.35Same as national50
Iatrogenic pneumothorax rate0.17Same as national4370
In-hospital fall-associated fracture rate0.27Same as national4344
Postoperative hemorrhage or hematoma rate1.91Same as national681
Postoperative acute kidney injury requiring dialysis rate2.07Same as national165
Postoperative respiratory failure rate11.62Same as national179
Perioperative pulmonary embolism or deep vein thrombosis rate2.54Same as national689
Postoperative sepsis rate5.44Same as national163
Postoperative wound dehiscence rate1.97Same as national126
Abdominopelvic accidental puncture or laceration rate0.95Same as national487
CMS Medicare PSI 90: Patient safety and adverse events composite1.06Same 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 patients54.5Not available61
Hospital return days for heart failure patients22.4Not available204
Hospital return days for pneumonia patients25.1Not available237
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national1277
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.4Same as national355
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.5Same as national64
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national64
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national84
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.8Same as national61
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.7Same as national110
Heart failure (HF) 30-Day Readmission Rate19.5Same as national204
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national237

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 rating21985
Doctor communication - star rating31985
Communication about medicines - star rating21985
Discharge information - star rating21985
Cleanliness - star rating31985
Quietness - star rating21985
Overall hospital rating - star rating31985
Recommend hospital - star rating41985
Summary star rating31985

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 Hypoglycemia13268
Hospital Harm - Opioid Related Adverse Events18585
Healthcare workers given influenza vaccination794363
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 better186790
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 better182706
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30371
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better43018
Left before being seen692245
Head CT results3813
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9477
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4353
Safe Use of Opioids - Concurrent Prescribing143790
Appropriate care for severe sepsis and septic shock59216
Septic Shock 3-Hour Bundle6668
Septic Shock 6-Hour Bundle8842
Severe Sepsis 3-Hour Bundle81216
Severe Sepsis 6-Hour Bundle85122
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis981429

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 Highland Hospital rated?
Highland Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Highland Hospital have emergency services?
Yes. Highland Hospital operates a 24/7 emergency department.
Where is Highland Hospital located?
Highland Hospital is located at 1411 East 31st Street, Oakland, CA 94602.
What type of hospital is Highland Hospital?
Highland Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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