JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Hoag Memorial Hospital Presbyterian

5 / 5

At a glance

Hoag Memorial Hospital Presbyterian carries a 5-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 Limit0.004Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.408Better than national
Central Line Associated Bloodstream Infection: Number of Device Days12920Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.097Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.083Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.089Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.672Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12537Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.348Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.279Better than national
SSI - Colon Surgery: Lower Confidence Limit0.446Same as national
SSI - Colon Surgery: Upper Confidence Limit1.473Same as national
SSI - Colon Surgery: Number of Procedures531Same as national
SSI - Colon Surgery: Predicted Cases12.976Same as national
SSI - Colon Surgery: Observed Cases11Same as national
SSI - Colon Surgery0.848Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.121Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.389Same as national
SSI - Abdominal Hysterectomy: Number of Procedures380Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.766Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.723Same as national
MRSA Bacteremia: Lower Confidence Limit0.096Same as national
MRSA Bacteremia: Upper Confidence Limit1.024Same as national
MRSA Bacteremia: Patient Days173141Same as national
MRSA Bacteremia: Predicted Cases7.976Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.376Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.295Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.605Better than national
Clostridium Difficile (C.Diff): Patient Days150982Better than national
Clostridium Difficile (C.Diff): Predicted Cases69.890Better than national
Clostridium Difficile (C.Diff): Observed Cases30Better than national
Clostridium Difficile (C.Diff)0.429Better 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 national4477
Death rate for heart attack patients12.7Same as national336
Death rate for CABG surgery patients2.1Same as national137
Death rate for COPD patients7.6Same as national142
Death rate for heart failure patients12.5Same as national855
Death rate for pneumonia patients15Same as national1166
Death rate for stroke patients10.3Better than national497
Pressure ulcer rate0.32Same as national13612
Death rate among surgical inpatients with serious treatable complications177.94Same as national205
Iatrogenic pneumothorax rate0.16Same as national16407
In-hospital fall-associated fracture rate0.24Same as national17438
Postoperative hemorrhage or hematoma rate2.53Same as national3951
Postoperative acute kidney injury requiring dialysis rate2.98Worse than national1783
Postoperative respiratory failure rate9.19Same as national1671
Perioperative pulmonary embolism or deep vein thrombosis rate5.50Worse than national4199
Postoperative sepsis rate3.57Same as national1736
Postoperative wound dehiscence rate1.32Same as national1305
Abdominopelvic accidental puncture or laceration rate1.38Same as national4300
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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-5Not available332
Hospital return days for heart failure patients-15.3Not available935
Hospital return days for pneumonia patients-4.2Not available1202
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national7356
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.3Same as national1096
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national628
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national628
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1170
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.8Same as national332
Rate of readmission for CABG9.5Same as national137
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national155
Heart failure (HF) 30-Day Readmission Rate18.3Same as national935
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national1202

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 rating42270
Doctor communication - star rating42270
Communication about medicines - star rating22270
Discharge information - star rating42270
Cleanliness - star rating42270
Quietness - star rating32270
Overall hospital rating - star rating52270
Recommend hospital - star rating52270
Summary star rating42270

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 vaccination7811807
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 better196405
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 better196385
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23120
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 seen1145364
Head CT results4654
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8070
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)7438
Safe Use of Opioids - Concurrent Prescribing129064
Appropriate care for severe sepsis and septic shock77197
Septic Shock 3-Hour Bundle7670
Septic Shock 6-Hour Bundle8341
Severe Sepsis 3-Hour Bundle91199
Severe Sepsis 6-Hour Bundle97139
Discharged on Antithrombotic Therapy99711
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9616860
Intensive Care Unit Venous Thromboembolism Prophylaxis982716

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 Hoag Memorial Hospital Presbyterian rated?
Hoag Memorial Hospital Presbyterian has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Hoag Memorial Hospital Presbyterian have emergency services?
Yes. Hoag Memorial Hospital Presbyterian operates a 24/7 emergency department.
Where is Hoag Memorial Hospital Presbyterian located?
Hoag Memorial Hospital Presbyterian is located at One Hoag Drive, Newport Beach, CA 92663.
What type of hospital is Hoag Memorial Hospital Presbyterian?
Hoag Memorial Hospital Presbyterian 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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