JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Hospital of Univ of Pennsylvania

5 / 5

At a glance

Hospital of Univ of Pennsylvania carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures and trails 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 Limit0.783Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.350Same as national
Central Line Associated Bloodstream Infection: Number of Device Days46589Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases50.125Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases52Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.037Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.741Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.369Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days27107Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases40.225Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases41Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.019Same as national
SSI - Colon Surgery: Lower Confidence Limit0.620Same as national
SSI - Colon Surgery: Upper Confidence Limit1.532Same as national
SSI - Colon Surgery: Number of Procedures676Same as national
SSI - Colon Surgery: Predicted Cases19.008Same as national
SSI - Colon Surgery: Observed Cases19Same as national
SSI - Colon Surgery1.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.528Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.197Same as national
SSI - Abdominal Hysterectomy: Number of Procedures377Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.467Same as national
SSI - Abdominal Hysterectomy: Observed Cases5Same as national
SSI - Abdominal Hysterectomy1.442Same as national
MRSA Bacteremia: Lower Confidence Limit0.409Better than national
MRSA Bacteremia: Upper Confidence Limit0.987Better than national
MRSA Bacteremia: Patient Days327498Better than national
MRSA Bacteremia: Predicted Cases30.728Better than national
MRSA Bacteremia: Observed Cases20Better than national
MRSA Bacteremia0.651Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.308Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.505Better than national
Clostridium Difficile (C.Diff): Patient Days307641Better than national
Clostridium Difficile (C.Diff): Predicted Cases158.534Better than national
Clostridium Difficile (C.Diff): Observed Cases63Better than national
Clostridium Difficile (C.Diff)0.397Better 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 Rate2.9Better than national2784
Death rate for heart attack patients12.9Same as national83
Death rate for CABG surgery patients1.9Same as national276
Death rate for COPD patients5.9Better than national93
Death rate for heart failure patients7.6Better than national477
Death rate for pneumonia patients8.5Better than national290
Death rate for stroke patients10.8Better than national308
Pressure ulcer rate0.25Better than national14934
Death rate among surgical inpatients with serious treatable complications179.18Same as national326
Iatrogenic pneumothorax rate0.24Same as national14207
In-hospital fall-associated fracture rate0.29Same as national16673
Postoperative hemorrhage or hematoma rate2.81Same as national5517
Postoperative acute kidney injury requiring dialysis rate0.79Better than national4129
Postoperative respiratory failure rate4.02Better than national3737
Perioperative pulmonary embolism or deep vein thrombosis rate3.22Same as national4618
Postoperative sepsis rate4.16Same as national2481
Postoperative wound dehiscence rate1.48Same as national1920
Abdominopelvic accidental puncture or laceration rate0.65Same as national4557
CMS Medicare PSI 90: Patient safety and adverse events composite0.66Better than 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 patients9.8Not available145
Hospital return days for heart failure patients5.8Not available622
Hospital return days for pneumonia patients55.6Not available316
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national5326
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.5Same as national4438
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.4Same as national2803
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy3.6Better than national2803
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national2133
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national145
Rate of readmission for CABG10.9Same as national270
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.9Same as national108
Heart failure (HF) 30-Day Readmission Rate18.7Same as national622
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.3Same as national316

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 rating5648
Doctor communication - star rating4648
Communication about medicines - star rating3648
Discharge information - star rating4648
Cleanliness - star rating3648
Quietness - star rating4648
Overall hospital rating - star rating5648
Recommend hospital - star rating5648
Summary star rating4648

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 vaccination9926240
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 better281921
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 better280875
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30044
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 seen6109603
Head CT results8918
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients981346
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing156227
Appropriate care for severe sepsis and septic shock69311
Septic Shock 3-Hour Bundle85124
Septic Shock 6-Hour Bundle10085
Severe Sepsis 3-Hour Bundle80311
Severe Sepsis 6-Hour Bundle88153
Discharged on Antithrombotic Therapy99375
Anticoagulation Therapy for Atrial Fibrillation/Flutter85100
Antithrombotic Therapy by End of Hospital Day 291372
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Hospital of Univ of Pennsylvania rated?
Hospital of Univ of Pennsylvania has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Hospital of Univ of Pennsylvania have emergency services?
Yes. Hospital of Univ of Pennsylvania operates a 24/7 emergency department.
Where is Hospital of Univ of Pennsylvania located?
Hospital of Univ of Pennsylvania is located at 3400 Spruce St, Philadelphia, PA 19104.
What type of hospital is Hospital of Univ of Pennsylvania?
Hospital of Univ of Pennsylvania 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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