JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Magee Womens Hospital of UPMC Health System

4 / 5

At a glance

Magee Womens Hospital of UPMC Health System carries a 4-star CMS overall rating — above the national norm.

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 Limit0.239Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.229Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8173Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.155Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.591Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.085Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.681Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4786Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.931Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.509Same as national
SSI - Colon Surgery: Lower Confidence Limit0.227Same as national
SSI - Colon Surgery: Upper Confidence Limit2.426Same as national
SSI - Colon Surgery: Number of Procedures128Same as national
SSI - Colon Surgery: Predicted Cases3.365Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.892Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.218Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.337Same as national
SSI - Abdominal Hysterectomy: Number of Procedures396Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.494Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy0.859Same as national
MRSA Bacteremia: Lower Confidence Limit0.201Same as national
MRSA Bacteremia: Upper Confidence Limit2.152Same as national
MRSA Bacteremia: Patient Days102247Same as national
MRSA Bacteremia: Predicted Cases3.794Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.791Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.477Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.129Same as national
Clostridium Difficile (C.Diff): Patient Days61519Same as national
Clostridium Difficile (C.Diff): Predicted Cases27.955Same as national
Clostridium Difficile (C.Diff): Observed Cases21Same as national
Clostridium Difficile (C.Diff)0.751Same as 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 national152
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national238
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients10.8Same as national36
Death rate for pneumonia patients15.8Same as national28
Death rate for stroke patientsNot available
Pressure ulcer rate1.28Same as national1064
Death rate among surgical inpatients with serious treatable complications172.15Same as national25
Iatrogenic pneumothorax rate0.20Same as national1432
In-hospital fall-associated fracture rate0.25Same as national1498
Postoperative hemorrhage or hematoma rate2.62Same as national563
Postoperative acute kidney injury requiring dialysis rate2.03Same as national378
Postoperative respiratory failure rate8.49Same as national392
Perioperative pulmonary embolism or deep vein thrombosis rate3.85Same as national569
Postoperative sepsis rate5.96Same as national362
Postoperative wound dehiscence rate1.69Same as national158
Abdominopelvic accidental puncture or laceration rate0.88Same as national437
CMS Medicare PSI 90: Patient safety and adverse events composite1.21Same 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 patientsNot available
Hospital return days for heart failure patients-14.8Not available43
Hospital return days for pneumonia patients-40.2Not available33
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national450
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national736
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.7Same as national2366
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national2366
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national585
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate19.1Same as national43
Rate of readmission after hip/knee replacement6Same as national122
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national33

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 rating4385
Doctor communication - star rating3385
Communication about medicines - star rating2385
Discharge information - star rating4385
Cleanliness - star rating4385
Quietness - star rating3385
Overall hospital rating - star rating4385
Recommend hospital - star rating5385
Summary star rating4385

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 Events
Healthcare workers given influenza vaccination855942
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 better201621
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 better200606
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen130527
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients95290
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing86135
Appropriate care for severe sepsis and septic shock79102
Septic Shock 3-Hour Bundle9039
Septic Shock 6-Hour Bundle9522
Severe Sepsis 3-Hour Bundle86102
Severe Sepsis 6-Hour Bundle9761
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 Prophylaxis87890

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 Magee Womens Hospital of UPMC Health System rated?
Magee Womens Hospital of UPMC Health System has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Magee Womens Hospital of UPMC Health System have emergency services?
Yes. Magee Womens Hospital of UPMC Health System operates a 24/7 emergency department.
Where is Magee Womens Hospital of UPMC Health System located?
Magee Womens Hospital of UPMC Health System is located at 300 Halket Street, Pittsburgh, PA 15213.
What type of hospital is Magee Womens Hospital of UPMC Health System?
Magee Womens Hospital of UPMC Health System is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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