JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mary Hitchcock Memorial Hospital

3 / 5

At a glance

Mary Hitchcock Memorial 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 18 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.

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 Limit0.492Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.189Same as national
Central Line Associated Bloodstream Infection: Number of Device Days24169Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases25.508Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases20Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.784Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.149Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.560Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days18128Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases29.495Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.305Better than national
SSI - Colon Surgery: Lower Confidence Limit0.737Same as national
SSI - Colon Surgery: Upper Confidence Limit2.046Same as national
SSI - Colon Surgery: Number of Procedures431Same as national
SSI - Colon Surgery: Predicted Cases11.821Same as national
SSI - Colon Surgery: Observed Cases15Same as national
SSI - Colon Surgery1.269Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.861Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit6.533Same as national
SSI - Abdominal Hysterectomy: Number of Procedures172Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.477Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy2.708Same as national
MRSA Bacteremia: Lower Confidence Limit0.021Better than national
MRSA Bacteremia: Upper Confidence Limit0.419Better than national
MRSA Bacteremia: Patient Days144746Better than national
MRSA Bacteremia: Predicted Cases15.755Better than national
MRSA Bacteremia: Observed Cases2Better than national
MRSA Bacteremia0.127Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.410Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.769Better than national
Clostridium Difficile (C.Diff): Patient Days135832Better than national
Clostridium Difficile (C.Diff): Predicted Cases68.592Better than national
Clostridium Difficile (C.Diff): Observed Cases39Better than national
Clostridium Difficile (C.Diff)0.569Better 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 patients4.5Same as national69
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national2866
Death rate for heart attack patients11.6Same as national487
Death rate for CABG surgery patients2.4Same as national179
Death rate for COPD patients7.3Same as national84
Death rate for heart failure patients10.5Same as national594
Death rate for pneumonia patients14.8Same as national348
Death rate for stroke patients14.7Same as national395
Pressure ulcer rate0.54Same as national9839
Death rate among surgical inpatients with serious treatable complications205.90Worse than national363
Iatrogenic pneumothorax rate0.18Same as national11275
In-hospital fall-associated fracture rate0.28Same as national12234
Postoperative hemorrhage or hematoma rate4.05Worse than national5073
Postoperative acute kidney injury requiring dialysis rate1.95Same as national2698
Postoperative respiratory failure rate11.87Same as national2495
Perioperative pulmonary embolism or deep vein thrombosis rate4.73Same as national5218
Postoperative sepsis rate6.70Same as national2632
Postoperative wound dehiscence rate1.65Same as national1069
Abdominopelvic accidental puncture or laceration rate1.18Same as national2910
CMS Medicare PSI 90: Patient safety and adverse events composite1.18Same 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 patients6.7Not available603
Hospital return days for heart failure patients8Not available695
Hospital return days for pneumonia patients25.4Not available340
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national4564
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)16.1Worse than national3216
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national1183
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.8Worse than national1183
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national2520
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national603
Rate of readmission for CABG10Same as national175
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national91
Heart failure (HF) 30-Day Readmission Rate18.1Same as national695
Rate of readmission after hip/knee replacement4.5Same as national61
Pneumonia (PN) 30-Day Readmission Rate17Same as national340

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 rating31815
Doctor communication - star rating31815
Communication about medicines - star rating31815
Discharge information - star rating41815
Cleanliness - star rating31815
Quietness - star rating21815
Overall hospital rating - star rating41815
Recommend hospital - star rating51815
Summary star rating31815

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 Hypoglycemia14954
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination9612128
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 better276400
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 better266369
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better38227
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 seen135066
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9898
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)8432
Safe Use of Opioids - Concurrent Prescribing184770
Appropriate care for severe sepsis and septic shock55139
Septic Shock 3-Hour Bundle6255
Septic Shock 6-Hour Bundle8927
Severe Sepsis 3-Hour Bundle76139
Severe Sepsis 6-Hour Bundle9381
Discharged on Antithrombotic Therapy99338
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis963246

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 Mary Hitchcock Memorial Hospital rated?
Mary Hitchcock Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mary Hitchcock Memorial Hospital have emergency services?
Yes. Mary Hitchcock Memorial Hospital operates a 24/7 emergency department.
Where is Mary Hitchcock Memorial Hospital located?
Mary Hitchcock Memorial Hospital is located at 1 Medical Center Drive, Lebanon, NH 03756.
What type of hospital is Mary Hitchcock Memorial Hospital?
Mary Hitchcock Memorial 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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