JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Medstar Georgetown University Hospital

3 / 5

At a glance

Medstar Georgetown University 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.

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 Limit0.734Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.861Same as national
Central Line Associated Bloodstream Infection: Number of Device Days13747Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.994Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases18Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.200Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.048Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.512Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8681Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases15.936Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.188Better than national
SSI - Colon Surgery: Lower Confidence Limit0.009Better than national
SSI - Colon Surgery: Upper Confidence Limit0.932Better than national
SSI - Colon Surgery: Number of Procedures181Better than national
SSI - Colon Surgery: Predicted Cases5.290Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.189Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures93Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.846Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.608Same as national
MRSA Bacteremia: Upper Confidence Limit1.688Same as national
MRSA Bacteremia: Patient Days148629Same as national
MRSA Bacteremia: Predicted Cases14.327Same as national
MRSA Bacteremia: Observed Cases15Same as national
MRSA Bacteremia1.047Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.331Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.570Better than national
Clostridium Difficile (C.Diff): Patient Days138131Better than national
Clostridium Difficile (C.Diff): Predicted Cases118.655Better than national
Clostridium Difficile (C.Diff): Observed Cases52Better than national
Clostridium Difficile (C.Diff)0.438Better 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 patients4.2Same as national108
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1854
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.9Same as national33
Death rate for heart failure patients9.1Same as national158
Death rate for pneumonia patients13.6Same as national208
Death rate for stroke patients14.5Same as national188
Pressure ulcer rate1.26Worse than national7465
Death rate among surgical inpatients with serious treatable complications177.60Same as national263
Iatrogenic pneumothorax rate0.13Same as national8632
In-hospital fall-associated fracture rate0.27Same as national9112
Postoperative hemorrhage or hematoma rate2.60Same as national3499
Postoperative acute kidney injury requiring dialysis rate1.72Same as national2153
Postoperative respiratory failure rate7.87Same as national2168
Perioperative pulmonary embolism or deep vein thrombosis rate4.54Same as national3698
Postoperative sepsis rate4.06Same as national2143
Postoperative wound dehiscence rate1.37Same as national1506
Abdominopelvic accidental puncture or laceration rate0.91Same as national3048
CMS Medicare PSI 90: Patient safety and adverse events composite1.13Same 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-2.8Not available184
Hospital return days for pneumonia patients8.8Not available204
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national2975
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national2279
Rate of inpatient admissions for patients receiving outpatient chemotherapy10Same as national629
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national629
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national775
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national44
Heart failure (HF) 30-Day Readmission Rate18.9Same as national184
Rate of readmission after hip/knee replacement5Same as national94
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national204

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 rating31748
Doctor communication - star rating31748
Communication about medicines - star rating21748
Discharge information - star rating31748
Cleanliness - star rating31748
Quietness - star rating31748
Overall hospital rating - star rating31748
Recommend hospital - star rating41748
Summary star rating31748

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 volumehigh
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 vaccination976178
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 better371401
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 better371381
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36917
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 seen1042279
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9594
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing164321
Appropriate care for severe sepsis and septic shock4470
Septic Shock 3-Hour Bundle5520
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle7170
Severe Sepsis 6-Hour Bundle8330
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 289178
Venous Thromboembolism Prophylaxis987804
Intensive Care Unit Venous Thromboembolism Prophylaxis1001653

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 Medstar Georgetown University Hospital rated?
Medstar Georgetown University Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Medstar Georgetown University Hospital have emergency services?
Yes. Medstar Georgetown University Hospital operates a 24/7 emergency department.
Where is Medstar Georgetown University Hospital located?
Medstar Georgetown University Hospital is located at 3800 Reservoir Rd, Washington, DC 20007.
What type of hospital is Medstar Georgetown University Hospital?
Medstar Georgetown University Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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