JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Metrohealth System

3 / 5

At a glance

Metrohealth System 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 Limit0.218Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.986Better than national
Central Line Associated Bloodstream Infection: Number of Device Days12854Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.041Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.499Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.134Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.810Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10813Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.676Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.366Better than national
SSI - Colon Surgery: Lower Confidence Limit0.741Same as national
SSI - Colon Surgery: Upper Confidence Limit2.326Same as national
SSI - Colon Surgery: Number of Procedures302Same as national
SSI - Colon Surgery: Predicted Cases8.771Same as national
SSI - Colon Surgery: Observed Cases12Same as national
SSI - Colon Surgery1.368Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.020Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.976Same as national
SSI - Abdominal Hysterectomy: Number of Procedures255Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.496Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.401Same as national
MRSA Bacteremia: Lower Confidence Limit0.947Same as national
MRSA Bacteremia: Upper Confidence Limit2.468Same as national
MRSA Bacteremia: Patient Days134365Same as national
MRSA Bacteremia: Predicted Cases10.806Same as national
MRSA Bacteremia: Observed Cases17Same as national
MRSA Bacteremia1.573Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.284Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.634Better than national
Clostridium Difficile (C.Diff): Patient Days119614Better than national
Clostridium Difficile (C.Diff): Predicted Cases55.481Better than national
Clostridium Difficile (C.Diff): Observed Cases24Better than national
Clostridium Difficile (C.Diff)0.433Better 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 Rate4.3Same as national910
Death rate for heart attack patients11.7Same as national79
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.3Same as national111
Death rate for heart failure patients9Same as national270
Death rate for pneumonia patients12.4Better than national209
Death rate for stroke patients14.4Same as national109
Pressure ulcer rate1.21Same as national4005
Death rate among surgical inpatients with serious treatable complications197.98Same as national67
Iatrogenic pneumothorax rate0.16Same as national4189
In-hospital fall-associated fracture rate0.27Same as national4080
Postoperative hemorrhage or hematoma rate2.46Same as national1052
Postoperative acute kidney injury requiring dialysis rate1.90Same as national420
Postoperative respiratory failure rate17.85Worse than national405
Perioperative pulmonary embolism or deep vein thrombosis rate3.23Same as national1100
Postoperative sepsis rate4.51Same as national399
Postoperative wound dehiscence rate1.61Same as national245
Abdominopelvic accidental puncture or laceration rate1.59Same as national825
CMS Medicare PSI 90: Patient safety and adverse events composite1.37Worse 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 patients44.6Not available77
Hospital return days for heart failure patients70.1Not available301
Hospital return days for pneumonia patients31.8Not available214
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national1545
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national1334
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national193
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national193
Ratio of unplanned hospital visits after hospital outpatient surgery1.3Same as national480
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national77
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.9Same as national113
Heart failure (HF) 30-Day Readmission Rate21.3Same as national301
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.3Same as national214

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 rating41318
Doctor communication - star rating31318
Communication about medicines - star rating21318
Discharge information - star rating31318
Cleanliness - star rating31318
Quietness - star rating31318
Overall hospital rating - star rating41318
Recommend hospital - star rating41318
Summary star rating31318

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 Hypoglycemia25787
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination9410052
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 better160394
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 better152363
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27221
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better23111
Left before being seen2153256
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99108
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing75280
Appropriate care for severe sepsis and septic shock4078
Septic Shock 3-Hour Bundle5319
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle6578
Severe Sepsis 6-Hour Bundle9143
Discharged on Antithrombotic Therapy99316
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295272
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 Metrohealth System rated?
Metrohealth System has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Metrohealth System have emergency services?
Yes. Metrohealth System operates a 24/7 emergency department.
Where is Metrohealth System located?
Metrohealth System is located at 2500 Metrohealth Drive, Cleveland, OH 44109.
What type of hospital is Metrohealth System?
Metrohealth 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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