JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Miami Valley Hospital

3 / 5

At a glance

Miami Valley 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 Limit0.024Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.255Better than national
Central Line Associated Bloodstream Infection: Number of Device Days29993Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases31.971Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.094Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.213Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.555Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days31699Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases48.059Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases17Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.354Better than national
SSI - Colon Surgery: Lower Confidence Limit0.337Same as national
SSI - Colon Surgery: Upper Confidence Limit1.181Same as national
SSI - Colon Surgery: Number of Procedures496Same as national
SSI - Colon Surgery: Predicted Cases15.087Same as national
SSI - Colon Surgery: Observed Cases10Same as national
SSI - Colon Surgery0.663Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.013Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.280Same as national
SSI - Abdominal Hysterectomy: Number of Procedures425Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.854Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.259Same as national
MRSA Bacteremia: Lower Confidence Limit0.509Same as national
MRSA Bacteremia: Upper Confidence Limit1.368Same as national
MRSA Bacteremia: Patient Days270317Same as national
MRSA Bacteremia: Predicted Cases18.593Same as national
MRSA Bacteremia: Observed Cases16Same as national
MRSA Bacteremia0.861Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.229Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.430Better than national
Clostridium Difficile (C.Diff): Patient Days249723Better than national
Clostridium Difficile (C.Diff): Predicted Cases122.626Better than national
Clostridium Difficile (C.Diff): Observed Cases39Better than national
Clostridium Difficile (C.Diff)0.318Better 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 patients3.7Same as national79
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national3885
Death rate for heart attack patients11.6Same as national335
Death rate for CABG surgery patients1.7Same as national142
Death rate for COPD patients7.5Same as national229
Death rate for heart failure patients9.1Better than national863
Death rate for pneumonia patients13.5Better than national653
Death rate for stroke patients14.1Same as national549
Pressure ulcer rate0.39Same as national14059
Death rate among surgical inpatients with serious treatable complications175.82Same as national210
Iatrogenic pneumothorax rate0.14Same as national16790
In-hospital fall-associated fracture rate0.24Same as national16832
Postoperative hemorrhage or hematoma rate2.63Same as national3762
Postoperative acute kidney injury requiring dialysis rate0.95Same as national1484
Postoperative respiratory failure rate7.22Same as national1426
Perioperative pulmonary embolism or deep vein thrombosis rate2.97Same as national4008
Postoperative sepsis rate3.17Same as national1468
Postoperative wound dehiscence rate2.45Same as national906
Abdominopelvic accidental puncture or laceration rate0.52Same as national3414
CMS Medicare PSI 90: Patient safety and adverse events composite0.72Better 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 patients38.6Not available337
Hospital return days for heart failure patients-0.8Not available985
Hospital return days for pneumonia patients7.7Not available683
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Worse than national6805
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national251
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.7Worse than national389
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national389
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national2093
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.9Same as national337
Rate of readmission for CABG10.3Same as national138
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national248
Heart failure (HF) 30-Day Readmission Rate20.1Same as national985
Rate of readmission after hip/knee replacement5.7Same as national85
Pneumonia (PN) 30-Day Readmission Rate17.2Same as national683

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 rating2424
Doctor communication - star rating2424
Communication about medicines - star rating1424
Discharge information - star rating3424
Cleanliness - star rating2424
Quietness - star rating3424
Overall hospital rating - star rating2424
Recommend hospital - star rating2424
Summary star rating2424

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 Hypoglycemia213122
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination7518081
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 better162399
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 better161386
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20912
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 seen2200617
Head CT results1619
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9471
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6727
Safe Use of Opioids - Concurrent Prescribing1413823
Appropriate care for severe sepsis and septic shock70104
Septic Shock 3-Hour Bundle8745
Septic Shock 6-Hour Bundle9733
Severe Sepsis 3-Hour Bundle77104
Severe Sepsis 6-Hour Bundle10052
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis8821855
Intensive Care Unit Venous Thromboembolism Prophylaxis935781

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 Miami Valley Hospital rated?
Miami Valley Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Miami Valley Hospital have emergency services?
Yes. Miami Valley Hospital operates a 24/7 emergency department.
Where is Miami Valley Hospital located?
Miami Valley Hospital is located at One Wyoming Street, Dayton, OH 45409.
What type of hospital is Miami Valley Hospital?
Miami Valley 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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