JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Milton S Hershey Medical Center

4 / 5

At a glance

Milton S Hershey Medical Center carries a 4-star CMS overall rating — above 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 1.

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 Limit0.452Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.048Same as national
Central Line Associated Bloodstream Infection: Number of Device Days27558Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases31.251Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases22Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.704Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.397Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.067Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days17128Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases23.835Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases16Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.671Same as national
SSI - Colon Surgery: Lower Confidence Limit0.199Better than national
SSI - Colon Surgery: Upper Confidence Limit0.815Better than national
SSI - Colon Surgery: Number of Procedures674Better than national
SSI - Colon Surgery: Predicted Cases18.644Better than national
SSI - Colon Surgery: Observed Cases8Better than national
SSI - Colon Surgery0.429Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.182Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.587Same as national
SSI - Abdominal Hysterectomy: Number of Procedures217Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.842Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.086Same as national
MRSA Bacteremia: Lower Confidence Limit0.196Better than national
MRSA Bacteremia: Upper Confidence Limit0.801Better than national
MRSA Bacteremia: Patient Days223469Better than national
MRSA Bacteremia: Predicted Cases18.960Better than national
MRSA Bacteremia: Observed Cases8Better than national
MRSA Bacteremia0.422Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.387Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.660Better than national
Clostridium Difficile (C.Diff): Patient Days200447Better than national
Clostridium Difficile (C.Diff): Predicted Cases105.976Better than national
Clostridium Difficile (C.Diff): Observed Cases54Better than national
Clostridium Difficile (C.Diff)0.510Better 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 national47
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national2019
Death rate for heart attack patients12.5Same as national131
Death rate for CABG surgery patients2.1Same as national86
Death rate for COPD patients8.7Same as national127
Death rate for heart failure patients10.3Same as national456
Death rate for pneumonia patients12Better than national247
Death rate for stroke patients11.1Same as national394
Pressure ulcer rate0.91Same as national7669
Death rate among surgical inpatients with serious treatable complications158.43Same as national148
Iatrogenic pneumothorax rate0.19Same as national9208
In-hospital fall-associated fracture rate0.25Same as national9676
Postoperative hemorrhage or hematoma rate1.87Same as national2684
Postoperative acute kidney injury requiring dialysis rate1.64Same as national1558
Postoperative respiratory failure rate6.92Same as national1505
Perioperative pulmonary embolism or deep vein thrombosis rate2.51Same as national3078
Postoperative sepsis rate2.97Same as national1484
Postoperative wound dehiscence rate2.36Same as national733
Abdominopelvic accidental puncture or laceration rate0.87Same as national2181
CMS Medicare PSI 90: Patient safety and adverse events composite0.87Same 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 patients-5.4Not available156
Hospital return days for heart failure patients14.8Not available550
Hospital return days for pneumonia patients38.8Not available282
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national3611
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national1007
Rate of inpatient admissions for patients receiving outpatient chemotherapy14.4Worse than national638
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.9Same as national638
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national1346
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national156
Rate of readmission for CABG10Same as national86
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national139
Heart failure (HF) 30-Day Readmission Rate19.8Same as national550
Rate of readmission after hip/knee replacement5.4Same as national47
Pneumonia (PN) 30-Day Readmission Rate17Same as national282

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 rating44693
Doctor communication - star rating34693
Communication about medicines - star rating24693
Discharge information - star rating44693
Cleanliness - star rating34693
Quietness - star rating24693
Overall hospital rating - star rating44693
Recommend hospital - star rating54693
Summary star rating34693

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination5311186
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 better254605
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 better253591
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better39212
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 seen281013
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97181
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing195769
Appropriate care for severe sepsis and septic shock46368
Septic Shock 3-Hour Bundle62124
Septic Shock 6-Hour Bundle8760
Severe Sepsis 3-Hour Bundle68368
Severe Sepsis 6-Hour Bundle89167
Discharged on Antithrombotic Therapy97440
Anticoagulation Therapy for Atrial Fibrillation/Flutter8673
Antithrombotic Therapy by End of Hospital Day 298359
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 Milton S Hershey Medical Center rated?
Milton S Hershey Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Milton S Hershey Medical Center have emergency services?
Yes. Milton S Hershey Medical Center operates a 24/7 emergency department.
Where is Milton S Hershey Medical Center located?
Milton S Hershey Medical Center is located at 500 University Drive, Hershey, PA 17033.
What type of hospital is Milton S Hershey Medical Center?
Milton S Hershey Medical Center 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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