JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mount Carmel East & West

2 / 5

At a glance

Mount Carmel East & West carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 6.

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 Limit0.733Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.910Same as national
Central Line Associated Bloodstream Infection: Number of Device Days14939Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases13.961Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases17Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.218Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.976Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.002Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days17411Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases21.119Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases30Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.421Same as national
SSI - Colon Surgery: Lower Confidence Limit1.252Worse than national
SSI - Colon Surgery: Upper Confidence Limit3.361Worse than national
SSI - Colon Surgery: Number of Procedures283Worse than national
SSI - Colon Surgery: Predicted Cases7.566Worse than national
SSI - Colon Surgery: Observed Cases16Worse than national
SSI - Colon Surgery2.115Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures77Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.806Not available
SSI - Abdominal Hysterectomy: Observed Cases3Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.687Same as national
MRSA Bacteremia: Upper Confidence Limit2.059Same as national
MRSA Bacteremia: Patient Days137898Same as national
MRSA Bacteremia: Predicted Cases10.524Same as national
MRSA Bacteremia: Observed Cases13Same as national
MRSA Bacteremia1.235Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.177Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.460Better than national
Clostridium Difficile (C.Diff): Patient Days127665Better than national
Clostridium Difficile (C.Diff): Predicted Cases57.938Better than national
Clostridium Difficile (C.Diff): Observed Cases17Better than national
Clostridium Difficile (C.Diff)0.293Better 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 national51
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national1921
Death rate for heart attack patients12.4Same as national223
Death rate for CABG surgery patients3.2Same as national72
Death rate for COPD patients10Same as national156
Death rate for heart failure patients11.3Same as national588
Death rate for pneumonia patients18.6Same as national522
Death rate for stroke patients13.3Same as national334
Pressure ulcer rate0.53Same as national6890
Death rate among surgical inpatients with serious treatable complications165.88Same as national130
Iatrogenic pneumothorax rate0.35Same as national7951
In-hospital fall-associated fracture rate0.33Same as national8215
Postoperative hemorrhage or hematoma rate2.83Same as national1960
Postoperative acute kidney injury requiring dialysis rate2.28Same as national763
Postoperative respiratory failure rate8.64Same as national794
Perioperative pulmonary embolism or deep vein thrombosis rate4.36Same as national2071
Postoperative sepsis rate6.97Same as national739
Postoperative wound dehiscence rate1.82Same as national478
Abdominopelvic accidental puncture or laceration rate1.93Same as national1987
CMS Medicare PSI 90: Patient safety and adverse events composite1.14Same 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 patients21.4Not available232
Hospital return days for heart failure patients6.8Not available680
Hospital return days for pneumonia patients18.4Not available516
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national3193
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national884
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national30
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national30
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national567
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national232
Rate of readmission for CABG10.5Same as national70
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national163
Heart failure (HF) 30-Day Readmission Rate19.2Same as national680
Rate of readmission after hip/knee replacement4.9Same as national39
Pneumonia (PN) 30-Day Readmission Rate17.7Same as national516

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 rating21209
Doctor communication - star rating31209
Communication about medicines - star rating21209
Discharge information - star rating31209
Cleanliness - star rating21209
Quietness - star rating31209
Overall hospital rating - star rating31209
Recommend hospital - star rating31209
Summary star rating31209

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 vaccination366368
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 better150733
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 better145687
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30234
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better22113
Left before being seen2135393
Head CT results6015
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9866
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6549
Safe Use of Opioids - Concurrent Prescribing107257
Appropriate care for severe sepsis and septic shock65122
Septic Shock 3-Hour Bundle8731
Septic Shock 6-Hour Bundle10022
Severe Sepsis 3-Hour Bundle72122
Severe Sepsis 6-Hour Bundle9048
Discharged on Antithrombotic Therapy97619
Anticoagulation Therapy for Atrial Fibrillation/Flutter71160
Antithrombotic Therapy by End of Hospital Day 292522
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 Mount Carmel East & West rated?
Mount Carmel East & West has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Mount Carmel East & West have emergency services?
Yes. Mount Carmel East & West operates a 24/7 emergency department.
Where is Mount Carmel East & West located?
Mount Carmel East & West is located at 6001 East Broad Street, Columbus, OH 43213.
What type of hospital is Mount Carmel East & West?
Mount Carmel East & West 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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