JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Munson Medical Center

4 / 5

At a glance

Munson 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 1 measure and trails 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 Limit0.008Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.745Better than national
Central Line Associated Bloodstream Infection: Number of Device Days6266Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.617Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.151Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.498Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.647Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9386Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.608Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.948Same as national
SSI - Colon Surgery: Lower Confidence Limit0.597Same as national
SSI - Colon Surgery: Upper Confidence Limit2.096Same as national
SSI - Colon Surgery: Number of Procedures326Same as national
SSI - Colon Surgery: Predicted Cases8.504Same as national
SSI - Colon Surgery: Observed Cases10Same as national
SSI - Colon Surgery1.176Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.509Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit5.443Same as national
SSI - Abdominal Hysterectomy: Number of Procedures178Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.500Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy2.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.089Better than national
MRSA Bacteremia: Upper Confidence Limit0.957Better than national
MRSA Bacteremia: Patient Days98201Better than national
MRSA Bacteremia: Predicted Cases8.528Better than national
MRSA Bacteremia: Observed Cases3Better than national
MRSA Bacteremia0.352Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.122Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.365Better than national
Clostridium Difficile (C.Diff): Patient Days93266Better than national
Clostridium Difficile (C.Diff): Predicted Cases59.434Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.219Better 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 national111
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national2394
Death rate for heart attack patients13.9Same as national467
Death rate for CABG surgery patients2.2Same as national167
Death rate for COPD patients10.4Same as national135
Death rate for heart failure patients12.9Same as national721
Death rate for pneumonia patients13.1Same as national268
Death rate for stroke patients13.6Same as national404
Pressure ulcer rate0.23Same as national7475
Death rate among surgical inpatients with serious treatable complications214.32Same as national133
Iatrogenic pneumothorax rate0.20Same as national9022
In-hospital fall-associated fracture rate0.29Same as national9076
Postoperative hemorrhage or hematoma rate2.14Same as national2770
Postoperative acute kidney injury requiring dialysis rate1.68Same as national1133
Postoperative respiratory failure rate4.38Better than national1114
Perioperative pulmonary embolism or deep vein thrombosis rate3.16Same as national3070
Postoperative sepsis rate7.14Same as national1124
Postoperative wound dehiscence rate1.41Same as national565
Abdominopelvic accidental puncture or laceration rate1.59Same as national1832
CMS Medicare PSI 90: Patient safety and adverse events composite0.82Same 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-28.8Not available457
Hospital return days for heart failure patients-9.8Not available821
Hospital return days for pneumonia patients-6.7Not available261
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national3789
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national112
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national425
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.9Same as national425
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national918
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.1Better than national457
Rate of readmission for CABG10.4Same as national163
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national145
Heart failure (HF) 30-Day Readmission Rate18.9Same as national821
Rate of readmission after hip/knee replacement5.2Same as national113
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national261

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 rating4450
Doctor communication - star rating4450
Communication about medicines - star rating3450
Discharge information - star rating4450
Cleanliness - star rating2450
Quietness - star rating2450
Overall hospital rating - star rating3450
Recommend hospital - star rating4450
Summary star rating3450

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 Hypoglycemia25368
Hospital Harm - Opioid Related Adverse Events010951
Healthcare workers given influenza vaccination903830
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 better276472
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 better272442
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better38027
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 seen350526
Head CT results5413
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7423
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4749
Safe Use of Opioids - Concurrent Prescribing155484
Appropriate care for severe sepsis and septic shock59635
Septic Shock 3-Hour Bundle78245
Septic Shock 6-Hour Bundle88140
Severe Sepsis 3-Hour Bundle74636
Severe Sepsis 6-Hour Bundle95301
Discharged on Antithrombotic Therapy98484
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Munson Medical Center rated?
Munson Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Munson Medical Center have emergency services?
Yes. Munson Medical Center operates a 24/7 emergency department.
Where is Munson Medical Center located?
Munson Medical Center is located at 1105 Sixth Street, Traverse City, MI 49684.
What type of hospital is Munson Medical Center?
Munson Medical Center 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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