JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

North Austin Medical Center

3 / 5

At a glance

North Austin Medical Center 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 12 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 Limit0.006Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.580Better than national
Central Line Associated Bloodstream Infection: Number of Device Days8567Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.509Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.118Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.132Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.416Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7105Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.767Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.520Same as national
SSI - Colon Surgery: Lower Confidence Limit0.621Same as national
SSI - Colon Surgery: Upper Confidence Limit2.338Same as national
SSI - Colon Surgery: Number of Procedures255Same as national
SSI - Colon Surgery: Predicted Cases7.064Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery1.274Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.015Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.527Same as national
SSI - Abdominal Hysterectomy: Number of Procedures387Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.229Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.310Same as national
MRSA Bacteremia: Lower Confidence Limit0.137Same as national
MRSA Bacteremia: Upper Confidence Limit1.461Same as national
MRSA Bacteremia: Patient Days151474Same as national
MRSA Bacteremia: Predicted Cases5.588Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.537Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.055Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.224Better than national
Clostridium Difficile (C.Diff): Patient Days103481Better than national
Clostridium Difficile (C.Diff): Predicted Cases67.846Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.118Better 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 patients2.8Same as national74
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1307
Death rate for heart attack patients11.9Same as national118
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.6Same as national80
Death rate for heart failure patients10.1Same as national278
Death rate for pneumonia patients17.2Same as national495
Death rate for stroke patients11.7Same as national111
Pressure ulcer rate0.37Same as national4419
Death rate among surgical inpatients with serious treatable complications177.85Same as national54
Iatrogenic pneumothorax rate0.21Same as national5824
In-hospital fall-associated fracture rate0.22Same as national5942
Postoperative hemorrhage or hematoma rate1.92Same as national1267
Postoperative acute kidney injury requiring dialysis rate1.06Same as national733
Postoperative respiratory failure rate10.76Same as national768
Perioperative pulmonary embolism or deep vein thrombosis rate2.84Same as national1322
Postoperative sepsis rate4.55Same as national698
Postoperative wound dehiscence rate1.62Same as national429
Abdominopelvic accidental puncture or laceration rate0.74Same as national1413
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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 patients14.7Not available114
Hospital return days for heart failure patients-32.8Not available307
Hospital return days for pneumonia patients26.4Not available532
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national2124
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national548
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national560
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national114
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national85
Heart failure (HF) 30-Day Readmission Rate19.4Same as national307
Rate of readmission after hip/knee replacement5.2Same as national78
Pneumonia (PN) 30-Day Readmission Rate17.7Same as national532

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 rating2977
Doctor communication - star rating3977
Communication about medicines - star rating2977
Discharge information - star rating2977
Cleanliness - star rating3977
Quietness - star rating3977
Overall hospital rating - star rating3977
Recommend hospital - star rating3977
Summary star rating3977

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 vaccination397595
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 better158450
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 better156428
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16818
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 seen188622
Head CT results6715
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9386
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing185687
Appropriate care for severe sepsis and septic shock68123
Septic Shock 3-Hour Bundle7431
Septic Shock 6-Hour Bundle9418
Severe Sepsis 3-Hour Bundle80123
Severe Sepsis 6-Hour Bundle9672
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295128
Venous Thromboembolism Prophylaxis899202
Intensive Care Unit Venous Thromboembolism Prophylaxis1001334

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 North Austin Medical Center rated?
North Austin Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does North Austin Medical Center have emergency services?
Yes. North Austin Medical Center operates a 24/7 emergency department.
Where is North Austin Medical Center located?
North Austin Medical Center is located at 12221 Mopac Expressway North, Austin, TX 78758.
What type of hospital is North Austin Medical Center?
North Austin Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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