JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Northside Hospital Duluth

4 / 5

At a glance

Northside Hospital Duluth carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit0.122Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.411Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3172Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.741Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.730Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.401Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.286Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1886Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.905Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.575Same as national
SSI - Colon Surgery: Lower Confidence Limit0.247Same as national
SSI - Colon Surgery: Upper Confidence Limit4.859Same as national
SSI - Colon Surgery: Number of Procedures54Same as national
SSI - Colon Surgery: Predicted Cases1.360Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.471Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures99Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.770Not available
SSI - Abdominal Hysterectomy: Observed Cases3Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.523Same as national
MRSA Bacteremia: Patient Days33783Same as national
MRSA Bacteremia: Predicted Cases1.967Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.141Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.856Better than national
Clostridium Difficile (C.Diff): Patient Days33783Better than national
Clostridium Difficile (C.Diff): Predicted Cases12.948Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.386Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national458
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.7Same as national47
Death rate for heart failure patients9.2Same as national107
Death rate for pneumonia patients15.4Same as national177
Death rate for stroke patients13.8Same as national41
Pressure ulcer rate0.74Same as national1568
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1929
In-hospital fall-associated fracture rate0.29Same as national2009
Postoperative hemorrhage or hematoma rate2.50Same as national294
Postoperative acute kidney injury requiring dialysis rate1.65Same as national139
Postoperative respiratory failure rate8.27Same as national133
Perioperative pulmonary embolism or deep vein thrombosis rate3.53Same as national299
Postoperative sepsis rate5.02Same as national118
Postoperative wound dehiscence rate1.73Same as national58
Abdominopelvic accidental puncture or laceration rate0.98Same as national336
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same 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 patientsNot available
Hospital return days for heart failure patients-2.7Not available126
Hospital return days for pneumonia patients25.6Not available187
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national755
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national268
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 surgery1.1Same as national417
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.9Same as national58
Heart failure (HF) 30-Day Readmission Rate19.3Same as national126
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national187

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 rating2592
Doctor communication - star rating3592
Communication about medicines - star rating2592
Discharge information - star rating3592
Cleanliness - star rating5592
Quietness - star rating3592
Overall hospital rating - star rating3592
Recommend hospital - star rating4592
Summary star rating3592

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination822374
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 better213925
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 better209879
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better42337
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better33111
Left before being seen142511
Head CT results6213
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10065
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing171396
Appropriate care for severe sepsis and septic shock71223
Septic Shock 3-Hour Bundle8663
Septic Shock 6-Hour Bundle9543
Severe Sepsis 3-Hour Bundle82223
Severe Sepsis 6-Hour Bundle91122
Discharged on Antithrombotic Therapy9864
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29484
Venous Thromboembolism Prophylaxis884412
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 Northside Hospital Duluth rated?
Northside Hospital Duluth has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Northside Hospital Duluth have emergency services?
Yes. Northside Hospital Duluth operates a 24/7 emergency department.
Where is Northside Hospital Duluth located?
Northside Hospital Duluth is located at 3620 Howell Ferry Road, Duluth, GA 30096.
What type of hospital is Northside Hospital Duluth?
Northside Hospital Duluth 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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