JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Orlando Health

4 / 5

At a glance

Orlando Health carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails on 2.

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 Limit0.238Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.589Better than national
Central Line Associated Bloodstream Infection: Number of Device Days41053Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases49.473Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases19Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.384Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.108Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.441Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days22587Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases34.439Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.232Better than national
SSI - Colon Surgery: Lower Confidence Limit0.459Same as national
SSI - Colon Surgery: Upper Confidence Limit1.109Same as national
SSI - Colon Surgery: Number of Procedures940Same as national
SSI - Colon Surgery: Predicted Cases27.354Same as national
SSI - Colon Surgery: Observed Cases20Same as national
SSI - Colon Surgery0.731Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.010Better than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit0.980Better than national
SSI - Abdominal Hysterectomy: Number of Procedures562Better than national
SSI - Abdominal Hysterectomy: Predicted Cases5.032Better than national
SSI - Abdominal Hysterectomy: Observed Cases1Better than national
SSI - Abdominal Hysterectomy0.199Better than national
MRSA Bacteremia: Lower Confidence Limit0.844Same as national
MRSA Bacteremia: Upper Confidence Limit1.610Same as national
MRSA Bacteremia: Patient Days490719Same as national
MRSA Bacteremia: Predicted Cases31.336Same as national
MRSA Bacteremia: Observed Cases37Same as national
MRSA Bacteremia1.181Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.177Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.324Better than national
Clostridium Difficile (C.Diff): Patient Days415766Better than national
Clostridium Difficile (C.Diff): Predicted Cases173.506Better than national
Clostridium Difficile (C.Diff): Observed Cases42Better than national
Clostridium Difficile (C.Diff)0.242Better 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 patients3Same as national1128
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.1Better than national5668
Death rate for heart attack patients12.6Same as national444
Death rate for CABG surgery patients1.6Same as national245
Death rate for COPD patients6.4Same as national280
Death rate for heart failure patients8.8Better than national1091
Death rate for pneumonia patients13.6Better than national774
Death rate for stroke patients12.1Same as national546
Pressure ulcer rate0.52Same as national17034
Death rate among surgical inpatients with serious treatable complications146.42Same as national286
Iatrogenic pneumothorax rate0.17Same as national23330
In-hospital fall-associated fracture rate0.19Same as national23568
Postoperative hemorrhage or hematoma rate2.41Same as national7259
Postoperative acute kidney injury requiring dialysis rate0.98Same as national4099
Postoperative respiratory failure rate7.47Same as national3998
Perioperative pulmonary embolism or deep vein thrombosis rate4.45Same as national7572
Postoperative sepsis rate7.18Same as national4045
Postoperative wound dehiscence rate1.76Same as national1032
Abdominopelvic accidental puncture or laceration rate1.38Same as national4146
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 patients-18.3Not available494
Hospital return days for heart failure patients29Not available1334
Hospital return days for pneumonia patients5.4Not available852
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Worse than national9707
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national858
Rate of inpatient admissions for patients receiving outpatient chemotherapy15.9Worse than national862
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy3.9Better than national862
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1366
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.9Same as national494
Rate of readmission for CABG9.8Same as national242
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.2Same as national324
Heart failure (HF) 30-Day Readmission Rate21.6Same as national1334
Rate of readmission after hip/knee replacement4.7Same as national1120
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national852

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 rating39333
Doctor communication - star rating39333
Communication about medicines - star rating29333
Discharge information - star rating39333
Cleanliness - star rating39333
Quietness - star rating39333
Overall hospital rating - star rating49333
Recommend hospital - star rating49333
Summary star rating39333

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 Hyperglycemia8111923
Hospital Harm - Severe Hypoglycemia224173
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination5717178
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 better1785238
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 better1755062
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better335168
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better51916
Left before being seen1332931
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients81261
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6265
Safe Use of Opioids - Concurrent Prescribing1426004
Appropriate care for severe sepsis and septic shock61294
Septic Shock 3-Hour Bundle6676
Septic Shock 6-Hour Bundle8437
Severe Sepsis 3-Hour Bundle77294
Severe Sepsis 6-Hour Bundle94154
Discharged on Antithrombotic Therapy
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 Orlando Health rated?
Orlando Health has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Orlando Health have emergency services?
Yes. Orlando Health operates a 24/7 emergency department.
Where is Orlando Health located?
Orlando Health is located at 52 W Underwood St, Orlando, FL 32806.
What type of hospital is Orlando Health?
Orlando Health 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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