JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Pali Momi Medical Center

4 / 5

At a glance

Pali Momi 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 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 Limit0.018Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.772Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3950Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.783Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.359Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.027Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.642Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2679Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.867Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.536Same as national
SSI - Colon Surgery: Lower Confidence Limit0.493Same as national
SSI - Colon Surgery: Upper Confidence Limit2.982Same as national
SSI - Colon Surgery: Number of Procedures138Same as national
SSI - Colon Surgery: Predicted Cases3.717Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.345Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures65Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.570Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.508Same as national
MRSA Bacteremia: Patient Days37914Same as national
MRSA Bacteremia: Predicted Cases1.987Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.058Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.617Better than national
Clostridium Difficile (C.Diff): Patient Days37914Better than national
Clostridium Difficile (C.Diff): Predicted Cases13.236Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.227Better 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 Rate3.4Better than national916
Death rate for heart attack patients13.1Same as national171
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national30
Death rate for heart failure patients9.4Same as national210
Death rate for pneumonia patients17.1Same as national402
Death rate for stroke patients10.6Same as national166
Pressure ulcer rate0.42Same as national2957
Death rate among surgical inpatients with serious treatable complications162.97Same as national41
Iatrogenic pneumothorax rate0.33Same as national3322
In-hospital fall-associated fracture rate0.24Same as national3332
Postoperative hemorrhage or hematoma rate2.18Same as national741
Postoperative acute kidney injury requiring dialysis rate1.53Same as national216
Postoperative respiratory failure rate5.46Same as national243
Perioperative pulmonary embolism or deep vein thrombosis rate2.79Same as national834
Postoperative sepsis rate4.89Same as national219
Postoperative wound dehiscence rate1.96Same as national267
Abdominopelvic accidental puncture or laceration rate0.84Same as national823
CMS Medicare PSI 90: Patient safety and adverse events composite0.79Same 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 patients45.3Not available144
Hospital return days for heart failure patients41.8Not available231
Hospital return days for pneumonia patients-2.7Not available391
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Same as national1428
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national578
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national157
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.7Same as national157
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national387
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national144
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national28
Heart failure (HF) 30-Day Readmission Rate21.5Same as national231
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.2Same as national391

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 rating4442
Doctor communication - star rating4442
Communication about medicines - star rating4442
Discharge information - star rating4442
Cleanliness - star rating4442
Quietness - star rating3442
Overall hospital rating - star rating4442
Recommend hospital - star rating5442
Summary star rating4442

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 vaccination772455
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 better158380
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 better160372
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen045307
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10090
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing11904
Appropriate care for severe sepsis and septic shock76683
Septic Shock 3-Hour Bundle87280
Septic Shock 6-Hour Bundle78211
Severe Sepsis 3-Hour Bundle91684
Severe Sepsis 6-Hour Bundle97481
Discharged on Antithrombotic Therapy98129
Anticoagulation Therapy for Atrial Fibrillation/Flutter7333
Antithrombotic Therapy by End of Hospital Day 292129
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Pali Momi Medical Center rated?
Pali Momi Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Pali Momi Medical Center have emergency services?
Yes. Pali Momi Medical Center operates a 24/7 emergency department.
Where is Pali Momi Medical Center located?
Pali Momi Medical Center is located at 98-1079 Moanalua Road, Aiea, HI 96701.
What type of hospital is Pali Momi Medical Center?
Pali Momi 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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