JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

St Luke's Hospital - Upper Bucks Campus

5 / 5

At a glance

St Luke's Hospital - Upper Bucks Campus carries a 5-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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.320Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1886Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.291Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.102Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1876Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.425Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures32Not available
SSI - Colon Surgery: Predicted Cases0.812Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures7Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.051Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.494Same as national
MRSA Bacteremia: Patient Days35452Same as national
MRSA Bacteremia: Predicted Cases1.201Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.031Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.609Better than national
Clostridium Difficile (C.Diff): Patient Days32945Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.854Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.184Better 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 patients3.4Same as national31
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national751
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.4Same as national40
Death rate for heart failure patients9.6Same as national221
Death rate for pneumonia patients12.6Same as national228
Death rate for stroke patients13Same as national82
Pressure ulcer rate0.28Same as national2630
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national3151
In-hospital fall-associated fracture rate0.25Same as national3192
Postoperative hemorrhage or hematoma rate2.49Same as national310
Postoperative acute kidney injury requiring dialysis rate1.66Same as national35
Postoperative respiratory failure rate9.00Same as national36
Perioperative pulmonary embolism or deep vein thrombosis rate3.01Same as national316
Postoperative sepsis rate5.20Same as national30
Postoperative wound dehiscence rate1.74Same as national71
Abdominopelvic accidental puncture or laceration rate0.98Same as national440
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 patientsNot available
Hospital return days for heart failure patients12Not available247
Hospital return days for pneumonia patients26.5Not available228
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.4Same as national1231
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national347
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.8Same as national102
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national102
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national281
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national45
Heart failure (HF) 30-Day Readmission Rate19.8Same as national247
Rate of readmission after hip/knee replacement4.8Same as national32
Pneumonia (PN) 30-Day Readmission Rate16.7Same as national228

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 rating51037
Doctor communication - star rating31037
Communication about medicines - star rating31037
Discharge information - star rating41037
Cleanliness - star rating51037
Quietness - star rating31037
Overall hospital rating - star rating41037
Recommend hospital - star rating51037
Summary star rating41037

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 volumemedium
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 vaccination951032
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 better190383
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 better187348
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21425
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better34811
Left before being seen226919
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100168
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing181295
Appropriate care for severe sepsis and septic shock88171
Septic Shock 3-Hour Bundle8857
Septic Shock 6-Hour Bundle9544
Severe Sepsis 3-Hour Bundle94171
Severe Sepsis 6-Hour Bundle100111
Discharged on Antithrombotic Therapy100104
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29798
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 St Luke's Hospital - Upper Bucks Campus rated?
St Luke's Hospital - Upper Bucks Campus has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does St Luke's Hospital - Upper Bucks Campus have emergency services?
Yes. St Luke's Hospital - Upper Bucks Campus operates a 24/7 emergency department.
Where is St Luke's Hospital - Upper Bucks Campus located?
St Luke's Hospital - Upper Bucks Campus is located at 3000 St. Luke's Drive, Quakertown, PA 18951.
What type of hospital is St Luke's Hospital - Upper Bucks Campus?
St Luke's Hospital - Upper Bucks Campus 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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