JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

the Miriam Hospital

4 / 5

At a glance

the Miriam Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.049Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.975Better than national
Central Line Associated Bloodstream Infection: Number of Device Days6679Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.776Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.295Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.086Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.919Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7300Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.882Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.338Better than national
SSI - Colon Surgery: Lower Confidence Limit0.390Same as national
SSI - Colon Surgery: Upper Confidence Limit1.467Same as national
SSI - Colon Surgery: Number of Procedures454Same as national
SSI - Colon Surgery: Predicted Cases11.257Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery0.800Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures6Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.039Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.064Same as national
MRSA Bacteremia: Upper Confidence Limit1.266Same as national
MRSA Bacteremia: Patient Days85346Same as national
MRSA Bacteremia: Predicted Cases5.220Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.383Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.187Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.587Better than national
Clostridium Difficile (C.Diff): Patient Days85346Better than national
Clostridium Difficile (C.Diff): Predicted Cases34.745Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.345Better 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 patients2.4Same as national432
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national2172
Death rate for heart attack patients10.1Same as national298
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.3Same as national170
Death rate for heart failure patients12.5Same as national776
Death rate for pneumonia patients13.6Same as national473
Death rate for stroke patients9.6Better than national179
Pressure ulcer rate0.17Same as national6399
Death rate among surgical inpatients with serious treatable complications165.24Same as national69
Iatrogenic pneumothorax rate0.18Same as national8546
In-hospital fall-associated fracture rate0.21Same as national8527
Postoperative hemorrhage or hematoma rate1.86Same as national1941
Postoperative acute kidney injury requiring dialysis rate2.25Same as national933
Postoperative respiratory failure rate8.04Same as national956
Perioperative pulmonary embolism or deep vein thrombosis rate2.11Same as national2118
Postoperative sepsis rate5.57Same as national908
Postoperative wound dehiscence rate1.55Same as national643
Abdominopelvic accidental puncture or laceration rate1.50Same as national1844
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 patients3.8Not available309
Hospital return days for heart failure patients-3.6Not available871
Hospital return days for pneumonia patients-19.8Not available523
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national3465
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national364
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.9Same as national67
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national67
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national628
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national309
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national182
Heart failure (HF) 30-Day Readmission Rate18.5Same as national871
Rate of readmission after hip/knee replacement3.1Better than national450
Pneumonia (PN) 30-Day Readmission Rate14.2Same as national523

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 rating3440
Doctor communication - star rating4440
Communication about medicines - star rating2440
Discharge information - star rating3440
Cleanliness - star rating3440
Quietness - star rating2440
Overall hospital rating - star rating3440
Recommend hospital - star rating4440
Summary star rating3440

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 vaccination945396
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 better302404
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 better303375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26022
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better31013
Left before being seen575363
Head CT results7419
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8688
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5233
Safe Use of Opioids - Concurrent Prescribing185203
Appropriate care for severe sepsis and septic shock59247
Septic Shock 3-Hour Bundle58102
Septic Shock 6-Hour Bundle8946
Severe Sepsis 3-Hour Bundle84248
Severe Sepsis 6-Hour Bundle96114
Discharged on Antithrombotic Therapy99273
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9011697
Intensive Care Unit Venous Thromboembolism Prophylaxis971141

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 the Miriam Hospital rated?
the Miriam Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does the Miriam Hospital have emergency services?
Yes. the Miriam Hospital operates a 24/7 emergency department.
Where is the Miriam Hospital located?
the Miriam Hospital is located at 164 Summit Avenue, Providence, RI 02906.
What type of hospital is the Miriam Hospital?
the Miriam Hospital 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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