JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

the University Hospital

1 / 5

At a glance

the University Hospital carries a 1-star CMS overall rating — below 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 Limit0.486Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.523Same as national
Central Line Associated Bloodstream Infection: Number of Device Days12208Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases13.391Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases12Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.896Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.315Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.042Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10966Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases18.347Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.600Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.235Same as national
SSI - Colon Surgery: Number of Procedures78Same as national
SSI - Colon Surgery: Predicted Cases2.426Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures36Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.416Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.401Same as national
MRSA Bacteremia: Upper Confidence Limit1.638Same as national
MRSA Bacteremia: Patient Days111808Same as national
MRSA Bacteremia: Predicted Cases9.273Same as national
MRSA Bacteremia: Observed Cases8Same as national
MRSA Bacteremia0.863Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.354Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.766Better than national
Clostridium Difficile (C.Diff): Patient Days107037Better than national
Clostridium Difficile (C.Diff): Predicted Cases49.055Better than national
Clostridium Difficile (C.Diff): Observed Cases26Better than national
Clostridium Difficile (C.Diff)0.530Better 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 Rate4.1Same as national329
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9Same as national25
Death rate for heart failure patients11.8Same as national50
Death rate for pneumonia patients14.9Same as national53
Death rate for stroke patients15.9Same as national100
Pressure ulcer rate0.62Same as national2276
Death rate among surgical inpatients with serious treatable complications167.66Same as national58
Iatrogenic pneumothorax rate0.18Same as national2725
In-hospital fall-associated fracture rate0.28Same as national2747
Postoperative hemorrhage or hematoma rate1.84Same as national571
Postoperative acute kidney injury requiring dialysis rate1.90Same as national204
Postoperative respiratory failure rate6.24Same as national162
Perioperative pulmonary embolism or deep vein thrombosis rate4.13Same as national624
Postoperative sepsis rate5.83Same as national195
Postoperative wound dehiscence rate1.70Same as national90
Abdominopelvic accidental puncture or laceration rate0.96Same as national494
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients43Not available57
Hospital return days for pneumonia patients39.8Not available55
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national699
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national87
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.7Same as national49
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national49
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national68
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national31
Heart failure (HF) 30-Day Readmission Rate19.6Same as national57
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.7Same as national55

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 rating2797
Doctor communication - star rating3797
Communication about medicines - star rating1797
Discharge information - star rating1797
Cleanliness - star rating2797
Quietness - star rating2797
Overall hospital rating - star rating2797
Recommend hospital - star rating2797
Summary star rating2797

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 vaccination954565
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 better307367
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 better294337
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better46830
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 seen8106979
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients81142
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing113414
Appropriate care for severe sepsis and septic shock31111
Septic Shock 3-Hour Bundle1723
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle70111
Severe Sepsis 6-Hour Bundle5754
Discharged on Antithrombotic Therapy99369
Anticoagulation Therapy for Atrial Fibrillation/Flutter9360
Antithrombotic Therapy by End of Hospital Day 293284
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 the University Hospital rated?
the University Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does the University Hospital have emergency services?
Yes. the University Hospital operates a 24/7 emergency department.
Where is the University Hospital located?
the University Hospital is located at 150 Bergen St, Newark, NJ 07103.
What type of hospital is the University Hospital?
the University Hospital is classified by CMS as a Acute Care Hospitals facility (Government - State).

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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