JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Thomas Jefferson University Hospital

3 / 5

At a glance

Thomas Jefferson University Hospital carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.444Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.073Same as national
Central Line Associated Bloodstream Infection: Number of Device Days26756Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases28.271Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases20Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.707Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.398Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.983Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days17298Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases29.612Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases19Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.642Better than national
SSI - Colon Surgery: Lower Confidence Limit0.233Same as national
SSI - Colon Surgery: Upper Confidence Limit1.196Same as national
SSI - Colon Surgery: Number of Procedures356Same as national
SSI - Colon Surgery: Predicted Cases10.436Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.575Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.146Same as national
SSI - Abdominal Hysterectomy: Number of Procedures153Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.396Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.824Same as national
MRSA Bacteremia: Upper Confidence Limit1.691Same as national
MRSA Bacteremia: Patient Days241797Same as national
MRSA Bacteremia: Predicted Cases25.012Same as national
MRSA Bacteremia: Observed Cases30Same as national
MRSA Bacteremia1.199Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.383Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.621Better than national
Clostridium Difficile (C.Diff): Patient Days235290Better than national
Clostridium Difficile (C.Diff): Predicted Cases134.353Better than national
Clostridium Difficile (C.Diff): Observed Cases66Better than national
Clostridium Difficile (C.Diff)0.491Better 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 patients4.4Same as national500
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3Better than national3106
Death rate for heart attack patients10Same as national146
Death rate for CABG surgery patients2.4Same as national101
Death rate for COPD patients6.6Same as national141
Death rate for heart failure patients8Better than national556
Death rate for pneumonia patients13.8Same as national307
Death rate for stroke patients11.1Same as national445
Pressure ulcer rate1.50Worse than national13325
Death rate among surgical inpatients with serious treatable complications160.49Same as national391
Iatrogenic pneumothorax rate0.28Same as national15264
In-hospital fall-associated fracture rate0.15Same as national15831
Postoperative hemorrhage or hematoma rate2.63Same as national5698
Postoperative acute kidney injury requiring dialysis rate2.26Same as national3749
Postoperative respiratory failure rate9.86Same as national3462
Perioperative pulmonary embolism or deep vein thrombosis rate4.47Same as national6206
Postoperative sepsis rate9.00Worse than national3633
Postoperative wound dehiscence rate1.20Same as national1641
Abdominopelvic accidental puncture or laceration rate1.27Same as national4071
CMS Medicare PSI 90: Patient safety and adverse events composite1.46Worse than 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 patients25.4Not available185
Hospital return days for heart failure patients48Not available666
Hospital return days for pneumonia patients0.9Not available333
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.2Worse than national5511
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national3190
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.9Same as national1085
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national1085
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national1752
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national185
Rate of readmission for CABG11.8Same as national99
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.7Same as national165
Heart failure (HF) 30-Day Readmission Rate21.4Same as national666
Rate of readmission after hip/knee replacement6.5Worse than national477
Pneumonia (PN) 30-Day Readmission Rate14.6Same as national333

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 rating42331
Doctor communication - star rating32331
Communication about medicines - star rating32331
Discharge information - star rating32331
Cleanliness - star rating22331
Quietness - star rating22331
Overall hospital rating - star rating32331
Recommend hospital - star rating32331
Summary star rating32331

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 Hyperglycemia958459
Hospital Harm - Severe Hypoglycemia29147
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination899682
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 better253368
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 better253350
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29217
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 seen2125757
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97100
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4356
Safe Use of Opioids - Concurrent Prescribing199728
Appropriate care for severe sepsis and septic shock4993
Septic Shock 3-Hour Bundle7423
Septic Shock 6-Hour Bundle9111
Severe Sepsis 3-Hour Bundle5793
Severe Sepsis 6-Hour Bundle10030
Discharged on Antithrombotic Therapy99660
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 Thomas Jefferson University Hospital rated?
Thomas Jefferson University Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Thomas Jefferson University Hospital have emergency services?
Yes. Thomas Jefferson University Hospital operates a 24/7 emergency department.
Where is Thomas Jefferson University Hospital located?
Thomas Jefferson University Hospital is located at 111 South 11th Street, Philadelphia, PA 19107.
What type of hospital is Thomas Jefferson University Hospital?
Thomas Jefferson University 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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