Acute Care Hospitals · Voluntary non-profit - Private
Thomas Jefferson University Hospital
- 111 South 11th Street, Philadelphia, PA 19107
- (215) 955-6000
- Acute Care Hospitals
- Emergency services available 24/7
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.444 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.073 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 26756 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 28.271 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 20 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.707 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.398 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.983 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 17298 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 29.612 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 19 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.642 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.233 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.196 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 356 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 10.436 | Same as national |
| SSI - Colon Surgery: Observed Cases | 6 | Same as national |
| SSI - Colon Surgery | 0.575 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 2.146 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 153 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.396 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Same as national |
| SSI - Abdominal Hysterectomy | 0.000 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.824 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.691 | Same as national |
| MRSA Bacteremia: Patient Days | 241797 | Same as national |
| MRSA Bacteremia: Predicted Cases | 25.012 | Same as national |
| MRSA Bacteremia: Observed Cases | 30 | Same as national |
| MRSA Bacteremia | 1.199 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.383 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.621 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 235290 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 134.353 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 66 | Better than national |
| Clostridium Difficile (C.Diff) | 0.491 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 4.4 | Same as national | 500 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3 | Better than national | 3106 |
| Death rate for heart attack patients | 10 | Same as national | 146 |
| Death rate for CABG surgery patients | 2.4 | Same as national | 101 |
| Death rate for COPD patients | 6.6 | Same as national | 141 |
| Death rate for heart failure patients | 8 | Better than national | 556 |
| Death rate for pneumonia patients | 13.8 | Same as national | 307 |
| Death rate for stroke patients | 11.1 | Same as national | 445 |
| Pressure ulcer rate | 1.50 | Worse than national | 13325 |
| Death rate among surgical inpatients with serious treatable complications | 160.49 | Same as national | 391 |
| Iatrogenic pneumothorax rate | 0.28 | Same as national | 15264 |
| In-hospital fall-associated fracture rate | 0.15 | Same as national | 15831 |
| Postoperative hemorrhage or hematoma rate | 2.63 | Same as national | 5698 |
| Postoperative acute kidney injury requiring dialysis rate | 2.26 | Same as national | 3749 |
| Postoperative respiratory failure rate | 9.86 | Same as national | 3462 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.47 | Same as national | 6206 |
| Postoperative sepsis rate | 9.00 | Worse than national | 3633 |
| Postoperative wound dehiscence rate | 1.20 | Same as national | 1641 |
| Abdominopelvic accidental puncture or laceration rate | 1.27 | Same as national | 4071 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.46 | Worse 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 25.4 | Not available | 185 |
| Hospital return days for heart failure patients | 48 | Not available | 666 |
| Hospital return days for pneumonia patients | 0.9 | Not available | 333 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 16.2 | Worse than national | 5511 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.6 | Same as national | 3190 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 11.9 | Same as national | 1085 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.7 | Same as national | 1085 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.8 | Better than national | 1752 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.4 | Same as national | 185 |
| Rate of readmission for CABG | 11.8 | Same as national | 99 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 20.7 | Same as national | 165 |
| Heart failure (HF) 30-Day Readmission Rate | 21.4 | Same as national | 666 |
| Rate of readmission after hip/knee replacement | 6.5 | Worse than national | 477 |
| Pneumonia (PN) 30-Day Readmission Rate | 14.6 | Same as national | 333 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 2331 |
| Doctor communication - star rating | 3 | 2331 |
| Communication about medicines - star rating | 3 | 2331 |
| Discharge information - star rating | 3 | 2331 |
| Cleanliness - star rating | 2 | 2331 |
| Quietness - star rating | 2 | 2331 |
| Overall hospital rating - star rating | 3 | 2331 |
| Recommend hospital - star rating | 3 | 2331 |
| Summary star rating | 3 | 2331 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 | 9 | 58459 |
| Hospital Harm - Severe Hypoglycemia | 2 | 9147 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 89 | 9682 |
| 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 better | 253 | 368 |
| 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 better | 253 | 350 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 292 | 17 |
| 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 seen | 2 | 125757 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 97 | 100 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 43 | 56 |
| Safe Use of Opioids - Concurrent Prescribing | 19 | 9728 |
| Appropriate care for severe sepsis and septic shock | 49 | 93 |
| Septic Shock 3-Hour Bundle | 74 | 23 |
| Septic Shock 6-Hour Bundle | 91 | 11 |
| Severe Sepsis 3-Hour Bundle | 57 | 93 |
| Severe Sepsis 6-Hour Bundle | 100 | 30 |
| Discharged on Antithrombotic Therapy | 99 | 660 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
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).
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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.