JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Trinity Health Ann Arbor Hospital

4 / 5

At a glance

Trinity Health Ann Arbor 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 12 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 Limit0.456Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.600Same as national
Central Line Associated Bloodstream Infection: Number of Device Days10220Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases11.144Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases10Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.897Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.497Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.488Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10290Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.562Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases13Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.893Same as national
SSI - Colon Surgery: Lower Confidence Limit0.857Same as national
SSI - Colon Surgery: Upper Confidence Limit2.173Same as national
SSI - Colon Surgery: Number of Procedures519Same as national
SSI - Colon Surgery: Predicted Cases12.838Same as national
SSI - Colon Surgery: Observed Cases18Same as national
SSI - Colon Surgery1.402Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.430Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.605Same as national
SSI - Abdominal Hysterectomy: Number of Procedures218Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.773Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy1.692Same as national
MRSA Bacteremia: Lower Confidence Limit0.087Better than national
MRSA Bacteremia: Upper Confidence Limit0.927Better than national
MRSA Bacteremia: Patient Days157023Better than national
MRSA Bacteremia: Predicted Cases8.812Better than national
MRSA Bacteremia: Observed Cases3Better than national
MRSA Bacteremia0.340Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.326Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.640Better than national
Clostridium Difficile (C.Diff): Patient Days150666Better than national
Clostridium Difficile (C.Diff): Predicted Cases73.365Better than national
Clostridium Difficile (C.Diff): Observed Cases34Better than national
Clostridium Difficile (C.Diff)0.463Better 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 patients3.1Same as national615
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national3433
Death rate for heart attack patients9.9Better than national379
Death rate for CABG surgery patients1.6Same as national152
Death rate for COPD patients7.6Same as national270
Death rate for heart failure patients9Better than national944
Death rate for pneumonia patients12.7Better than national749
Death rate for stroke patients11.2Same as national403
Pressure ulcer rate0.49Same as national11789
Death rate among surgical inpatients with serious treatable complications201.35Same as national139
Iatrogenic pneumothorax rate0.22Same as national14819
In-hospital fall-associated fracture rate0.36Same as national15270
Postoperative hemorrhage or hematoma rate3.07Same as national3683
Postoperative acute kidney injury requiring dialysis rate0.88Same as national1818
Postoperative respiratory failure rate5.87Same as national1847
Perioperative pulmonary embolism or deep vein thrombosis rate2.55Same as national3858
Postoperative sepsis rate5.29Same as national1798
Postoperative wound dehiscence rate2.25Same as national666
Abdominopelvic accidental puncture or laceration rate1.91Worse than national2467
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 patients-3.8Not available443
Hospital return days for heart failure patients5.5Not available1111
Hospital return days for pneumonia patients13Not available790
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national5706
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.3Same as national564
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.9Same as national269
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national269
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1034
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national443
Rate of readmission for CABG9.1Same as national151
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national315
Heart failure (HF) 30-Day Readmission Rate19.3Same as national1111
Rate of readmission after hip/knee replacement4.8Same as national662
Pneumonia (PN) 30-Day Readmission Rate17.3Same as national790

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 rating4573
Doctor communication - star rating3573
Communication about medicines - star rating2573
Discharge information - star rating4573
Cleanliness - star rating1573
Quietness - star rating3573
Overall hospital rating - star rating4573
Recommend hospital - star rating5573
Summary star rating3573

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 Hyperglycemia846846
Hospital Harm - Severe Hypoglycemia28398
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination646315
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 better234406
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 better234381
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30224
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 seen285525
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98125
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4335
Safe Use of Opioids - Concurrent Prescribing139463
Appropriate care for severe sepsis and septic shock43107
Septic Shock 3-Hour Bundle6433
Septic Shock 6-Hour Bundle7713
Severe Sepsis 3-Hour Bundle66109
Severe Sepsis 6-Hour Bundle8752
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis8417307
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 Trinity Health Ann Arbor Hospital rated?
Trinity Health Ann Arbor Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Trinity Health Ann Arbor Hospital have emergency services?
Yes. Trinity Health Ann Arbor Hospital operates a 24/7 emergency department.
Where is Trinity Health Ann Arbor Hospital located?
Trinity Health Ann Arbor Hospital is located at 5301 E Huron River Dr, Ann Arbor, MI 48106.
What type of hospital is Trinity Health Ann Arbor Hospital?
Trinity Health Ann Arbor Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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