JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Trinity Health Oakland Hospital

2 / 5

At a glance

Trinity Health Oakland Hospital carries a 2-star CMS overall rating — below 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 Limit0.057Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.114Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5410Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.933Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.337Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.182Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.935Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10151Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.353Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.449Better than national
SSI - Colon Surgery: Lower Confidence Limit0.598Same as national
SSI - Colon Surgery: Upper Confidence Limit3.067Same as national
SSI - Colon Surgery: Number of Procedures164Same as national
SSI - Colon Surgery: Predicted Cases4.069Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.475Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.048Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.742Same as national
SSI - Abdominal Hysterectomy: Number of Procedures116Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.040Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.962Same as national
MRSA Bacteremia: Lower Confidence Limit0.267Same as national
MRSA Bacteremia: Upper Confidence Limit2.024Same as national
MRSA Bacteremia: Patient Days78389Same as national
MRSA Bacteremia: Predicted Cases4.768Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.839Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.386Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.912Better than national
Clostridium Difficile (C.Diff): Patient Days71905Better than national
Clostridium Difficile (C.Diff): Predicted Cases34.612Better than national
Clostridium Difficile (C.Diff): Observed Cases21Better than national
Clostridium Difficile (C.Diff)0.607Better 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 patients4.7Same as national47
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national1790
Death rate for heart attack patients12.9Same as national279
Death rate for CABG surgery patients2.3Same as national99
Death rate for COPD patients8Same as national166
Death rate for heart failure patients10.4Same as national517
Death rate for pneumonia patients15.5Same as national540
Death rate for stroke patients14.5Same as national339
Pressure ulcer rate0.45Same as national7036
Death rate among surgical inpatients with serious treatable complications200.39Same as national87
Iatrogenic pneumothorax rate0.33Same as national7879
In-hospital fall-associated fracture rate0.27Same as national8051
Postoperative hemorrhage or hematoma rate2.23Same as national1673
Postoperative acute kidney injury requiring dialysis rate1.67Same as national721
Postoperative respiratory failure rate10.64Same as national726
Perioperative pulmonary embolism or deep vein thrombosis rate3.35Same as national1824
Postoperative sepsis rate7.29Same as national703
Postoperative wound dehiscence rate1.57Same as national351
Abdominopelvic accidental puncture or laceration rate1.20Same as national1307
CMS Medicare PSI 90: Patient safety and adverse events composite1.06Same 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 patients30Not available275
Hospital return days for heart failure patients3.8Not available583
Hospital return days for pneumonia patients20.9Not available505
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national2999
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.5Same as national333
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national91
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national91
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national632
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15Same as national275
Rate of readmission for CABG10.7Same as national97
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national190
Heart failure (HF) 30-Day Readmission Rate19.4Same as national583
Rate of readmission after hip/knee replacement6.2Same as national46
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national505

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 rating2683
Doctor communication - star rating2683
Communication about medicines - star rating2683
Discharge information - star rating3683
Cleanliness - star rating1683
Quietness - star rating3683
Overall hospital rating - star rating2683
Recommend hospital - star rating3683
Summary star rating2683

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 volumehigh
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 vaccination504420
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 better194398
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 better195371
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17927
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 seen158677
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9880
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing164994
Appropriate care for severe sepsis and septic shock64148
Septic Shock 3-Hour Bundle6346
Septic Shock 6-Hour Bundle10022
Severe Sepsis 3-Hour Bundle82149
Severe Sepsis 6-Hour Bundle9285
Discharged on Antithrombotic Therapy99356
Anticoagulation Therapy for Atrial Fibrillation/Flutter8191
Antithrombotic Therapy by End of Hospital Day 296312
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 Trinity Health Oakland Hospital rated?
Trinity Health Oakland Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Trinity Health Oakland Hospital have emergency services?
Yes. Trinity Health Oakland Hospital operates a 24/7 emergency department.
Where is Trinity Health Oakland Hospital located?
Trinity Health Oakland Hospital is located at 44405 Woodward Ave, Pontiac, MI 48341.
What type of hospital is Trinity Health Oakland Hospital?
Trinity Health Oakland 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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