Acute Care Hospitals · Government - Local
Uch-Memorial Health System
- 1400 E Boulder St, Colorado Springs, CO 80909
- (719) 365-5000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Uch-Memorial Health System carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures and trails 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.019 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.381 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 16839 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 17.327 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 2 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.115 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.204 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.832 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 14021 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 18.255 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 8 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.438 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.630 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.888 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 439 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 11.477 | Same as national |
| SSI - Colon Surgery: Observed Cases | 13 | Same as national |
| SSI - Colon Surgery | 1.133 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.303 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 1.834 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 713 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 6.043 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 5 | Same as national |
| SSI - Abdominal Hysterectomy | 0.827 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.337 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.379 | Same as national |
| MRSA Bacteremia: Patient Days | 150424 | Same as national |
| MRSA Bacteremia: Predicted Cases | 11.019 | Same as national |
| MRSA Bacteremia: Observed Cases | 8 | Same as national |
| MRSA Bacteremia | 0.726 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.290 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.558 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 145678 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 88.294 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 36 | Better than national |
| Clostridium Difficile (C.Diff) | 0.408 | 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 | 3.5 | Same as national | 48 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.9 | Same as national | 3028 |
| Death rate for heart attack patients | 9.6 | Better than national | 284 |
| Death rate for CABG surgery patients | 2.1 | Same as national | 53 |
| Death rate for COPD patients | 9.7 | Same as national | 160 |
| Death rate for heart failure patients | 11.2 | Same as national | 626 |
| Death rate for pneumonia patients | 14.1 | Same as national | 618 |
| Death rate for stroke patients | 17.2 | Worse than national | 462 |
| Pressure ulcer rate | 0.42 | Same as national | 9105 |
| Death rate among surgical inpatients with serious treatable complications | 188.12 | Same as national | 197 |
| Iatrogenic pneumothorax rate | 0.22 | Same as national | 11436 |
| In-hospital fall-associated fracture rate | 0.24 | Same as national | 11617 |
| Postoperative hemorrhage or hematoma rate | 3.09 | Same as national | 3016 |
| Postoperative acute kidney injury requiring dialysis rate | 1.08 | Same as national | 1167 |
| Postoperative respiratory failure rate | 7.46 | Same as national | 1094 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 1.73 | Better than national | 3490 |
| Postoperative sepsis rate | 3.08 | Same as national | 1137 |
| Postoperative wound dehiscence rate | 1.77 | Same as national | 876 |
| Abdominopelvic accidental puncture or laceration rate | 0.88 | Same as national | 2620 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.71 | Better 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 | -17.8 | Not available | 339 |
| Hospital return days for heart failure patients | -19.2 | Not available | 681 |
| Hospital return days for pneumonia patients | -4 | Not available | 624 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 13.7 | Better than national | 4670 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 15.7 | Same as national | 967 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.3 | Same as national | 389 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 6.2 | Same as national | 389 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 1072 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.1 | Same as national | 339 |
| Rate of readmission for CABG | 10.3 | Same as national | 53 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.1 | Same as national | 164 |
| Heart failure (HF) 30-Day Readmission Rate | 16.8 | Better than national | 681 |
| Rate of readmission after hip/knee replacement | 4.7 | Same as national | 40 |
| Pneumonia (PN) 30-Day Readmission Rate | 14.8 | Same as national | 624 |
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 | 3 | 4133 |
| Doctor communication - star rating | 3 | 4133 |
| Communication about medicines - star rating | 2 | 4133 |
| Discharge information - star rating | 4 | 4133 |
| Cleanliness - star rating | 3 | 4133 |
| Quietness - star rating | 3 | 4133 |
| Overall hospital rating - star rating | 3 | 4133 |
| Recommend hospital - star rating | 4 | 4133 |
| Summary star rating | 3 | 4133 |
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 | — | — |
| Hospital Harm - Severe Hypoglycemia | 2 | 5567 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 95 | 9568 |
| 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 | 106 | 399 |
| 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 | 104 | 372 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 200 | 24 |
| 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 | 0 | 127103 |
| Head CT results | 27 | 11 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 99 | 72 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 43 | 44 |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 8408 |
| Appropriate care for severe sepsis and septic shock | 71 | 262 |
| Septic Shock 3-Hour Bundle | 81 | 123 |
| Septic Shock 6-Hour Bundle | 96 | 79 |
| Severe Sepsis 3-Hour Bundle | 88 | 262 |
| Severe Sepsis 6-Hour Bundle | 90 | 156 |
| Discharged on Antithrombotic Therapy | 97 | 495 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 87 | 376 |
| 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 Uch-Memorial Health System rated?
- Uch-Memorial Health System has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Uch-Memorial Health System have emergency services?
- Yes. Uch-Memorial Health System operates a 24/7 emergency department.
- Where is Uch-Memorial Health System located?
- Uch-Memorial Health System is located at 1400 E Boulder St, Colorado Springs, CO 80909.
- What type of hospital is Uch-Memorial Health System?
- Uch-Memorial Health System is classified by CMS as a Acute Care Hospitals facility (Government - Local).
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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.