JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

UCSF Medical Center

4 / 5

At a glance

UCSF Medical Center 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 1.

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 Limit0.425Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.818Better than national
Central Line Associated Bloodstream Infection: Number of Device Days52835Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases60.245Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases36Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.598Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.642Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.206Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days26586Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases43.766Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases39Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.891Same as national
SSI - Colon Surgery: Lower Confidence Limit0.659Same as national
SSI - Colon Surgery: Upper Confidence Limit1.769Same as national
SSI - Colon Surgery: Number of Procedures547Same as national
SSI - Colon Surgery: Predicted Cases14.378Same as national
SSI - Colon Surgery: Observed Cases16Same as national
SSI - Colon Surgery1.113Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.107Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.109Same as national
SSI - Abdominal Hysterectomy: Number of Procedures396Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.133Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.638Same as national
MRSA Bacteremia: Lower Confidence Limit0.293Better than national
MRSA Bacteremia: Upper Confidence Limit0.878Better than national
MRSA Bacteremia: Patient Days281677Better than national
MRSA Bacteremia: Predicted Cases24.672Better than national
MRSA Bacteremia: Observed Cases13Better than national
MRSA Bacteremia0.527Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.444Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.714Better than national
Clostridium Difficile (C.Diff): Patient Days257337Better than national
Clostridium Difficile (C.Diff): Predicted Cases119.949Better than national
Clostridium Difficile (C.Diff): Observed Cases68Better than national
Clostridium Difficile (C.Diff)0.567Better 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 patients4.3Same as national395
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2.9Better than national3362
Death rate for heart attack patients10.2Same as national129
Death rate for CABG surgery patients2.1Same as national104
Death rate for COPD patients7.5Same as national88
Death rate for heart failure patients6.7Better than national461
Death rate for pneumonia patients10.6Better than national547
Death rate for stroke patients11Better than national280
Pressure ulcer rate0.95Same as national15431
Death rate among surgical inpatients with serious treatable complications139.40Better than national452
Iatrogenic pneumothorax rate0.22Same as national15965
In-hospital fall-associated fracture rate0.20Same as national17859
Postoperative hemorrhage or hematoma rate2.00Same as national6516
Postoperative acute kidney injury requiring dialysis rate0.85Same as national4184
Postoperative respiratory failure rate7.35Same as national3989
Perioperative pulmonary embolism or deep vein thrombosis rate4.90Worse than national7590
Postoperative sepsis rate5.00Same as national4087
Postoperative wound dehiscence rate1.95Same as national2034
Abdominopelvic accidental puncture or laceration rate1.24Same as national4689
CMS Medicare PSI 90: Patient safety and adverse events composite1.05Same 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 patients40.3Not available155
Hospital return days for heart failure patients-16.9Not available576
Hospital return days for pneumonia patients30.3Not available590
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Better than national5702
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national3247
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.8Worse than national2019
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national2019
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national2336
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national155
Rate of readmission for CABG10.1Same as national103
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national96
Heart failure (HF) 30-Day Readmission Rate18.2Same as national576
Rate of readmission after hip/knee replacement4.5Same as national391
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national590

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 rating42294
Doctor communication - star rating42294
Communication about medicines - star rating32294
Discharge information - star rating42294
Cleanliness - star rating42294
Quietness - star rating22294
Overall hospital rating - star rating42294
Recommend hospital - star rating52294
Summary star rating42294

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination7929981
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 better286363
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 better280345
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better43511
Left before being seen462175
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients991021
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing169050
Appropriate care for severe sepsis and septic shock3175
Septic Shock 3-Hour Bundle2524
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle6475
Severe Sepsis 6-Hour Bundle8131
Discharged on Antithrombotic Therapy99298
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 290262
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis974035

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 UCSF Medical Center rated?
UCSF Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does UCSF Medical Center have emergency services?
Yes. UCSF Medical Center operates a 24/7 emergency department.
Where is UCSF Medical Center located?
UCSF Medical Center is located at 505 Parnassus Ave, Box 0296, San Francisco, CA 94143.
What type of hospital is UCSF Medical Center?
UCSF Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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.

Report an issue with this page