JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

UNC Hospitals

5 / 5

At a glance

UNC Hospitals carries a 5-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. For 30-day readmissions, it beats the national rate on 1 measure 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.850Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.322Same as national
Central Line Associated Bloodstream Infection: Number of Device Days62082Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases74.104Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases79Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.066Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.424Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.825Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days35624Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases58.363Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases35Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.600Better than national
SSI - Colon Surgery: Lower Confidence Limit0.406Same as national
SSI - Colon Surgery: Upper Confidence Limit1.216Same as national
SSI - Colon Surgery: Number of Procedures606Same as national
SSI - Colon Surgery: Predicted Cases17.829Same as national
SSI - Colon Surgery: Observed Cases13Same as national
SSI - Colon Surgery0.729Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.249Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.666Same as national
SSI - Abdominal Hysterectomy: Number of Procedures325Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.062Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy0.980Same as national
MRSA Bacteremia: Lower Confidence Limit0.509Same as national
MRSA Bacteremia: Upper Confidence Limit1.137Same as national
MRSA Bacteremia: Patient Days284218Same as national
MRSA Bacteremia: Predicted Cases30.936Same as national
MRSA Bacteremia: Observed Cases24Same as national
MRSA Bacteremia0.776Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.480Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.684Better than national
Clostridium Difficile (C.Diff): Patient Days252499Better than national
Clostridium Difficile (C.Diff): Predicted Cases213.735Better than national
Clostridium Difficile (C.Diff): Observed Cases123Better than national
Clostridium Difficile (C.Diff)0.575Better 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 patients3.5Same as national182
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Better than national2402
Death rate for heart attack patients10.4Same as national146
Death rate for CABG surgery patients3.2Same as national39
Death rate for COPD patients6.4Same as national107
Death rate for heart failure patients9.8Same as national404
Death rate for pneumonia patients13.4Same as national368
Death rate for stroke patients13.3Same as national287
Pressure ulcer rate0.71Same as national9900
Death rate among surgical inpatients with serious treatable complications161.89Same as national264
Iatrogenic pneumothorax rate0.31Same as national10696
In-hospital fall-associated fracture rate0.32Same as national11495
Postoperative hemorrhage or hematoma rate2.11Same as national3512
Postoperative acute kidney injury requiring dialysis rate1.04Same as national1925
Postoperative respiratory failure rate8.88Same as national1760
Perioperative pulmonary embolism or deep vein thrombosis rate3.29Same as national3768
Postoperative sepsis rate3.44Same as national1918
Postoperative wound dehiscence rate1.52Same as national1003
Abdominopelvic accidental puncture or laceration rate0.77Same as national2693
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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-19.2Not available195
Hospital return days for heart failure patients-24.4Not available468
Hospital return days for pneumonia patients-15.4Not available387
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national3980
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)10.8Same as national2091
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.8Same as national922
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national922
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1351
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national195
Rate of readmission for CABG11.2Same as national38
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national113
Heart failure (HF) 30-Day Readmission Rate16.4Better than national468
Rate of readmission after hip/knee replacement5.1Same as national175
Pneumonia (PN) 30-Day Readmission Rate14.3Same as national387

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 rating42534
Doctor communication - star rating42534
Communication about medicines - star rating32534
Discharge information - star rating42534
Cleanliness - star rating32534
Quietness - star rating42534
Overall hospital rating - star rating42534
Recommend hospital - star rating52534
Summary star rating42534

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 Hypoglycemia27259
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination9715425
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 better286398
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 better286377
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27821
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 seen499058
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100105
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing159846
Appropriate care for severe sepsis and septic shock38111
Septic Shock 3-Hour Bundle5441
Septic Shock 6-Hour Bundle8520
Severe Sepsis 3-Hour Bundle68111
Severe Sepsis 6-Hour Bundle8353
Discharged on Antithrombotic Therapy99391
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 294339
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 UNC Hospitals rated?
UNC Hospitals has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does UNC Hospitals have emergency services?
Yes. UNC Hospitals operates a 24/7 emergency department.
Where is UNC Hospitals located?
UNC Hospitals is located at 101 Manning Drive, Chapel Hill, NC 27514.
What type of hospital is UNC Hospitals?
UNC Hospitals is classified by CMS as a Acute Care Hospitals facility (Government - State).

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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