JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Physician

University Medical Center of El Paso

3 / 5

At a glance

University Medical Center of El Paso carries a 3-star CMS overall rating — in line with 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 Limit0.229Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.036Same as national
Central Line Associated Bloodstream Infection: Number of Device Days12257Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases13.368Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.524Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.286Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.945Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10925Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases20.225Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.544Better than national
SSI - Colon Surgery: Lower Confidence Limit0.110Same as national
SSI - Colon Surgery: Upper Confidence Limit1.176Same as national
SSI - Colon Surgery: Number of Procedures212Same as national
SSI - Colon Surgery: Predicted Cases6.944Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.432Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures96Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.892Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.007Better than national
MRSA Bacteremia: Upper Confidence Limit0.699Better than national
MRSA Bacteremia: Patient Days103647Better than national
MRSA Bacteremia: Predicted Cases7.054Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.142Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.514Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.009Same as national
Clostridium Difficile (C.Diff): Patient Days99271Same as national
Clostridium Difficile (C.Diff): Predicted Cases46.553Same as national
Clostridium Difficile (C.Diff): Observed Cases34Same as national
Clostridium Difficile (C.Diff)0.730Same as 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national574
Death rate for heart attack patients12.3Same as national40
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national29
Death rate for heart failure patients13.7Same as national61
Death rate for pneumonia patients18.2Same as national94
Death rate for stroke patients13.9Same as national148
Pressure ulcer rate1.58Worse than national2319
Death rate among surgical inpatients with serious treatable complications198.74Same as national50
Iatrogenic pneumothorax rate0.19Same as national2497
In-hospital fall-associated fracture rate0.33Same as national2339
Postoperative hemorrhage or hematoma rate2.48Same as national719
Postoperative acute kidney injury requiring dialysis rate1.64Same as national105
Postoperative respiratory failure rate10.75Same as national92
Perioperative pulmonary embolism or deep vein thrombosis rate3.71Same as national699
Postoperative sepsis rate4.89Same as national104
Postoperative wound dehiscence rate1.68Same as national119
Abdominopelvic accidental puncture or laceration rate0.93Same as national518
CMS Medicare PSI 90: Patient safety and adverse events composite1.31Same 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 patientsNot available
Hospital return days for heart failure patients-18.1Not available70
Hospital return days for pneumonia patients50.3Not available93
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national906
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national360
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.8Same as national27
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.2Same as national27
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national97
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national36
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national29
Heart failure (HF) 30-Day Readmission Rate19.3Same as national70
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national93

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 rating22423
Doctor communication - star rating32423
Communication about medicines - star rating22423
Discharge information - star rating32423
Cleanliness - star rating42423
Quietness - star rating32423
Overall hospital rating - star rating32423
Recommend hospital - star rating42423
Summary star rating32423

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 vaccination907469
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 better246421
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 better242400
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 better52615
Left before being seen097789
Head CT results2512
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97975
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing61239
Appropriate care for severe sepsis and septic shock62189
Septic Shock 3-Hour Bundle6962
Septic Shock 6-Hour Bundle9135
Severe Sepsis 3-Hour Bundle79189
Severe Sepsis 6-Hour Bundle95102
Discharged on Antithrombotic Therapy93219
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis898431
Intensive Care Unit Venous Thromboembolism Prophylaxis963442

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 University Medical Center of El Paso rated?
University Medical Center of El Paso has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does University Medical Center of El Paso have emergency services?
Yes. University Medical Center of El Paso operates a 24/7 emergency department.
Where is University Medical Center of El Paso located?
University Medical Center of El Paso is located at 4815 Alameda Ave, El Paso, TX 79905.
What type of hospital is University Medical Center of El Paso?
University Medical Center of El Paso is classified by CMS as a Acute Care Hospitals facility (Physician).

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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