JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

University of Michigan Health System

4 / 5

At a glance

University of Michigan 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 24 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 Limit0.355Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.657Better than national
Central Line Associated Bloodstream Infection: Number of Device Days73903Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases83.885Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases41Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.489Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.511Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.984Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days33253Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases50.108Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases36Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.718Better than national
SSI - Colon Surgery: Lower Confidence Limit0.474Same as national
SSI - Colon Surgery: Upper Confidence Limit1.316Same as national
SSI - Colon Surgery: Number of Procedures636Same as national
SSI - Colon Surgery: Predicted Cases18.375Same as national
SSI - Colon Surgery: Observed Cases15Same as national
SSI - Colon Surgery0.816Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.630Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.810Same as national
SSI - Abdominal Hysterectomy: Number of Procedures295Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.909Same as national
SSI - Abdominal Hysterectomy: Observed Cases5Same as national
SSI - Abdominal Hysterectomy1.719Same as national
MRSA Bacteremia: Lower Confidence Limit0.287Better than national
MRSA Bacteremia: Upper Confidence Limit0.825Better than national
MRSA Bacteremia: Patient Days331273Better than national
MRSA Bacteremia: Predicted Cases27.784Better than national
MRSA Bacteremia: Observed Cases14Better than national
MRSA Bacteremia0.504Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.413Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.630Better than national
Clostridium Difficile (C.Diff): Patient Days302644Better than national
Clostridium Difficile (C.Diff): Predicted Cases167.782Better than national
Clostridium Difficile (C.Diff): Observed Cases86Better than national
Clostridium Difficile (C.Diff)0.513Better 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 patients3.3Same as national127
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national2910
Death rate for heart attack patients10.8Same as national187
Death rate for CABG surgery patients2.1Same as national119
Death rate for COPD patients8.4Same as national144
Death rate for heart failure patients8.9Better than national733
Death rate for pneumonia patients11.4Better than national335
Death rate for stroke patients14Same as national264
Pressure ulcer rate0.41Same as national14078
Death rate among surgical inpatients with serious treatable complications219.85Worse than national265
Iatrogenic pneumothorax rate0.27Same as national14473
In-hospital fall-associated fracture rate0.26Same as national15885
Postoperative hemorrhage or hematoma rate3.41Worse than national4962
Postoperative acute kidney injury requiring dialysis rate1.91Same as national3139
Postoperative respiratory failure rate9.57Same as national3010
Perioperative pulmonary embolism or deep vein thrombosis rate2.78Same as national5454
Postoperative sepsis rate4.45Same as national3258
Postoperative wound dehiscence rate1.99Same as national1414
Abdominopelvic accidental puncture or laceration rate1.16Same as national4021
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 patients19.5Not available205
Hospital return days for heart failure patients5.1Not available879
Hospital return days for pneumonia patients103.3Not available346
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national5068
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national4556
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.6Same as national1530
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national1530
Ratio of unplanned hospital visits after hospital outpatient surgery0.7Better than national2376
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national205
Rate of readmission for CABG10.1Same as national118
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national158
Heart failure (HF) 30-Day Readmission Rate18.4Same as national879
Rate of readmission after hip/knee replacement4.9Same as national111
Pneumonia (PN) 30-Day Readmission Rate18.5Same as national346

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 rating5846
Doctor communication - star rating4846
Communication about medicines - star rating3846
Discharge information - star rating4846
Cleanliness - star rating2846
Quietness - star rating2846
Overall hospital rating - star rating4846
Recommend hospital - star rating5846
Summary star rating4846

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 Hyperglycemia879157
Hospital Harm - Severe Hypoglycemia110551
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination9239183
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 better358390
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 better358359
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28831
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 seen3117586
Head CT results3020
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97203
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing1511225
Appropriate care for severe sepsis and septic shock55474
Septic Shock 3-Hour Bundle59190
Septic Shock 6-Hour Bundle9471
Severe Sepsis 3-Hour Bundle77474
Severe Sepsis 6-Hour Bundle94244
Discharged on Antithrombotic Therapy99363
Anticoagulation Therapy for Atrial Fibrillation/Flutter90100
Antithrombotic Therapy by End of Hospital Day 295285
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 University of Michigan Health System rated?
University of Michigan Health System has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does University of Michigan Health System have emergency services?
Yes. University of Michigan Health System operates a 24/7 emergency department.
Where is University of Michigan Health System located?
University of Michigan Health System is located at 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109.
What type of hospital is University of Michigan Health System?
University of Michigan Health System 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.

Report an issue with this page