JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

University of Michigan Health - West

4 / 5

At a glance

University of Michigan Health - West carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit0.085Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.677Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4440Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.940Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.508Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.450Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.725Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.067Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.229Same as national
SSI - Colon Surgery: Lower Confidence Limit0.503Same as national
SSI - Colon Surgery: Upper Confidence Limit3.817Same as national
SSI - Colon Surgery: Number of Procedures94Same as national
SSI - Colon Surgery: Predicted Cases2.528Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery1.582Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures87Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.738Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.125Same as national
MRSA Bacteremia: Upper Confidence Limit2.470Same as national
MRSA Bacteremia: Patient Days53332Same as national
MRSA Bacteremia: Predicted Cases2.675Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.748Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.188Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.768Better than national
Clostridium Difficile (C.Diff): Patient Days50450Better than national
Clostridium Difficile (C.Diff): Predicted Cases19.790Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.404Better 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 patients3Same as national59
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national586
Death rate for heart attack patients12Same as national54
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national40
Death rate for heart failure patients12.6Same as national113
Death rate for pneumonia patients16.3Same as national78
Death rate for stroke patients14.3Same as national95
Pressure ulcer rate0.62Same as national1935
Death rate among surgical inpatients with serious treatable complications181.40Same as national28
Iatrogenic pneumothorax rate0.19Same as national2448
In-hospital fall-associated fracture rate0.28Same as national2494
Postoperative hemorrhage or hematoma rate2.09Same as national925
Postoperative acute kidney injury requiring dialysis rate1.46Same as national551
Postoperative respiratory failure rate4.81Same as national540
Perioperative pulmonary embolism or deep vein thrombosis rate3.47Same as national954
Postoperative sepsis rate4.71Same as national535
Postoperative wound dehiscence rate1.69Same as national261
Abdominopelvic accidental puncture or laceration rate0.93Same as national580
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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-28Not available54
Hospital return days for heart failure patients-18.3Not available130
Hospital return days for pneumonia patients-39.8Not available80
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national910
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.9Same as national854
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.4Same as national79
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national79
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national348
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national54
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national38
Heart failure (HF) 30-Day Readmission Rate18.3Same as national130
Rate of readmission after hip/knee replacement4.2Same as national50
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national80

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 rating4593
Doctor communication - star rating4593
Communication about medicines - star rating2593
Discharge information - star rating4593
Cleanliness - star rating3593
Quietness - star rating3593
Overall hospital rating - star rating4593
Recommend hospital - star rating4593
Summary star rating4593

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 volumehigh
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 vaccination864313
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 better184421
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 better184403
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17018
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 seen357845
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing203574
Appropriate care for severe sepsis and septic shock78121
Septic Shock 3-Hour Bundle8553
Septic Shock 6-Hour Bundle9432
Severe Sepsis 3-Hour Bundle88121
Severe Sepsis 6-Hour Bundle9678
Discharged on Antithrombotic Therapy98244
Anticoagulation Therapy for Atrial Fibrillation/Flutter8451
Antithrombotic Therapy by End of Hospital Day 295153
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 - West rated?
University of Michigan Health - West has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does University of Michigan Health - West have emergency services?
Yes. University of Michigan Health - West operates a 24/7 emergency department.
Where is University of Michigan Health - West located?
University of Michigan Health - West is located at 5900 Byron Center Avenue, Sw, Wyoming, MI 49519.
What type of hospital is University of Michigan Health - West?
University of Michigan Health - West 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.

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