JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

University of Mississippi Med Center

2 / 5

At a glance

University of Mississippi Med Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 6.

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 Limit0.555Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.050Same as national
Central Line Associated Bloodstream Infection: Number of Device Days40480Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases49.154Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases38Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.773Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.434Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.843Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days34367Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases57.101Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases35Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.613Better than national
SSI - Colon Surgery: Lower Confidence Limit1.031Worse than national
SSI - Colon Surgery: Upper Confidence Limit2.305Worse than national
SSI - Colon Surgery: Number of Procedures453Worse than national
SSI - Colon Surgery: Predicted Cases15.254Worse than national
SSI - Colon Surgery: Observed Cases24Worse than national
SSI - Colon Surgery1.573Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.207Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.210Same as national
SSI - Abdominal Hysterectomy: Number of Procedures381Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.694Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy0.812Same as national
MRSA Bacteremia: Lower Confidence Limit0.519Same as national
MRSA Bacteremia: Upper Confidence Limit1.227Same as national
MRSA Bacteremia: Patient Days255356Same as national
MRSA Bacteremia: Predicted Cases25.709Same as national
MRSA Bacteremia: Observed Cases21Same as national
MRSA Bacteremia0.817Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.094Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.238Better than national
Clostridium Difficile (C.Diff): Patient Days221076Better than national
Clostridium Difficile (C.Diff): Predicted Cases117.372Better than national
Clostridium Difficile (C.Diff): Observed Cases18Better than national
Clostridium Difficile (C.Diff)0.153Better 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 patients3.6Same as national44
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national1488
Death rate for heart attack patients13.3Same as national71
Death rate for CABG surgery patients1.8Same as national78
Death rate for COPD patients8.7Same as national80
Death rate for heart failure patients9.5Same as national264
Death rate for pneumonia patients12Same as national164
Death rate for stroke patients11.2Same as national275
Pressure ulcer rate0.84Same as national7705
Death rate among surgical inpatients with serious treatable complications224.53Worse than national244
Iatrogenic pneumothorax rate0.42Worse than national8486
In-hospital fall-associated fracture rate0.39Same as national8812
Postoperative hemorrhage or hematoma rate4.11Worse than national2972
Postoperative acute kidney injury requiring dialysis rate1.64Same as national1369
Postoperative respiratory failure rate8.98Same as national1292
Perioperative pulmonary embolism or deep vein thrombosis rate6.67Worse than national3070
Postoperative sepsis rate6.69Same as national1378
Postoperative wound dehiscence rate1.83Same as national816
Abdominopelvic accidental puncture or laceration rate1.29Same as national2234
CMS Medicare PSI 90: Patient safety and adverse events composite1.32Worse than 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 patients4.7Not available78
Hospital return days for heart failure patients57Not available314
Hospital return days for pneumonia patients7.2Not available182
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Same as national2677
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national420
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.8Same as national323
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.2Same as national323
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national467
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national78
Rate of readmission for CABG11.5Same as national78
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national94
Heart failure (HF) 30-Day Readmission Rate20.6Same as national314
Rate of readmission after hip/knee replacement4.4Same as national54
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national182

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 rating31547
Doctor communication - star rating41547
Communication about medicines - star rating21547
Discharge information - star rating31547
Cleanliness - star rating31547
Quietness - star rating41547
Overall hospital rating - star rating41547
Recommend hospital - star rating41547
Summary star rating31547

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 Hypoglycemia35801
Hospital Harm - Opioid Related Adverse Events116473
Healthcare workers given influenza vaccination9911818
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 better188362
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 better180348
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32613
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 seen10101371
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7991
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing128711
Appropriate care for severe sepsis and septic shock22121
Septic Shock 3-Hour Bundle3832
Septic Shock 6-Hour Bundle2711
Severe Sepsis 3-Hour Bundle52121
Severe Sepsis 6-Hour Bundle8238
Discharged on Antithrombotic Therapy96429
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Mississippi Med Center rated?
University of Mississippi Med Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does University of Mississippi Med Center have emergency services?
Yes. University of Mississippi Med Center operates a 24/7 emergency department.
Where is University of Mississippi Med Center located?
University of Mississippi Med Center is located at 2500 N State St, Jackson, MS 39216.
What type of hospital is University of Mississippi Med Center?
University of Mississippi Med Center 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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