JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

University of Utah Hospital and Clinics

5 / 5

At a glance

University of Utah Hospital and Clinics carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures 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 Limit0.358Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.800Better than national
Central Line Associated Bloodstream Infection: Number of Device Days34173Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases43.936Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases24Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.546Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.441Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.929Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days25758Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases42.982Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases28Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.651Better than national
SSI - Colon Surgery: Lower Confidence Limit0.395Same as national
SSI - Colon Surgery: Upper Confidence Limit1.095Same as national
SSI - Colon Surgery: Number of Procedures517Same as national
SSI - Colon Surgery: Predicted Cases22.094Same as national
SSI - Colon Surgery: Observed Cases15Same as national
SSI - Colon Surgery0.679Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.068Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.338Same as national
SSI - Abdominal Hysterectomy: Number of Procedures422Same as national
SSI - Abdominal Hysterectomy: Predicted Cases4.940Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.405Same as national
MRSA Bacteremia: Lower Confidence Limit0.366Same as national
MRSA Bacteremia: Upper Confidence Limit1.054Same as national
MRSA Bacteremia: Patient Days218881Same as national
MRSA Bacteremia: Predicted Cases21.767Same as national
MRSA Bacteremia: Observed Cases14Same as national
MRSA Bacteremia0.643Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.372Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.578Better than national
Clostridium Difficile (C.Diff): Patient Days193725Better than national
Clostridium Difficile (C.Diff): Predicted Cases171.426Better than national
Clostridium Difficile (C.Diff): Observed Cases80Better than national
Clostridium Difficile (C.Diff)0.467Better 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 national175
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national2605
Death rate for heart attack patients12.1Same as national189
Death rate for CABG surgery patients2.3Same as national82
Death rate for COPD patients9.1Same as national69
Death rate for heart failure patients9.3Same as national412
Death rate for pneumonia patients12.8Better than national315
Death rate for stroke patients13.8Same as national377
Pressure ulcer rate0.50Same as national10150
Death rate among surgical inpatients with serious treatable complications156.56Same as national297
Iatrogenic pneumothorax rate0.19Same as national11361
In-hospital fall-associated fracture rate0.26Same as national12089
Postoperative hemorrhage or hematoma rate2.55Same as national4443
Postoperative acute kidney injury requiring dialysis rate1.58Same as national204
Postoperative respiratory failure rate6.76Same as national212
Perioperative pulmonary embolism or deep vein thrombosis rate4.06Same as national4881
Postoperative sepsis rate5.49Same as national198
Postoperative wound dehiscence rate1.88Same as national1317
Abdominopelvic accidental puncture or laceration rate0.78Same as national3231
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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 patients22.5Not available206
Hospital return days for heart failure patients-31.6Not available468
Hospital return days for pneumonia patients-28.1Not available333
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national4438
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national2684
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.8Better than national1119
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national1119
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national2156
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.3Same as national206
Rate of readmission for CABG10.9Same as national81
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national69
Heart failure (HF) 30-Day Readmission Rate16.7Better than national468
Rate of readmission after hip/knee replacement4.2Same as national209
Pneumonia (PN) 30-Day Readmission Rate13.8Same as national333

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 rating41157
Doctor communication - star rating31157
Communication about medicines - star rating31157
Discharge information - star rating51157
Cleanliness - star rating41157
Quietness - star rating31157
Overall hospital rating - star rating41157
Recommend hospital - star rating51157
Summary star rating41157

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 vaccination9821612
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 better235407
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 better230383
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32024
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 seen573973
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9864
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing1410252
Appropriate care for severe sepsis and septic shock53112
Septic Shock 3-Hour Bundle10039
Septic Shock 6-Hour Bundle10023
Severe Sepsis 3-Hour Bundle55112
Severe Sepsis 6-Hour Bundle9239
Discharged on Antithrombotic Therapy97428
Anticoagulation Therapy for Atrial Fibrillation/Flutter8091
Antithrombotic Therapy by End of Hospital Day 296336
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 Utah Hospital and Clinics rated?
University of Utah Hospital and Clinics has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does University of Utah Hospital and Clinics have emergency services?
Yes. University of Utah Hospital and Clinics operates a 24/7 emergency department.
Where is University of Utah Hospital and Clinics located?
University of Utah Hospital and Clinics is located at 50 North Medical Drive, Salt Lake City, UT 84132.
What type of hospital is University of Utah Hospital and Clinics?
University of Utah Hospital and Clinics 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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