JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

University of Wi Hospitals & Clinics Authority

5 / 5

At a glance

University of Wi Hospitals & Clinics Authority 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.

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 Limit0.264Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.709Better than national
Central Line Associated Bloodstream Infection: Number of Device Days31781Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases35.847Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases16Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.446Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.303Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.840Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days19457Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases28.796Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases15Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.521Better than national
SSI - Colon Surgery: Lower Confidence Limit0.941Same as national
SSI - Colon Surgery: Upper Confidence Limit2.141Same as national
SSI - Colon Surgery: Number of Procedures615Same as national
SSI - Colon Surgery: Predicted Cases15.867Same as national
SSI - Colon Surgery: Observed Cases23Same as national
SSI - Colon Surgery1.450Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.320Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.422Same as national
SSI - Abdominal Hysterectomy: Number of Procedures305Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.386Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy1.257Same as national
MRSA Bacteremia: Lower Confidence Limit0.361Same as national
MRSA Bacteremia: Upper Confidence Limit1.266Same as national
MRSA Bacteremia: Patient Days217073Same as national
MRSA Bacteremia: Predicted Cases14.082Same as national
MRSA Bacteremia: Observed Cases10Same as national
MRSA Bacteremia0.710Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.542Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.798Better than national
Clostridium Difficile (C.Diff): Patient Days210706Better than national
Clostridium Difficile (C.Diff): Predicted Cases155.883Better than national
Clostridium Difficile (C.Diff): Observed Cases103Better than national
Clostridium Difficile (C.Diff)0.661Better 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 national287
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3Better than national3474
Death rate for heart attack patients11.2Same as national352
Death rate for CABG surgery patients3.1Same as national164
Death rate for COPD patients7.5Same as national104
Death rate for heart failure patients7.5Better than national565
Death rate for pneumonia patients10Better than national504
Death rate for stroke patients14.3Same as national395
Pressure ulcer rate0.71Same as national13588
Death rate among surgical inpatients with serious treatable complications181.11Same as national341
Iatrogenic pneumothorax rate0.20Same as national14967
In-hospital fall-associated fracture rate0.23Same as national16098
Postoperative hemorrhage or hematoma rate2.56Same as national4743
Postoperative acute kidney injury requiring dialysis rate1.80Same as national3095
Postoperative respiratory failure rate9.25Same as national2990
Perioperative pulmonary embolism or deep vein thrombosis rate4.93Worse than national5729
Postoperative sepsis rate3.89Same as national3097
Postoperative wound dehiscence rate2.00Same as national1690
Abdominopelvic accidental puncture or laceration rate1.41Same as national4035
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same 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 patients5.9Not available398
Hospital return days for heart failure patients7.9Not available661
Hospital return days for pneumonia patients16.1Not available511
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national5787
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national7655
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.6Same as national1266
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.5Same as national1266
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national2865
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national398
Rate of readmission for CABG9.9Same as national160
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national117
Heart failure (HF) 30-Day Readmission Rate21.1Same as national661
Rate of readmission after hip/knee replacement4.5Same as national288
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national511

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 rating43072
Doctor communication - star rating43072
Communication about medicines - star rating33072
Discharge information - star rating53072
Cleanliness - star rating33072
Quietness - star rating33072
Overall hospital rating - star rating43072
Recommend hospital - star rating53072
Summary star rating43072

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 vaccination9416015
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 better222394
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 better216374
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 better
Left before being seen1107674
Head CT results6520
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96120
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing168303
Appropriate care for severe sepsis and septic shock53121
Septic Shock 3-Hour Bundle6546
Septic Shock 6-Hour Bundle8919
Severe Sepsis 3-Hour Bundle69121
Severe Sepsis 6-Hour Bundle9765
Discharged on Antithrombotic Therapy99446
Anticoagulation Therapy for Atrial Fibrillation/Flutter90108
Antithrombotic Therapy by End of Hospital Day 296341
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is University of Wi Hospitals & Clinics Authority rated?
University of Wi Hospitals & Clinics Authority has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does University of Wi Hospitals & Clinics Authority have emergency services?
Yes. University of Wi Hospitals & Clinics Authority operates a 24/7 emergency department.
Where is University of Wi Hospitals & Clinics Authority located?
University of Wi Hospitals & Clinics Authority is located at 600 Highland Avenue, Madison, WI 53792.
What type of hospital is University of Wi Hospitals & Clinics Authority?
University of Wi Hospitals & Clinics Authority is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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