JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital

2 / 5

At a glance

Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital 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 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 Limit0.383Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.266Same as national
Central Line Associated Bloodstream Infection: Number of Device Days13882Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases15.108Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases11Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.728Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.289Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.957Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12920Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases19.987Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.550Better than national
SSI - Colon Surgery: Lower Confidence Limit0.455Same as national
SSI - Colon Surgery: Upper Confidence Limit2.336Same as national
SSI - Colon Surgery: Number of Procedures185Same as national
SSI - Colon Surgery: Predicted Cases5.342Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.123Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures5Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.038Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.570Same as national
MRSA Bacteremia: Upper Confidence Limit1.530Same as national
MRSA Bacteremia: Patient Days172446Same as national
MRSA Bacteremia: Predicted Cases16.619Same as national
MRSA Bacteremia: Observed Cases16Same as national
MRSA Bacteremia0.963Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.348Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.594Better than national
Clostridium Difficile (C.Diff): Patient Days172446Better than national
Clostridium Difficile (C.Diff): Predicted Cases117.731Better than national
Clostridium Difficile (C.Diff): Observed Cases54Better than national
Clostridium Difficile (C.Diff)0.459Better 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 patients3.8Same as national115
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national1760
Death rate for heart attack patients11.4Same as national253
Death rate for CABG surgery patients1.9Same as national154
Death rate for COPD patients8.9Same as national149
Death rate for heart failure patients13.9Same as national457
Death rate for pneumonia patients17.1Same as national455
Death rate for stroke patients13.1Same as national156
Pressure ulcer rate0.41Same as national6904
Death rate among surgical inpatients with serious treatable complications227.99Worse than national166
Iatrogenic pneumothorax rate0.33Same as national8172
In-hospital fall-associated fracture rate0.23Same as national8926
Postoperative hemorrhage or hematoma rate2.49Same as national2599
Postoperative acute kidney injury requiring dialysis rate1.61Same as national1171
Postoperative respiratory failure rate17.65Worse than national1251
Perioperative pulmonary embolism or deep vein thrombosis rate3.69Same as national2656
Postoperative sepsis rate7.43Same as national1190
Postoperative wound dehiscence rate2.03Same as national478
Abdominopelvic accidental puncture or laceration rate1.29Same as national1762
CMS Medicare PSI 90: Patient safety and adverse events composite1.26Worse 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 patients38.5Not available288
Hospital return days for heart failure patients36.3Not available552
Hospital return days for pneumonia patients24.2Not available469
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national2898
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.6Same as national1955
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1079
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national288
Rate of readmission for CABG9.8Same as national149
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national159
Heart failure (HF) 30-Day Readmission Rate21.9Same as national552
Rate of readmission after hip/knee replacement4.1Same as national116
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national469

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 rating23399
Doctor communication - star rating23399
Communication about medicines - star rating13399
Discharge information - star rating23399
Cleanliness - star rating33399
Quietness - star rating33399
Overall hospital rating - star rating23399
Recommend hospital - star rating33399
Summary star rating23399

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 vaccination875089
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 better1551137
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 better1451013
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21345
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better26483
Left before being seen3144378
Head CT results7121
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients981131
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)025
Safe Use of Opioids - Concurrent Prescribing157008
Appropriate care for severe sepsis and septic shock68992
Septic Shock 3-Hour Bundle79298
Septic Shock 6-Hour Bundle91202
Severe Sepsis 3-Hour Bundle81993
Severe Sepsis 6-Hour Bundle93573
Discharged on Antithrombotic Therapy95369
Anticoagulation Therapy for Atrial Fibrillation/Flutter7694
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis893656

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 Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital rated?
Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital have emergency services?
Yes. Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital operates a 24/7 emergency department.
Where is Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital located?
Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital is located at 200 Abraham Flexner Way, Louisville, KY 40202.
What type of hospital is Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital?
Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital 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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