JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Up Health System Portage

5 / 5

At a glance

Up Health System Portage carries a 5-star CMS overall rating — above the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days147Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.091Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days874Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.437Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures10Not available
SSI - Colon Surgery: Predicted Cases0.245Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures16Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.153Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days6946Not available
MRSA Bacteremia: Predicted Cases0.142Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitSame as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.943Same as national
Clostridium Difficile (C.Diff): Patient Days6667Same as national
Clostridium Difficile (C.Diff): Predicted Cases1.542Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same as 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national135
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients12.8Same as national32
Death rate for pneumonia patients14.3Same as national54
Death rate for stroke patientsNot available
Pressure ulcer rate0.54Same as national339
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.21Same as national471
In-hospital fall-associated fracture rate0.31Same as national443
Postoperative hemorrhage or hematoma rate2.30Same as national76
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.84Same as national85
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.73Same as national28
Abdominopelvic accidental puncture or laceration rate1.02Same as national57
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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 patientsNot available
Hospital return days for heart failure patients-1.4Not available33
Hospital return days for pneumonia patients-38.3Not available58
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national192
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national375
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.2Same as national42
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.2Same as national42
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national54
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate19.7Same as national33
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.7Same as national58

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 rating5270
Doctor communication - star rating4270
Communication about medicines - star rating4270
Discharge information - star rating5270
Cleanliness - star rating5270
Quietness - star rating4270
Overall hospital rating - star rating4270
Recommend hospital - star rating5270
Summary star rating5270

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 volumelow
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 Hyperglycemia5853
Hospital Harm - Severe Hypoglycemia1232
Hospital Harm - Opioid Related Adverse Events0491
Healthcare workers given influenza vaccination63809
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 better158396
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 better142342
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better48423
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better57339
Left before being seen211383
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing12234
Appropriate care for severe sepsis and septic shock7888
Septic Shock 3-Hour Bundle9520
Septic Shock 6-Hour Bundle10012
Severe Sepsis 3-Hour Bundle8388
Severe Sepsis 6-Hour Bundle9851
Discharged on Antithrombotic Therapy
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 Up Health System Portage rated?
Up Health System Portage has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Up Health System Portage have emergency services?
Yes. Up Health System Portage operates a 24/7 emergency department.
Where is Up Health System Portage located?
Up Health System Portage is located at 500 Campus Drive, Hancock, MI 49930.
What type of hospital is Up Health System Portage?
Up Health System Portage is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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