JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Uphs Marquette Dlp Hospital

3 / 5

At a glance

Uphs Marquette Dlp Hospital carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.543Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2238Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.941Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.418Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.529Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3488Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.383Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.141Same as national
SSI - Colon Surgery: Lower Confidence Limit0.350Same as national
SSI - Colon Surgery: Upper Confidence Limit3.740Same as national
SSI - Colon Surgery: Number of Procedures73Same as national
SSI - Colon Surgery: Predicted Cases2.183Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.374Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures2Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.012Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.224Same as national
MRSA Bacteremia: Upper Confidence Limit2.392Same as national
MRSA Bacteremia: Patient Days48218Same as national
MRSA Bacteremia: Predicted Cases3.414Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.879Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.091Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.553Better than national
Clostridium Difficile (C.Diff): Patient Days44313Better than national
Clostridium Difficile (C.Diff): Predicted Cases20.050Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.249Better 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 national138
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national894
Death rate for heart attack patients12.5Same as national259
Death rate for CABG surgery patients2.5Same as national68
Death rate for COPD patients7.3Same as national70
Death rate for heart failure patients13.7Same as national205
Death rate for pneumonia patients18.4Same as national132
Death rate for stroke patients11.1Same as national92
Pressure ulcer rate0.93Same as national2589
Death rate among surgical inpatients with serious treatable complications193.66Same as national53
Iatrogenic pneumothorax rate0.17Same as national3134
In-hospital fall-associated fracture rate0.32Same as national3135
Postoperative hemorrhage or hematoma rate3.17Same as national1250
Postoperative acute kidney injury requiring dialysis rate1.44Same as national540
Postoperative respiratory failure rate12.25Same as national538
Perioperative pulmonary embolism or deep vein thrombosis rate3.05Same as national1299
Postoperative sepsis rate4.14Same as national504
Postoperative wound dehiscence rate1.61Same as national219
Abdominopelvic accidental puncture or laceration rate1.12Same as national656
CMS Medicare PSI 90: Patient safety and adverse events composite1.10Same 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 patients11.8Not available253
Hospital return days for heart failure patients-29.1Not available230
Hospital return days for pneumonia patients-9Not available136
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Same as national1305
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national696
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national146
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national146
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national404
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national253
Rate of readmission for CABG11.6Same as national67
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national77
Heart failure (HF) 30-Day Readmission Rate17.5Same as national230
Rate of readmission after hip/knee replacement4.6Same as national130
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national136

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 rating41875
Doctor communication - star rating41875
Communication about medicines - star rating31875
Discharge information - star rating51875
Cleanliness - star rating31875
Quietness - star rating31875
Overall hospital rating - star rating21875
Recommend hospital - star rating31875
Summary star rating41875

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 volumemedium
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 vaccination532141
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 better198402
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 better194371
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better31425
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 seen321454
Head CT results7713
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10065
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing212344
Appropriate care for severe sepsis and septic shock4576
Septic Shock 3-Hour Bundle6913
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle6276
Severe Sepsis 6-Hour Bundle7934
Discharged on Antithrombotic Therapy99114
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis974071
Intensive Care Unit Venous Thromboembolism Prophylaxis991136

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 Uphs Marquette Dlp Hospital rated?
Uphs Marquette Dlp Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Uphs Marquette Dlp Hospital have emergency services?
Yes. Uphs Marquette Dlp Hospital operates a 24/7 emergency department.
Where is Uphs Marquette Dlp Hospital located?
Uphs Marquette Dlp Hospital is located at 850 W Baraga Ave, Marquette, MI 49855.
What type of hospital is Uphs Marquette Dlp Hospital?
Uphs Marquette Dlp Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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