JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

UPMC Hanover

4 / 5

At a glance

UPMC Hanover carries a 4-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 Limit0.151Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.974Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3277Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.222Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.900Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.277Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.961Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4063Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.757Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.088Same as national
SSI - Colon Surgery: Lower Confidence Limit0.241Same as national
SSI - Colon Surgery: Upper Confidence Limit4.754Same as national
SSI - Colon Surgery: Number of Procedures55Same as national
SSI - Colon Surgery: Predicted Cases1.390Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.439Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures49Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.418Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.690Same as national
MRSA Bacteremia: Upper Confidence Limit7.382Same as national
MRSA Bacteremia: Patient Days25775Same as national
MRSA Bacteremia: Predicted Cases1.106Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia2.712Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.503Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.578Same as national
Clostridium Difficile (C.Diff): Patient Days24929Same as national
Clostridium Difficile (C.Diff): Predicted Cases12.932Same as national
Clostridium Difficile (C.Diff): Observed Cases12Same as national
Clostridium Difficile (C.Diff)0.928Same 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 patients3.1Same as national65
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national1008
Death rate for heart attack patients12.6Same as national126
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.9Same as national141
Death rate for heart failure patients12.4Same as national338
Death rate for pneumonia patients15.3Same as national390
Death rate for stroke patients11.3Same as national140
Pressure ulcer rate0.60Same as national3114
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.28Same as national3847
In-hospital fall-associated fracture rate0.24Same as national3844
Postoperative hemorrhage or hematoma rate2.62Same as national613
Postoperative acute kidney injury requiring dialysis rate1.62Same as national135
Postoperative respiratory failure rate14.38Same as national141
Perioperative pulmonary embolism or deep vein thrombosis rate3.15Same as national629
Postoperative sepsis rate5.71Same as national127
Postoperative wound dehiscence rate2.67Same as national167
Abdominopelvic accidental puncture or laceration rate1.19Same as national615
CMS Medicare PSI 90: Patient safety and adverse events composite1.14Same 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 patients7.7Not available93
Hospital return days for heart failure patients-5.2Not available366
Hospital return days for pneumonia patients-19.3Not available403
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national1545
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national1061
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.3Same as national108
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.4Same as national108
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national413
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15Same as national93
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national148
Heart failure (HF) 30-Day Readmission Rate18.9Same as national366
Rate of readmission after hip/knee replacement4.6Same as national47
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national403

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 rating4434
Doctor communication - star rating3434
Communication about medicines - star rating2434
Discharge information - star rating4434
Cleanliness - star rating5434
Quietness - star rating3434
Overall hospital rating - star rating4434
Recommend hospital - star rating4434
Summary star rating4434

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 Hypoglycemia21780
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination944130
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 better226752
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 better218703
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better90733
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better28616
Left before being seen131013
Head CT results9122
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98241
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing181140
Appropriate care for severe sepsis and septic shock79107
Septic Shock 3-Hour Bundle8330
Septic Shock 6-Hour Bundle9020
Severe Sepsis 3-Hour Bundle87107
Severe Sepsis 6-Hour Bundle9973
Discharged on Antithrombotic Therapy99120
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 297105
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 UPMC Hanover rated?
UPMC Hanover has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does UPMC Hanover have emergency services?
Yes. UPMC Hanover operates a 24/7 emergency department.
Where is UPMC Hanover located?
UPMC Hanover is located at 300 Highland Ave, Hanover, PA 17331.
What type of hospital is UPMC Hanover?
UPMC Hanover 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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