JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

UPMC Presbyterian Shadyside

4 / 5

At a glance

UPMC Presbyterian Shadyside carries a 4-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 Limit0.672Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.078Same as national
Central Line Associated Bloodstream Infection: Number of Device Days74533Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases80.547Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases69Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.857Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.401Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.691Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days59624Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases97.857Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases52Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.531Better than national
SSI - Colon Surgery: Lower Confidence Limit0.098Better than national
SSI - Colon Surgery: Upper Confidence Limit0.501Better than national
SSI - Colon Surgery: Number of Procedures822Better than national
SSI - Colon Surgery: Predicted Cases24.912Better than national
SSI - Colon Surgery: Observed Cases6Better than national
SSI - Colon Surgery0.241Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures31Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.294Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.502Same as national
MRSA Bacteremia: Upper Confidence Limit1.087Same as national
MRSA Bacteremia: Patient Days337482Same as national
MRSA Bacteremia: Predicted Cases34.546Same as national
MRSA Bacteremia: Observed Cases26Same as national
MRSA Bacteremia0.753Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.531Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.733Better than national
Clostridium Difficile (C.Diff): Patient Days337482Better than national
Clostridium Difficile (C.Diff): Predicted Cases236.535Better than national
Clostridium Difficile (C.Diff): Observed Cases148Better than national
Clostridium Difficile (C.Diff)0.626Better 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 patients3.4Same as national205
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national2428
Death rate for heart attack patients10.6Same as national155
Death rate for CABG surgery patients2.3Same as national137
Death rate for COPD patients7.4Same as national99
Death rate for heart failure patients9.5Same as national443
Death rate for pneumonia patients13.4Better than national376
Death rate for stroke patients12.4Same as national268
Pressure ulcer rate1.84Worse than national11546
Death rate among surgical inpatients with serious treatable complications167.94Same as national391
Iatrogenic pneumothorax rate0.22Same as national13123
In-hospital fall-associated fracture rate0.39Same as national14320
Postoperative hemorrhage or hematoma rate2.30Same as national4417
Postoperative acute kidney injury requiring dialysis rate1.71Same as national2630
Postoperative respiratory failure rate10.58Same as national2469
Perioperative pulmonary embolism or deep vein thrombosis rate3.15Same as national4999
Postoperative sepsis rate5.69Same as national2617
Postoperative wound dehiscence rate1.84Same as national1552
Abdominopelvic accidental puncture or laceration rate0.90Same as national4065
CMS Medicare PSI 90: Patient safety and adverse events composite1.40Worse 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 patients-0.6Not available225
Hospital return days for heart failure patients-14Not available541
Hospital return days for pneumonia patients-15.2Not available393
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national4796
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.2Same as national2561
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.1Same as national213
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.6Same as national213
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national1016
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national225
Rate of readmission for CABG12.8Same as national136
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national107
Heart failure (HF) 30-Day Readmission Rate19.9Same as national541
Rate of readmission after hip/knee replacement4.4Same as national181
Pneumonia (PN) 30-Day Readmission Rate14.8Same as national393

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 rating4588
Doctor communication - star rating3588
Communication about medicines - star rating3588
Discharge information - star rating4588
Cleanliness - star rating3588
Quietness - star rating2588
Overall hospital rating - star rating4588
Recommend hospital - star rating4588
Summary star rating3588

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 vaccination9210230
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 better230608
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 better229565
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25522
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better22421
Left before being seen193028
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97342
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5597
Safe Use of Opioids - Concurrent Prescribing2012430
Appropriate care for severe sepsis and septic shock55388
Septic Shock 3-Hour Bundle58119
Septic Shock 6-Hour Bundle9453
Severe Sepsis 3-Hour Bundle78388
Severe Sepsis 6-Hour Bundle86222
Discharged on Antithrombotic Therapy98700
Anticoagulation Therapy for Atrial Fibrillation/Flutter78202
Antithrombotic Therapy by End of Hospital Day 287617
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis867083

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 UPMC Presbyterian Shadyside rated?
UPMC Presbyterian Shadyside has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does UPMC Presbyterian Shadyside have emergency services?
Yes. UPMC Presbyterian Shadyside operates a 24/7 emergency department.
Where is UPMC Presbyterian Shadyside located?
UPMC Presbyterian Shadyside is located at 200 Lothrop Street, Pittsburgh, PA 15213.
What type of hospital is UPMC Presbyterian Shadyside?
UPMC Presbyterian Shadyside 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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