JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

USA Health University Hospital

2 / 5

At a glance

USA Health University 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 6.

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 Limit0.789Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.764Same as national
Central Line Associated Bloodstream Infection: Number of Device Days14363Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases19.937Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases24Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.204Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.102Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.526Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days11842Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases23.739Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.253Better than national
SSI - Colon Surgery: Lower Confidence Limit0.301Same as national
SSI - Colon Surgery: Upper Confidence Limit1.820Same as national
SSI - Colon Surgery: Number of Procedures196Same as national
SSI - Colon Surgery: Predicted Cases6.088Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.821Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures7Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.070Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit1.184Worse than national
MRSA Bacteremia: Upper Confidence Limit3.715Worse than national
MRSA Bacteremia: Patient Days85370Worse than national
MRSA Bacteremia: Predicted Cases5.491Worse than national
MRSA Bacteremia: Observed Cases12Worse than national
MRSA Bacteremia2.185Worse than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.338Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.731Better than national
Clostridium Difficile (C.Diff): Patient Days85370Better than national
Clostridium Difficile (C.Diff): Predicted Cases51.344Better than national
Clostridium Difficile (C.Diff): Observed Cases26Better than national
Clostridium Difficile (C.Diff)0.506Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national541
Death rate for heart attack patients11.3Same as national29
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients12.5Same as national50
Death rate for pneumonia patients16.4Same as national47
Death rate for stroke patients13.5Same as national174
Pressure ulcer rate0.43Same as national2431
Death rate among surgical inpatients with serious treatable complications212.29Same as national80
Iatrogenic pneumothorax rate0.24Same as national2983
In-hospital fall-associated fracture rate0.32Same as national2989
Postoperative hemorrhage or hematoma rate2.22Same as national914
Postoperative acute kidney injury requiring dialysis rate2.68Same as national399
Postoperative respiratory failure rate16.00Same as national421
Perioperative pulmonary embolism or deep vein thrombosis rate3.79Same as national913
Postoperative sepsis rate9.14Worse than national389
Postoperative wound dehiscence rate2.52Same as national277
Abdominopelvic accidental puncture or laceration rate1.17Same as national835
CMS Medicare PSI 90: Patient safety and adverse events composite1.33Same 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 patients112.4Not available58
Hospital return days for pneumonia patients11.7Not available61
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national1050
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national368
Rate of inpatient admissions for patients receiving outpatient chemotherapy10Same as national128
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.6Same as national128
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national162
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national30
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate19.9Same as national58
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national61

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 rating31260
Doctor communication - star rating31260
Communication about medicines - star rating31260
Discharge information - star rating31260
Cleanliness - star rating21260
Quietness - star rating31260
Overall hospital rating - star rating31260
Recommend hospital - star rating41260
Summary star rating31260

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 Hyperglycemia624306
Hospital Harm - Severe Hypoglycemia33456
Hospital Harm - Opioid Related Adverse Events18055
Healthcare workers given influenza vaccination853377
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 better219395
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 better214382
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen234917
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99289
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing144479
Appropriate care for severe sepsis and septic shock58371
Septic Shock 3-Hour Bundle55127
Septic Shock 6-Hour Bundle9058
Severe Sepsis 3-Hour Bundle80371
Severe Sepsis 6-Hour Bundle95223
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is USA Health University Hospital rated?
USA Health University Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does USA Health University Hospital have emergency services?
Yes. USA Health University Hospital operates a 24/7 emergency department.
Where is USA Health University Hospital located?
USA Health University Hospital is located at 2451 Fillingim Street, Mobile, AL 36617.
What type of hospital is USA Health University Hospital?
USA Health University Hospital is classified by CMS as a Acute Care Hospitals facility (Government - State).

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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