JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Uw Health

3 / 5

At a glance

Uw Health 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 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 Limit0.130Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.987Better than national
Central Line Associated Bloodstream Infection: Number of Device Days10527Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.777Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.409Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.204Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.047Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days11736Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.924Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.503Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.059Same as national
SSI - Colon Surgery: Number of Procedures103Same as national
SSI - Colon Surgery: Predicted Cases2.828Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.037Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.681Same as national
SSI - Abdominal Hysterectomy: Number of Procedures147Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.340Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.746Same as national
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.824Better than national
MRSA Bacteremia: Patient Days85514Better than national
MRSA Bacteremia: Predicted Cases3.635Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.126Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.441Better than national
Clostridium Difficile (C.Diff): Patient Days78396Better than national
Clostridium Difficile (C.Diff): Predicted Cases40.374Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.248Better 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 Rate4Same as national1161
Death rate for heart attack patients11.9Same as national165
Death rate for CABG surgery patients1.9Same as national65
Death rate for COPD patients8.3Same as national137
Death rate for heart failure patients10.2Same as national380
Death rate for pneumonia patients16.5Same as national474
Death rate for stroke patients16.9Same as national89
Pressure ulcer rate0.51Same as national5198
Death rate among surgical inpatients with serious treatable complications173.80Same as national58
Iatrogenic pneumothorax rate0.16Same as national5750
In-hospital fall-associated fracture rate0.26Same as national5970
Postoperative hemorrhage or hematoma rate2.62Same as national897
Postoperative acute kidney injury requiring dialysis rate1.71Same as national307
Postoperative respiratory failure rate10.15Same as national317
Perioperative pulmonary embolism or deep vein thrombosis rate2.74Same as national1038
Postoperative sepsis rate3.90Same as national266
Postoperative wound dehiscence rate1.98Same as national173
Abdominopelvic accidental puncture or laceration rate1.10Same as national963
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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 patients46.1Not available167
Hospital return days for heart failure patients55.5Not available435
Hospital return days for pneumonia patients23.7Not available492
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national1902
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national133
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national290
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.6Same as national290
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national582
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.2Same as national167
Rate of readmission for CABG11.8Same as national65
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national153
Heart failure (HF) 30-Day Readmission Rate22.4Same as national435
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national492

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 rating31449
Doctor communication - star rating31449
Communication about medicines - star rating21449
Discharge information - star rating31449
Cleanliness - star rating41449
Quietness - star rating21449
Overall hospital rating - star rating31449
Recommend hospital - star rating31449
Summary star rating31449

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 vaccination805018
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 better216400
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 better211361
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29929
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better42212
Left before being seen272676
Head CT results4823
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10016
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing133334
Appropriate care for severe sepsis and septic shock67194
Septic Shock 3-Hour Bundle7855
Septic Shock 6-Hour Bundle8938
Severe Sepsis 3-Hour Bundle76194
Severe Sepsis 6-Hour Bundle99112
Discharged on Antithrombotic Therapy98153
Anticoagulation Therapy for Atrial Fibrillation/Flutter8730
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis871443

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 Uw Health rated?
Uw Health has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Uw Health have emergency services?
Yes. Uw Health operates a 24/7 emergency department.
Where is Uw Health located?
Uw Health is located at 1401 East State Street, Rockford, IL 61104.
What type of hospital is Uw Health?
Uw Health 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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