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Acute Care - Veterans Administration · Veterans Health Administration

VA Pittsburgh Healthcare System - Univ Dr

4 / 5

At a glance

VA Pittsburgh Healthcare System - Univ Dr carries a 4-star CMS overall rating — above the national norm. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.231Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.398Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6618Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.929Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.631Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.205Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.241Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6691Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.931Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.560Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of ProceduresNot available
SSI - Colon Surgery: Predicted CasesNot available
SSI - Colon Surgery: Observed CasesNot available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient DaysNot available
MRSA Bacteremia: Predicted CasesNot available
MRSA Bacteremia: Observed CasesNot available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitNot available
Clostridium Difficile (C.Diff): Upper Confidence LimitNot available
Clostridium Difficile (C.Diff): Patient DaysNot available
Clostridium Difficile (C.Diff): Predicted CasesNot available
Clostridium Difficile (C.Diff): Observed CasesNot available
Clostridium Difficile (C.Diff)Not available

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 national293
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNot available
Death rate for heart attack patients9.9Same as national203
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.8Same as national338
Death rate for heart failure patients9.9Same as national641
Death rate for pneumonia patients12.9Better than national397
Death rate for stroke patientsNot available
Pressure ulcer rate1.61Worse than national7708
Death rate among surgical inpatients with serious treatable complications186.42Same as national75
Iatrogenic pneumothorax rate0.35Same as national10981
In-hospital fall-associated fracture rate0.43Same as national11705
Postoperative hemorrhage or hematoma rate2.10Same as national2627
Postoperative acute kidney injury requiring dialysis rate1.09Same as national1471
Postoperative respiratory failure rate14.59Worse than national1475
Perioperative pulmonary embolism or deep vein thrombosis rate2.90Same as national2722
Postoperative sepsis rate3.94Same as national1413
Postoperative wound dehiscence rate1.40Same as national688
Abdominopelvic accidental puncture or laceration rate1.10Same as national2043
CMS Medicare PSI 90: Patient safety and adverse events composite1.36Worse 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 patients41.8Not available224
Hospital return days for heart failure patients9.9Not available765
Hospital return days for pneumonia patients0.4Not available411
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.2Worse than national4073
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.5Same as national224
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.2Same as national407
Heart failure (HF) 30-Day Readmission Rate20Same as national765
Rate of readmission after hip/knee replacement4.7Same as national292
Pneumonia (PN) 30-Day Readmission Rate16Same as national411

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 rating4482
Doctor communication - star rating4482
Communication about medicines - star rating4482
Discharge information - star rating3482
Cleanliness - star rating3482
Quietness - star rating3482
Overall hospital rating - star rating4482
Recommend hospital - star rating4482
Summary star rating4482

Frequently asked questions

How is VA Pittsburgh Healthcare System - Univ Dr rated?
VA Pittsburgh Healthcare System - Univ Dr has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does VA Pittsburgh Healthcare System - Univ Dr have emergency services?
Yes. VA Pittsburgh Healthcare System - Univ Dr operates a 24/7 emergency department.
Where is VA Pittsburgh Healthcare System - Univ Dr located?
VA Pittsburgh Healthcare System - Univ Dr is located at University Drive, Pittsburgh, PA 15240.
What type of hospital is VA Pittsburgh Healthcare System - Univ Dr?
VA Pittsburgh Healthcare System - Univ Dr is classified by CMS as a Acute Care - Veterans Administration facility (Veterans Health Administration).

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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