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JEFFERSON HOSPITAL — Quality & Patient Safety

JEFFERSON HILLS, PA · Acute Care Hospitals · Emergency services available

Source: CMS Hospital Compare, HCAHPS Survey

By BillRazor Research · Last updated June 1, 2026 · View pricing data

CMS Overall Hospital Quality

3

Out of 5 stars · CMS Hospital Compare rating

N/A

Patients recommend

600

Survey responses

Patient Satisfaction

4.0/5

Overall HCAHPS score

Avg Readmission Ratio

1.09

Above national average

Quality Measures

51

CMS-tracked metrics

Quality Score

60

Composite index

Patient Satisfaction — HCAHPS Survey Scores

Score out of 5.0 based on patient survey responses. Source: CMS HCAHPS.

Excess Readmission Ratios by Condition

Ratio vs national average (1.0 = average). Below 1.0 is better, above 1.0 indicates higher-than-expected readmissions.

Below average (better) Above average

Healthcare-Associated Infections (HAI)

Performance vs national benchmarks on hospital-acquired infection measures.

18

Better than average

Lower infection rates

12

Same as average

Near national rate

0

Worse than average

Higher infection rates

MeasureScorevs National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.04Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.69Better than the National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days9346.00Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.55Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2.00Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)0.21Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.10Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.79Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10038.00Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.15Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4.00Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.33Better than the National Benchmark
SSI - Colon Surgery: Lower Confidence Limit0.22No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit2.40No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures140.00No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases3.40No Different than National Benchmark
SSI - Colon Surgery: Observed Cases3.00No Different than National Benchmark
SSI - Colon Surgery0.88No Different than National Benchmark
SSI - Abdominal Hysterectomy: Number of Procedures18.00Not Available
SSI - Abdominal Hysterectomy: Predicted Cases0.17Not Available
SSI - Abdominal Hysterectomy: Observed Cases0.00Not Available
MRSA Bacteremia: Lower Confidence Limit0.01No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit1.11No Different than National Benchmark
MRSA Bacteremia: Patient Days74091.00No Different than National Benchmark
MRSA Bacteremia: Predicted Cases4.42No Different than National Benchmark
MRSA Bacteremia: Observed Cases1.00No Different than National Benchmark
MRSA Bacteremia0.23No Different than National Benchmark
Clostridium Difficile (C.Diff): Lower Confidence Limit0.18Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit0.60Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days71475.00Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases31.88Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases11.00Better than the National Benchmark
Clostridium Difficile (C.Diff)0.34Better than the National Benchmark

What quality scores mean for patients at JEFFERSON HOSPITAL

JEFFERSON HOSPITAL holds a CMS overall rating of 3 out of 5 stars, based on publicly reported quality measures. This places it at #61 out of 122 hospitals in PA. Quality ratings aggregate dozens of individual measures — from nurse communication and cleanliness to surgical complication rates and timely care — into a single composite. While no single number captures the full patient experience, the star rating provides a useful starting point for understanding whether a hospital consistently meets or falls short of national performance standards.

Readmission data offers a particularly important signal. JEFFERSON HOSPITAL's average excess readmission ratio is 1.09x the national average, meaning patients here return to the hospital at a higher-than-expected rate after discharge. This hospital reports readmission data across 6 conditions, and performance varies by diagnosis. High readmission rates can indicate issues with discharge planning, follow-up care coordination, or the initial quality of treatment — all factors that may also correlate with the complexity and accuracy of the resulting hospital bill.

Research consistently shows a correlation between hospital operational quality and billing accuracy. Hospitals that perform well on patient safety, infection control, and care coordination tend to have more robust administrative processes, including medical coding and billing. Conversely, facilities with lower quality scores — particularly those with higher-than-average infection rates (0 measures worse than average at JEFFERSON HOSPITAL) or elevated readmission ratios — often exhibit higher rates of billing discrepancies. If you have received a bill from a hospital with mixed quality indicators, a line-by-line review against regional benchmarks can identify charges that may not align with the care actually delivered.

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Data from CMS Hospital Compare, HCAHPS Patient Survey, Hospital-Acquired Infection (HAI) reports, and Hospital Readmissions Reduction Program (HRRP). All data is publicly available.

Star ratings and quality measures are published by the Centers for Medicare & Medicaid Services (CMS). This page is for informational purposes only and does not constitute medical advice.

Frequently Asked Questions About JEFFERSON HOSPITAL Quality

What is JEFFERSON HOSPITAL's CMS star rating?

JEFFERSON HOSPITAL has an overall CMS star rating of 3 out of 5, based on the Hospital Compare quality rating system. This rating incorporates patient experience, safety, readmission rates, mortality outcomes, and timely & effective care. Star ratings are updated annually by the Centers for Medicare & Medicaid Services.

How do patients rate JEFFERSON HOSPITAL?

Patient satisfaction data for JEFFERSON HOSPITAL is based on the HCAHPS patient survey, which measures experience across dimensions including nurse and doctor communication, staff responsiveness, and cleanliness. Detailed scores are available on this page.

Does JEFFERSON HOSPITAL have higher-than-average readmission rates?

JEFFERSON HOSPITAL's average excess readmission ratio is 1.09. A ratio above 1.0 means readmission rates are higher than the national average for the measured conditions. This hospital's readmission rate is above the national average. Source: CMS Hospital Readmissions Reduction Program.

How does JEFFERSON HOSPITAL compare to other PA hospitals?

JEFFERSON HOSPITAL's quality metrics, including star rating, patient satisfaction, readmission rates, and infection data, can be compared against other PA hospitals on this page. The state peers section shows the top-rated hospitals in PA for context.

Data sourced from CMS Hospital Compare and HCAHPS Patient Survey. All information is for educational purposes only.