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UNIVERSITY HEALTH SYSTEM, INC — Quality & Patient Safety

KNOXVILLE, TN · 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

4

Out of 5 stars · CMS Hospital Compare rating

N/A

Patients recommend

2,129

Survey responses

Patient Satisfaction

3.0/5

Overall HCAHPS score

Avg Readmission Ratio

0.99

At or below average

Quality Measures

54

CMS-tracked metrics

Quality Score

80

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

18

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 Limit0.21Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.70Better than the National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days25616.00Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases27.22Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases11.00Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)0.40Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.15Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.44Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days32406.00Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases48.94Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases13.00Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.27Better than the National Benchmark
SSI - Colon Surgery: Lower Confidence Limit0.25No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit1.01No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures512.00No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases15.04No Different than National Benchmark
SSI - Colon Surgery: Observed Cases8.00No Different than National Benchmark
SSI - Colon Surgery0.53No Different than National Benchmark
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.03No Different than National Benchmark
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.80No Different than National Benchmark
SSI - Abdominal Hysterectomy: Number of Procedures199.00No Different than National Benchmark
SSI - Abdominal Hysterectomy: Predicted Cases1.76No Different than National Benchmark
SSI - Abdominal Hysterectomy: Observed Cases1.00No Different than National Benchmark
SSI - Abdominal Hysterectomy0.57No Different than National Benchmark
MRSA Bacteremia: Lower Confidence Limit0.54No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit1.30No Different than National Benchmark
MRSA Bacteremia: Patient Days232099.00No Different than National Benchmark
MRSA Bacteremia: Predicted Cases23.39No Different than National Benchmark
MRSA Bacteremia: Observed Cases20.00No Different than National Benchmark
MRSA Bacteremia0.85No Different than National Benchmark
Clostridium Difficile (C.Diff): Lower Confidence Limit0.18Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit0.38Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days210275.00Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases109.61Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases29.00Better than the National Benchmark
Clostridium Difficile (C.Diff)0.27Better than the National Benchmark

What quality scores mean for patients at UNIVERSITY HEALTH SYSTEM, INC

UNIVERSITY HEALTH SYSTEM, INC holds a CMS overall rating of 4 out of 5 stars, based on publicly reported quality measures. This places it at #18 out of 66 hospitals in TN. 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. UNIVERSITY HEALTH SYSTEM, INC's average excess readmission ratio is 0.99x the national average, indicating readmission rates at or below the national norm. 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 UNIVERSITY HEALTH SYSTEM, INC) 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 UNIVERSITY HEALTH SYSTEM, INC Quality

What is UNIVERSITY HEALTH SYSTEM, INC's CMS star rating?

UNIVERSITY HEALTH SYSTEM, INC has an overall CMS star rating of 4 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 UNIVERSITY HEALTH SYSTEM, INC?

Patient satisfaction data for UNIVERSITY HEALTH SYSTEM, INC 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 UNIVERSITY HEALTH SYSTEM, INC have higher-than-average readmission rates?

UNIVERSITY HEALTH SYSTEM, INC's average excess readmission ratio is 0.99. A ratio above 1.0 means readmission rates are higher than the national average for the measured conditions. This hospital's readmission rate is at or below the national average. Source: CMS Hospital Readmissions Reduction Program.

How does UNIVERSITY HEALTH SYSTEM, INC compare to other TN hospitals?

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

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