Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
1364 CLIFTON ROAD, NE, ATLANTA, GA 30322
Phone
(404) 686-8500
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
4 /5
CMS Overall Rating
p63
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
3
4
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 8 of 8 measures reported
1
6
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
11
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 10 of 12 measures reported
10 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 89 discharges
1.0318 p69
Heart Failure 518 discharges
1.0025 p52
Pneumonia 365 discharges
1.0132 p61
COPD
0.9572 p15
Hip/Knee Replacement
0.9090 p27
CABG Surgery
1.0681 p77
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is above the national median, suggesting a positive payment adjustment.

39.0 p77
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
14.6 p93
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
4.2 p9
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
12.8 p76
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
7.5 p67
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.0681
Value-Based Purchasing
39.0 TPS
Above national median
HAC Reduction
Payment Reduced
HAC Score: 0.7113

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 3.90 No Different Than the National Rate 44
Hybrid_HWM 3.40 Better Than the National Rate 1,786
MORT_30_AMI 11.80 No Different Than the National Rate 62
MORT_30_CABG 2.00 No Different Than the National Rate 46
MORT_30_COPD 7.50 No Different Than the National Rate 62
MORT_30_HF 8.40 Better Than the National Rate 418
MORT_30_PN 12.60 Better Than the National Rate 333
MORT_30_STK 11.70 No Different Than the National Rate 278
PSI_03 0.83 No Different Than the National Rate 8,918
PSI_04 160.16 No Different Than the National Rate 222
PSI_06 0.38 No Different Than the National Rate 9,728
PSI_08 0.31 No Different Than the National Rate 10,603
PSI_09 3.85 Worse Than the National Rate 2,977
PSI_10 2.33 No Different Than the National Rate 1,664
PSI_11 13.06 No Different Than the National Rate 1,654
PSI_12 5.89 Worse Than the National Rate 3,224
PSI_13 7.04 No Different Than the National Rate 1,705
PSI_14 1.54 No Different Than the National Rate 1,260
PSI_15 1.56 No Different Than the National Rate 2,905
PSI_90 1.42 Worse Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 77%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6%
H_COMP_1_U_P: Nurses "usually" communicated well 17%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 84%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 5%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 11%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 75%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 19%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 72%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 7%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 21%
H_COMP_2_A_P: Doctors "always" communicated well 83%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5%
H_COMP_2_U_P: Doctors "usually" communicated well 12%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 4
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 89%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 3%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 8%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 81%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 14%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 77%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 6%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 17%
H_COMP_5_A_P: Staff "always" explained 57%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 23%
H_COMP_5_U_P: Staff "usually" explained 20%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 2
H_MED_FOR_A_P: Staff "always" explained new medications 72%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11%
H_MED_FOR_U_P: Staff "usually" explained new medications 17%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 42%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 35%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 23%
H_COMP_6_N_P: No, staff "did not" give patients this information 15%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 85%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 3
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 15%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 85%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 15%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 85%
H_CLEAN_HSP_A_P: Room was "always" clean 76%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 10%
H_CLEAN_HSP_U_P: Room was "usually" clean 14%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 4
H_QUIET_HSP_A_P: "Always" quiet at night 65%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 7%
H_QUIET_HSP_U_P: "Usually" quiet at night 28%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 4
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 6%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 17%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 77%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 4
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 4%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 78%
H_RECMND_PY: "YES", patients would probably recommend the hospital 18%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 5
H_STAR_RATING: Summary star rating 3

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.770 No Different than National Benchmark
HAI_1_CIUPPER 1.302 No Different than National Benchmark
HAI_1_DOPC 52239.000 No Different than National Benchmark
HAI_1_ELIGCASES 55.436 No Different than National Benchmark
HAI_1_NUMERATOR 56.000 No Different than National Benchmark
HAI_1_SIR 1.010 No Different than National Benchmark
HAI_2_CILOWER 0.515 Better than the National Benchmark
HAI_2_CIUPPER 0.975 Better than the National Benchmark
HAI_2_DOPC 30444.000 Better than the National Benchmark
HAI_2_ELIGCASES 52.968 Better than the National Benchmark
HAI_2_NUMERATOR 38.000 Better than the National Benchmark
HAI_2_SIR 0.717 Better than the National Benchmark
HAI_3_CILOWER 0.193 No Different than National Benchmark
HAI_3_CIUPPER 1.168 No Different than National Benchmark
HAI_3_DOPC 351.000 No Different than National Benchmark
HAI_3_ELIGCASES 9.490 No Different than National Benchmark
HAI_3_NUMERATOR 5.000 No Different than National Benchmark
HAI_3_SIR 0.527 No Different than National Benchmark
HAI_4_CILOWER 0.229 No Different than National Benchmark
HAI_4_CIUPPER 4.513 No Different than National Benchmark
HAI_4_DOPC 163.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.464 No Different than National Benchmark
HAI_4_NUMERATOR 2.000 No Different than National Benchmark
HAI_4_SIR 1.366 No Different than National Benchmark
HAI_5_CILOWER 0.413 No Different than National Benchmark
HAI_5_CIUPPER 1.189 No Different than National Benchmark
HAI_5_DOPC 205190.000 No Different than National Benchmark
HAI_5_ELIGCASES 19.284 No Different than National Benchmark
HAI_5_NUMERATOR 14.000 No Different than National Benchmark
HAI_5_SIR 0.726 No Different than National Benchmark
HAI_6_CILOWER 0.290 Better than the National Benchmark
HAI_6_CIUPPER 0.518 Better than the National Benchmark
HAI_6_DOPC 205190.000 Better than the National Benchmark
HAI_6_ELIGCASES 117.378 Better than the National Benchmark
HAI_6_NUMERATOR 46.000 Better than the National Benchmark
HAI_6_SIR 0.392 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV high Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER 8.0 Electronic Clinical Quality Measure
HH_HYPO 3.0 Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 94.0 Healthcare Personnel Vaccination
OP_18a 308.0 Emergency Department
OP_18b 308.0 Emergency Department
OP_18c 253.0 Emergency Department
OP_18d Emergency Department
OP_22 2.0 Emergency Department
OP_23 Emergency Department
OP_29 86.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 19.0 Electronic Clinical Quality Measure
SEP_1 28.0 Sepsis Care
SEP_SH_3HR 14.0 Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR 80.0 Sepsis Care
SEV_SEP_6HR 72.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 78.0 Electronic Clinical Quality Measure
VTE_2 93.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 39.80 More Days Than Average per 100 Discharges
EDAC_30_HF 4.90 Average Days per 100 Discharges
EDAC_30_PN 18.80 More Days Than Average per 100 Discharges
Hybrid_HWR 14.40 No Different Than the National Rate
OP_32 12.60 No Different Than the National Rate
OP_35_ADM 10.40 No Different Than the National Rate
OP_35_ED 5.10 No Different Than the National Rate
OP_36 0.90 No Different than expected
READM_30_AMI 14.00 No Different Than the National Rate
READM_30_CABG 11.30 No Different Than the National Rate
READM_30_COPD 17.40 No Different Than the National Rate
READM_30_HF 19.70 No Different Than the National Rate
READM_30_HIP_KNEE 4.40 No Different Than the National Rate
READM_30_PN 16.20 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
0.94

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Show 91 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Current Ratio 13.44 metrics.current_ratio
Cost Report Employees per Bed 6.51 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $1,983,255,567 metrics.fund_balance
Cost Report Net Income ($) $199,726,285 metrics.net_income
Cost Report Net Patient Revenue ($) $1,672,575,464 metrics.net_patient_revenue
Cost Report Operating Margin (%) 11.0% metrics.operating_margin
Cost Report Total Assets ($) $2,523,161,444 metrics.total_assets
Cost Report Total Costs ($) $1,385,696,055 metrics.total_costs
Cost Report Total Liabilities ($) $539,905,877 metrics.total_liabilities
Cost Report Total Margin (%) 11.8% metrics.total_margin
Cost Report Uncompensated Care (%) 5.9% metrics.uncompensated_care_pct
General Information Address 1364 CLIFTON ROAD, NE Address
General Information City/Town ATLANTA City/Town
General Information Count of Facility MORT Measures 7 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 11 Count of Facility READM Measures
General Information Count of Facility Safety Measures 8 Count of Facility Safety Measures
General Information Count of Facility TE Measures 10 Count of Facility TE Measures
General Information Count of MORT Measures Better 3 Count of MORT Measures Better
General Information Count of MORT Measures No Different 4 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 Count of MORT Measures Worse
General Information Count of READM Measures Better 0 Count of READM Measures Better
General Information Count of READM Measures No Different 11 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 Count of READM Measures Worse
General Information Count of Safety Measures Better 1 Count of Safety Measures Better
General Information Count of Safety Measures No Different 6 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 Count of Safety Measures Worse
General Information County/Parish DE KALB County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 110010 Facility ID
General Information Facility Name EMORY UNIVERSITY HOSPITAL Facility Name
General Information Hospital overall rating 4 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Private Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State GA State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (404) 686-8500 Telephone Number
General Information ZIP Code 30322 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.78 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.41 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.99 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.83 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0.78 measures.ssi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 0.71 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 Start Date
Medicare Spending per Beneficiary Value 0.94 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.03 0.9995 p69 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.5% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 89 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 14 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.9% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.07 1.0000 p77 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.0% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 11.7% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.96 0.9969 p15 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 17.7% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Predicted readmission rate 16.9% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.00 0.9983 p52 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.0% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 518 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 99 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.1% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.91 0.9916 p27 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.9% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 5.4% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.01 0.9955 p61 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.5% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 365 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 62 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.7% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 14.58 5.00 p93 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 7.50 2.50 p67 efficiency_score
Value-Based Purchasing Person & Community Engagement 12.75 8.75 p76 person_community_score
Value-Based Purchasing Safety 4.17 10.00 p9 safety_score
Value-Based Purchasing Total Performance Score 39.00 29.50 p77 total_performance_score
Methodology

Full methodology →