Dekalb Medical Center, Inc

Doing business as Emory Decatur Hospital

Hospital in Decatur, GA, Medicare certification number 110076. CMS publishes 67 quality measures for it.

Medicare certification

Provider of Services

CCN: 110076The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Feb 21, 2025
Beds: 451
Overall star rating: 2 of 5Care Compare
Address: 2701 N Decatur Road
Decatur, GA 30033
(404) 501-1000

NPI records for this facility (CCN to NPI Mapping) 1

Dekalb Medical Center, Inc.

dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
Medicare enrollment

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Emory Decatur Hospital Inpatient rehabilitation facility, CCN 11T076, 19 measures, 2 providers

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.3 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.46 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse2 of 5
- State average 2.94 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.08 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.2 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.27 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.77 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.6 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.15 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,339

Page 1 of 54Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Mohamed Abbas, MD
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1811407141
Mekdess A Abebe, MD
- Nephrology Physician
- Roswell, NM
- NPI 1316266711
Ali Abouzia, M.D.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1265752240
Aaron Steven Abramowski, AA
- Anesthesiologist Assistant
- Albuquerque, NM
- NPI 1760832869
Brooj Abro, MD
- Hematology (Pathology) Physician
- Saint Louis, MO
- NPI 1205312972
Ibrahim Abubakar, MD
- Student in an Organized Health Care Education/Training Program
- Winooski, VT
- NPI 1215382676
Robert Achram, MD
- Clinical Pathology Physician
- Atlanta, GA
- NPI 1174135586
Camilo Jose Acosta, MD
- Gastroenterology Physician
- Miami, FL
- NPI 1477013548
Christy Jo Morgan Adams
- Physician Assistant
- Riverdale, GA
- NPI 1518477785
Kelli Nichole Adams, ACNP
- Acute Care Nurse Practitioner
- Cleveland, GA
- NPI 1104070457
Simbo Oluwabusuyi Aduloju, M.D
- Hematology & Oncology Physician
- Decatur, GA
- NPI 1770769234
Ankita Agarwal, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1386022242
Christiana Agbonghae, MD
- Emergency Medicine Physician
- Decatur, GA
- NPI 1730838087
Rubab Ahmad
- Physician Assistant
- Atlanta, GA
- NPI 1700390127
Seeme V Ahmad, MD
- Psychiatry Physician
- Jonesboro, GA
- NPI 1306943394
Shelly J Ahmann, MD
- Surgery Physician
- Atlanta, GA
- NPI 1104935048
Osman Ahmed, MD
- Cardiovascular Disease Physician
- Tucker, GA
- NPI 1427021310
Reem A Ahmed, M.D
- Hospitalist Physician
- Atlanta, GA
- NPI 1326326489
Shahid Sattar Ahmed, MBBS
- Hematology & Oncology Physician
- Atlanta, GA
- NPI 1841555083
Jordan D Aigner, PAAA
- Anesthesiologist Assistant
- Atlanta, GA
- NPI 1184975856
Ashley H. Aiken, MD
- Neuroradiology Physician
- San Francisco, CA
- NPI 1538221270
Miranda Chiamaka Ajulufoh, MD
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
- NPI 1932736592
Ozioma Akaranta, MD
- Internal Medicine Physician
- Atlanta, GA
- NPI 1295132595
Brett Darrell Akers, D.O.
- Urology Physician
- London, KY
- NPI 1639162340
Adebayo A Akintobi, M.D., M.P.H.
- Family Medicine Physician
- Decatur, GA
- NPI 1154497626

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate Worse2.2
- State average 1.07 (computed here)
- National average 1.06
- Worse than the national rate
- 591 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.45
- State average 1.07 (computed here)
- National average 1
- Worse than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected213.29
- State average 175.6 (computed here)
- National average 173.3
- No different than the national rate
- 39 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.8
- State average 8.69 (computed here)
- National average 8.6
- No different than the national rate
- 57 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.6
- State average 12.11 (computed here)
- National average 11.9
- No different than the national rate
- 91 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected8.2
- State average 10.84 (computed here)
- National average 11.1
- No different than the national rate
- 241 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15.6
- State average 15.21 (computed here)
- National average 15.2
- No different than the national rate
- 183 patients
- Period from 07/01/2022
Death rate for stroke patients Better8.7
- State average 12.45 (computed here)
- National average 11.9
- Better than the national rate
- 238 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better3
- State average 4.08 (computed here)
- National average 3.9
- Better than the national rate
- 2,653 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.24
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 3,460 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.28
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 3,520 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.46
- State average 3.81 (computed here)
- National average 3.52
- No different than the national rate
- 608 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.52
- State average 1.8 (computed here)
- National average 1.67
- No different than the national rate
- 169 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.55
- State average 2.36 (computed here)
- National average 2.34
- No different than the national rate
- 604 patients
- Period from 07/01/2022
Postoperative respiratory failure rate Worse19.74
- State average 10.26 (computed here)
- National average 9.42
- Worse than the national rate
- 187 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected8.7
- State average 5.77 (computed here)
- National average 5.27
- No different than the national rate
- 163 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.66
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 142 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.58
- State average 0.68 (computed here)
- National average 0.63
- No different than the national rate
- 2,988 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected6.3
- State average 4.65 (computed here)
- National average 4.1
- No different than the national rate
- 32 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.93
- State average 0.39
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.33
- State average 0.61
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.38
- State average 0.26
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Better0.25
- State average 0.69
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected1.7
- State average 1.41
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.66
- State average 1
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 2
- State average 5.62 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 2.7
- State average 6.41 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.97
- State average 0.97
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 18

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 34
- State average 63
- National average 65
- 136 patients
- Period from 10/01/2024
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 better 232
- State average 169
- National average 168
- 389 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 336
- State average 322
- National average 287
- 11 patients
- Period from 10/01/2024
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 better 222
- State average 162
- National average 162
- 360 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 296
- State average 308
- National average 257
- 18 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 79
- State average 89
- National average 93
- 96 patients
- Period from 01/01/2024
Head CT results 44
- State average 70
- National average 69
- 18 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 92
- State average 76
- National average 78
- 2,920 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 8
- State average 6.67 (computed here)
- National average 8.08 (computed here)
- 24,144 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 4
- State average 1.71 (computed here)
- National average 1.09 (computed here)
- 4,188 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 92
- State average 95.53 (computed here)
- National average 93.49 (computed here)
- 2,784 patients
- Period from 01/01/2024
Left before being seen 4
- State average 2
- National average 2
- 68,541 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 9
- State average 15
- National average 15
- 2,910 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 63
- State average 73
- National average 73
- 41 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 64
- State average 84
- National average 87
- 22 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 70
- State average 80
- National average 81
- 136 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 71
- State average 92
- National average 93
- 73 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 81
- State average 83.63 (computed here)
- National average 82.23 (computed here)
- 6,396 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (12)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Discharged on Antithrombotic Therapy — 5
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.9
- State average 14.35 (computed here)
- National average 14.4
- No different than the national rate
- 227 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected19.1
- State average 21.19 (computed here)
- National average 21.3
- No different than the national rate
- 816 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 57.3
- State average 5.31 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 72 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 19.1
- State average 12.52 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 273 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 12.4
- State average 12.69 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 188 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.5
- State average 17.41 (computed here)
- National average 17.3
- No different than the national rate
- 470 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.3
- State average 5.23 (computed here)
- National average 5.4
- No different than the national rate
- 46 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.1
- State average 10.62 (computed here)
- National average 10.7
- No different than the national rate
- 46 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.7
- State average 5.93 (computed here)
- National average 5.8
- No different than the national rate
- 32 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.2
- State average 19.84 (computed here)
- National average 20
- No different than the national rate
- 206 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.3
- State average 12.97 (computed here)
- National average 13
- No different than the national rate
- 693 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.97 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 356 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 5

Other hospitals in Decatur, GA

Decatur (Atlanta) VA Medical Center
Decatur Hospital terminated
Georgia Regional Hospital Atlanta
Veterans Affairs Medical Center terminated

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.