Duke Regional Hospital

Hospital in Durham, NC, Medicare certification number 340155. CMS publishes 63 quality measures for it.

Medicare certification

Provider of Services

CCN: 340155The 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: Government - Local
Control type: Local
Participating since: Oct 10, 1976
Last certification: May 14, 2009
Beds: 391
Overall star rating: 5 of 5Care Compare
Address: 3643 N Roxboro Street
Durham, NC 27704
(919) 470-4000

NPI records for this facility 2

Duke University Health System Inc
- Clinical Medical Laboratory
- Durham, NC
- NPI 1689656480
Medicare enrollment
Duke University Health System, Inc.
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse2 of 5
- State average 3.27 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.84 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.44 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.45 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.59 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.32 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.42 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.66 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.39 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.12
- State average 1.02 (computed here)
- National average 1.06
- No different than the national rate
- 931 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.98
- State average 0.99 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected134.57
- State average 178.18 (computed here)
- National average 173.3
- No different than the national rate
- 57 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.3
- State average 8.75 (computed here)
- National average 8.6
- No different than the national rate
- 138 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.5
- State average 11.93 (computed here)
- National average 11.9
- No different than the national rate
- 109 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.7
- State average 11.28 (computed here)
- National average 11.1
- No different than the national rate
- 363 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.4
- State average 15.37 (computed here)
- National average 15.2
- No different than the national rate
- 327 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.5
- State average 12.32 (computed here)
- National average 11.9
- No different than the national rate
- 239 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better2.5
- State average 3.99 (computed here)
- National average 3.9
- Better than the national rate
- 3,382 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.22
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 5,561 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.25
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 5,533 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.2
- State average 3.73 (computed here)
- National average 3.52
- No different than the national rate
- 1,215 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.91
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 472 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.62
- State average 2.33 (computed here)
- National average 2.34
- No different than the national rate
- 1,088 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected9.07
- State average 9.09 (computed here)
- National average 9.42
- No different than the national rate
- 503 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.64
- State average 4.93 (computed here)
- National average 5.27
- No different than the national rate
- 468 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.67
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 234 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.52
- State average 0.64 (computed here)
- National average 0.63
- No different than the national rate
- 4,538 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.5
- State average 4.04 (computed here)
- National average 4.1
- No different than the national rate
- 96 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.25
- State average 0.48
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.57
- State average 0.66
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.2
- State average 0.28
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.31
- State average 0.62
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery Better0
- State average 0.97
- National average 1
- Better than the national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.8
- State average 4.66 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 3.9
- State average 6.7 (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) 0.89
- State average 0.95
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 65
- State average 64
- National average 65
- 170 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 263
- State average 191
- National average 168
- 409 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 255
- State average 187
- National average 162
- 375 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 358
- State average 300
- National average 257
- 34 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 99
- State average 96.77 (computed here)
- National average 96.1 (computed here)
- 239 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 95
- National average 93
- 92 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 97
- State average 90
- National average 78
- 3,502 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 95
- State average 96.08 (computed here)
- National average 93.49 (computed here)
- 1,101 patients
- Period from 01/01/2024
Left before being seen 3
- State average 2
- National average 2
- 64,126 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 13
- State average 16
- National average 15
- 4,622 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 65
- State average 75
- National average 73
- 79 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 90
- State average 84
- National average 87
- 29 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 86
- State average 80
- National average 81
- 171 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 98
- State average 95
- National average 93
- 105 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 89
- State average 88.42 (computed here)
- National average 82.23 (computed here)
- 8,694 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (15)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 7
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
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 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 expected14.4
- State average 14.22 (computed here)
- National average 14.4
- No different than the national rate
- 165 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.3
- State average 21.37 (computed here)
- National average 21.3
- No different than the national rate
- 792 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 7.2
- State average 2.52 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 94 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -14.5
- State average 4.06 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 400 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -15.4
- State average 4.36 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 348 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.4
- State average 17.06 (computed here)
- National average 17.3
- No different than the national rate
- 578 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5
- State average 5.41 (computed here)
- National average 5.4
- No different than the national rate
- 80 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected12.3
- State average 10.53 (computed here)
- National average 10.7
- No different than the national rate
- 80 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.5
- State average 5.7 (computed here)
- National average 5.8
- No different than the national rate
- 98 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.6
- State average 19.82 (computed here)
- National average 20
- No different than the national rate
- 283 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected11.2
- State average 12.92 (computed here)
- National average 13
- No different than the national rate
- 1,346 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.98 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 504 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

Select Specialty Hospital-Durham Inc CCN 340182, Durham, NC

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.
NPPES NPI Registry: the NPI records connected to this certification.

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.