VA Pittsburgh Healthcare System - Univ Dr

Hospital in Pittsburgh, PA, Medicare certification number 39012F. CMS publishes 37 quality measures for it.

Medicare certification

Provider of Services

CCN: 39012FThe number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital
Listed by Care Compare as: Acute Care - Veterans Administration
Ownership: Veterans Health Administration
Participating since: Mar 1, 1991
Last certification: Mar 1, 1991
Beds: 686
Overall star rating: 4 of 5Care Compare
Address: University Drive
Pittsburgh, PA 15240
(412) 688-6000

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.47 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better4 of 5
- State average 2.77 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.59 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.13 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.8 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.38 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 2.85 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.67 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.33 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 18

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.1
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 2,043 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Worse1.36
- State average 0.99 (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 expected186.42
- State average 176.01 (computed here)
- National average 173.3
- No different than the national rate
- 75 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.9
- State average 8.11 (computed here)
- National average 8.6
- No different than the national rate
- 369 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected9.4
- State average 11.71 (computed here)
- National average 11.9
- No different than the national rate
- 195 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.4
- State average 10.73 (computed here)
- National average 11.1
- No different than the national rate
- 640 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected11.2
- State average 14.97 (computed here)
- National average 15.2
- No different than the national rate
- 411 patients
- Period from 07/01/2022
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.3
- State average 3.79 (computed here)
- National average 3.9
- No different than the national rate
- 2,580 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.35
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 10,981 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.43
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 11,705 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.9
- State average 3.52 (computed here)
- National average 3.52
- No different than the national rate
- 2,722 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.09
- State average 1.63 (computed here)
- National average 1.67
- No different than the national rate
- 1,471 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.1
- State average 2.3 (computed here)
- National average 2.34
- No different than the national rate
- 2,627 patients
- Period from 07/01/2022
Postoperative respiratory failure rate Worse14.59
- State average 8.98 (computed here)
- National average 9.42
- Worse than the national rate
- 1,475 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected3.94
- State average 5.24 (computed here)
- National average 5.27
- No different than the national rate
- 1,413 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.4
- State average 1.72 (computed here)
- National average 1.77
- No different than the national rate
- 688 patients
- Period from 07/01/2022
Pressure ulcer rate Worse1.61
- State average 0.63 (computed here)
- National average 0.63
- Worse than the national rate
- 7,708 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.3
- State average 4.17 (computed here)
- National average 4.1
- No different than the national rate
- 212 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (2)

Death rate for CABG surgery patients — 5
Death rate for stroke patients — 5

Infections 2

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.63
- State average 0.56
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.82
- State average 0.59
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (4)

Clostridium Difficile (C.Diff) — 5
MRSA Bacteremia — 5
SSI - Abdominal Hysterectomy — 5
SSI - Colon Surgery — 5

Unplanned visits 8

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.6
- State average 14.5 (computed here)
- National average 14.4
- No different than the national rate
- 128 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22.1
- State average 21.59 (computed here)
- National average 21.3
- No different than the national rate
- 524 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 24.9
- State average 0.71 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 217 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 10.7
- State average -1.7 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 788 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 4.7
- State average 2.03 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 448 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected19.7
- State average 17.56 (computed here)
- National average 17.3
- No different than the national rate
- 291 patients
- Period from 07/01/2023
Rate of readmission after hip/knee replacement As expected6.4
- State average 5.89 (computed here)
- National average 5.8
- No different than the national rate
- 216 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.8
- State average 20.02 (computed here)
- National average 20
- No different than the national rate
- 324 patients
- Period from 07/01/2023

Measures CMS does not publish for this facility (6)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 5
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 5
Rate of readmission for CABG — 5
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) — 5
Ratio of unplanned hospital visits after hospital outpatient surgery — 5

Other hospitals in Pittsburgh, PA

Upmc Mercy
Upmc Passavant
Upmc Presbyterian Shadyside
Upmc Shadyside terminated
Upmc St Margaret
West Penn Hospital
Western Psychiatric Insti & Clinic 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.

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.