★★☆☆☆2 out of 5 StarsWhy 2 stars?Emory University Hospital Midtown's 2-star rating reflects below-average performance on Timely Care.
CMS Overall Hospital Quality Star Rating · Emory University Hospital Midtown
How was Emory University Hospital Midtown's 2-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Emory University Hospital Midtown. CMS standardizes
every underlying measure against the national rate, computes
a weighted score for each of five domains, sums them by the
fixed weights below, and assigns 1–5 stars using k-means
clustering across all reporting hospitals.
Domains that fed Emory University Hospital Midtown's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
7 of 7
0 better7 same0 worse
Safety of Care
22%
18 of 19
3 better13 same2 worse
Readmissions
22%
5 of 6
0 better4 same1 worse
Timely & Effective Care
12%
16 of 22
1 better6 same9 worse
Patient Experience
22%
HCAHPS
See HCAHPS detail below
How star meaning varies by hospital type.
This CMS Overall Star Rating only applies to acute care
hospitals. Children's hospitals (Pediatric Quality), psychiatric
hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP),
long-term acute care hospitals (LTACH QRP), and VA medical centers
each use separate quality programs designed for their patient
populations. Comparing star ratings across these facility types
isn't meaningful — see the methodology page for the full mapping
of which program applies to which facility.
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Emory University Hospital…
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 3.80 95% interval: 3.00 – 4.70 Sample size: 1,026Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for CABG surgery patientsNo Different Than the National RateHospital score: 1.70 95% interval: 0.80 – 4.00 Sample size: 97Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for COPD patientsNo Different Than the National RateHospital score: 7.70 95% interval: 4.90 – 11.60 Sample size: 58Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 13.20 95% interval: 10.30 – 16.50 Sample size: 52Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNo Different Than the National RateHospital score: 10.90 95% interval: 8.20 – 14.20 Sample size: 298Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 15.30 95% interval: 11.80 – 19.30 Sample size: 149Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNo Different Than the National RateHospital score: 12.80 95% interval: 9.30 – 17.50 Sample size: 66Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STK
Safety of Care
Same as National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Emory University Hospital…
WorseUS AvgBetter
Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.30 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)Better than the National BenchmarkHospital score: 0.54 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRMRSA BacteremiaBetter than the National BenchmarkHospital score: 0.45 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)No Different than National BenchmarkHospital score: 0.79 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRIatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.24 95% interval: 0.04 – 0.43 Sample size: 5,448Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06In-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.25 95% interval: 0.06 – 0.44 Sample size: 5,960Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08Postoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 3.38 95% interval: 2.15 – 4.61 Sample size: 1,969Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 3.64 95% interval: 1.75 – 5.52 Sample size: 2,075Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 2.22 95% interval: 0.87 – 3.58 Sample size: 1,215Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 12.29 95% interval: 7.49 – 17.10 Sample size: 1,036Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 5.99 95% interval: 3.15 – 8.83 Sample size: 1,241Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.75 95% interval: 0.20 – 1.31 Sample size: 4,965Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03CMS Medicare PSI 90: Patient safety and adverse events compositeNo Different Than the National ValueHospital score: 1.21 95% interval: 0.95 – 1.46 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90SSI - Colon SurgeryNo Different than National BenchmarkHospital score: 1.34 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRDeath rate among surgical inpatients with serious treatable complicationsNo Different Than the National RateHospital score: 143.95 95% interval: 95.25 – 192.66 Sample size: 107Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.60 95% interval: 0.14 – 3.06 Sample size: 472Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Abdominopelvic accidental puncture or laceration rateWorse Than the National RateHospital score: 2.00 95% interval: 1.08 – 2.91 Sample size: 1,256Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15SSI - Abdominal HysterectomyWorse than the National BenchmarkHospital score: 2.92 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIRRate of complications for hip/knee replacement patientsNumber of Cases Too SmallHospital score: — Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEE
Readmissions
Same as National Average
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
Emory University Hospital…
WorseUS AvgBetter
Patient survey detail — the questions feeding the Patient Experience domain above
expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey.
Each bar below is one survey question; the percentage is the share of
Emory's recent patients who gave the most positive
response. HCAHPS percentages aren't directly comparable across all measures —
see the methodology page for how CMS weights them.
Communication with Nurses73%
Communication with Doctors79%
Hospital Cleanliness65%
Hospital Quietness63%
Staff ResponsivenessN/A
Discharge Information82%
Overall Hospital Rating (9 or 10)69%
Would Recommend Hospital71%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Below National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Emory University Hospital…
WorseUS AvgBetter
Underlying measures:Healthcare workers given influenza vaccinationBetter than ~75% of hospitalsHospital score: 91.00 % National median: 79.00 % (higher is better)
Sample size: 6,310Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Safe Use of Opioids - Concurrent PrescribingNear the national medianHospital score: 14.00 % National median: 15.00 % (lower is better)
Sample size: 6,041Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSAverage (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterNear the national medianHospital score: 272.00 min National median: 248.00 min (lower is better)
Sample size: 29Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cHead CT resultsNear the national medianHospital score: 77.00 % National median: 74.00 % (higher is better)
Sample size: 13Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23Intensive Care Unit Venous Thromboembolism ProphylaxisNear the national medianHospital score: 96.00 % National median: 97.00 % (higher is better)
Sample size: 3,451Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_2Hospital Harm - Severe HyperglycemiaNear the national medianHospital score: 7.00 % National median: 8.00 % (lower is better)
Sample size: 42,985Reporting period: 01/01/2024 – 12/31/2024CMS measure id: HH_HYPERVenous Thromboembolism ProphylaxisNear the national medianHospital score: 78.00 % National median: 90.00 % (higher is better)
Sample size: 10,545Reporting period: 01/01/2024 – 12/31/2024CMS measure id: VTE_1Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsWorse than ~75% of hospitalsHospital score: 37.00 % National median: 97.00 % (higher is better)
Sample size: 86Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Average (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 betterWorse than ~75% of hospitalsHospital score: 345.00 min National median: 148.00 min (lower is better)
Sample size: 364Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (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 betterWorse than ~75% of hospitalsHospital score: 341.00 min National median: 154.00 min (lower is better)
Sample size: 395Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aLeft before being seenWorse than ~75% of hospitalsHospital score: 6.00 % National median: 1.00 % (lower is better)
Sample size: 88,599Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Appropriate care for severe sepsis and septic shockWorse than ~75% of hospitalsHospital score: 26.00 % National median: 64.00 % (higher is better)
Sample size: 127Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleWorse than ~75% of hospitalsHospital score: 28.00 % National median: 72.00 % (higher is better)
Sample size: 29Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRHospital Harm - Severe HypoglycemiaWorse than ~75% of hospitalsHospital score: 4.00 % National median: 1.00 % (lower is better)
Sample size: 6,233Reporting period: 01/01/2024 – 12/31/2024CMS measure id: HH_HYPOSevere Sepsis 3-Hour BundleWorse than ~75% of hospitalsHospital score: 65.00 % National median: 81.00 % (higher is better)
Sample size: 127Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRSevere Sepsis 6-Hour BundleWorse than ~75% of hospitalsHospital score: 63.00 % National median: 94.00 % (higher is better)
Sample size: 65Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HR
Clinical Staff
Emory University Hospital Midtown has 1,934 CMS-affiliated
clinicians on its roster — physicians, advanced practice providers, and other
Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
Nurse Practitioner219
Physician Assistant195
Diagnostic Radiology146
Internal Medicine133
Anesthesiology Assistant93
Emergency Medicine80
Anesthesiology80
Cardiovascular Disease (Cardiology)72
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
1,929(100%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
774(40%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
1,404 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 1,316
(94%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores
are not a reliable consumer signal. We surface roster-level coverage and the share
above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file
and MIPS Performance Year final scores, as of 2026-05-27.
Affiliations from the CMS Facility Affiliations dataset. About 16% of small
facilities (critical access, rural emergency, freestanding psych, IRF/LTCH)
do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 1,934 clinicians affiliated with Emory University Hospital Midtown.
Each name links to that clinician's official Medicare Care Compare profile, where you can see
their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Quality and ratings data are sourced from the U.S. Centers for
Medicare & Medicaid Services (CMS) Hospital Compare program.
Star ratings are CMS's own calculation; CareRanks does not modify
or re-weight them. Facility-level details (address, beds,
ownership, teaching status) come from CMS provider files and the
CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own
Machine-Readable File (MRF) published under the federal Hospital
Price Transparency Rule. See our methodology for the full update
cadence and limitations.