Quality Metrics

Tampa General Hospital is committed to providing high-quality care and sharing data about how well we follow guidelines for care. Here you will find information from reports on key quality measures that affect the patient care experience and health outcomes including patient safety indicators, surgical site infections, hospital-acquired infections, and patient satisfaction. These measures are updated as new data is collected and becomes available.

Tampa General Hospital follows guidelines established by various quality agencies and organizations to identify best practices to ensure our patients are receiving the safest and most innovative care in America. Tampa General’s Quality Commitment initiatives include participation with:

  1. Agency for Healthcare Research and Quality
  2. Institute of Healthcare Improvement
  3. National Hospital Quality Alliance
  4. American Nurses Credentialing Center Magnet Program
  5. The Joint Commission's National Patient Safety Goals and Quality Check
  6. The Centers for Medicare & Medicaid (CMS) Hospital Compare.

AHCA Quality Measures and Patient Safety Information: Hospital Quality Measures and Patient Safety Information - Tampa General Hospital

Note: The data in these reports is compiled from many original sources independent of Tampa General Hospital.

For more information, please visit the Federal Government and The State of Florida's Health Finder website. If you have questions, your care team can provide more information or direct you to Tampa General Hospital’s Quality and Patient Experience teams.

Centers for Medicare & Medicaid Services

Tampa General Hospital has been designated as a three-star hospital in the Centers for Medicare & Medicaid Services (CMS) 2023 Overall Hospital Quality Star ratings.

Centers for Medicare & Medicaid Services logo

CMS assigns star ratings to hospitals across the country based on the performances in five quality categories. The ranking system was created to help consumers easily compare hospitals to make informed decisions about their care. In determining the overall hospital star ratings, CMS looks at performance measures across five distinct areas of patient experience. This year, CMS rated over 4,600 hospitals from one to five stars, with 872 receiving the three-star distinction.

Patient Safety Indicators

The Patient Safety Indicators (PSIs) are a set of measures that screen for adverse events patients experience as a result of exposure to the health care system. These events are likely amenable to prevention by changes at the system or provider level.

Pressure Ulcers

Injury to skin and underlying tissue resulting from prolonged pressure on the skin. (Bedsores)
1 patient
out of
9,520
patients
 
from: 04/01/2024 to 03/31/2025
Based on 28,561 at-risk patients.

Peri-Operative
Hemorrhage

Bleeding after a surgical procedure.
1 patient
out of
469
patients
 
from: 04/01/2024 to 03/31/2025
Based on 11,725 at-risk patients.

Peri-Operative
PE/DVT

Pulmonary embolism: A condition in which one or more arteries in the lungs become blocked by a blood clot.
Deep vein thrombosis: A blood clot in a deep vein, usually in the legs.
1 patient
out of
246
patients
 
from: 04/01/2024 to 03/31/2025
Based on 13,028 at-risk patients.

Post-Operative
Sepsis

The presence in tissues of harmful bacteria and their toxins, typically through infection of a wound
1 patient
out of
139
patients
 
from: 04/01/2024 to 03/31/2025
Based on 5,044 at-risk patients.
Worse than 2023 No Change Better than 2023

Surgical Site Infections

Surgical Site Infections (SSIs) are infections that occur after surgery in the part of the body where the surgery took place. Surgical site infections can sometimes be superficial infections involving the skin only.

Abdominal
Hysterectomy

An infection that occurs after surgery in the part of the body where the surgery took place.
1.2%
 
from: 04/01/2024 to 03/31/2025
TGH performed 866 Abdominal Hysterectomies from Apr 2024-Mar 2025.

Colon Surgery

An infection that occurs after surgery in the part of the body where the surgery took place.
2.3%
 
from: 04/01/2024 to 03/31/2025
TGH performed 687 Colon procedures from Apr 2024-Mar 2025.
Worse than 2023 No Change Better than 2023

Hospital-Acquired Infections

Hospital-acquired infections are caused by bacteria presumed to be acquired in the hospital. Patients can be infected through catheters required for care, such as intravenous lines and bladder catheters. The most common types of hospital-acquired infections are Central Line-Associated Bloodstream Infections (CLABSI), pneumonia, including Ventilator-Associated Pneumonia (VAP), Catheter-Based Urinary Tract Infections (CAUTI), and Surgical Site Infections (SSI).

MRSA

Methicillin-resistant Staphylococcus aureus is a bacterium that causes infections in different parts of the body. It's tougher to treat than most strains of infections because it's resistant to some commonly used antibiotics
1 occurence
out of
6,904
patient days
 
from: 04/01/2024 to 03/31/20257
Total patients days at TGH from Jan 2024-Dec 2024 was 331,369.

C. Diff

Clostridium Difficile results from disruption of normal healthy bacteria in the colon, often from antibiotics.
1 occurence
out of
4,478
patient days
 
from: 04/01/2024 to 03/31/2025
Total patients days at TGH from Apr 2024-Mar 2025 was 331,369.

CAUTI

Catheter associated urinary tract infections.
1 occurrence
out of
946
device days
 
from: 04/01/2024 to 03/31/2025
Total device days at TGH from Apr 2024-Mar 2025 was 35,965.

CLABSI

Central line associated blood stream infections.
1 occurrence
out of
1,213
device days
 
from: 04/01/2024 to 03/31/2025
Total device days at TGH from Apr 2024-Mar 2025 was 70,370.
Worse than 2023 No Change Better than 2023

Patient Satisfaction

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a national survey that asks patients about their experience during a recent hospital stay. Tampa General Hospital performs better in overall patient satisfaction and likelihood to recommend than most hospitals in the U.S.

% of patients that rate TGH a 9 or 10 on a 0-10 scale

71.86%
from: 04/01/2024 to 03/31/2025
Bar chart showing for 2024 the percentage of patients that rate TGH a 9 or 10 on a 0-10 scale is 77.86 percent
Accessible Chart Description
This chart shows the TGH and National values for the metric 'Percentage of patients that rate the hospital they used a 9 or 10 on a 0-10 scale'
Patient 'rate 9 or 10 on 0-10 scale' responses
TGH 71.86%
National 69.49%

% of patients that would definitely recommend TGH

75.17%
from: 04/01/2024 to 03/31/2025
Bar chart showing for 2024 the percentage of patients that would definitely recommend TGH is 75.17 percent
Accessible Chart Description
This chart shows the TGH and National values for the metric 'Percent of patients that would definitely recommend the hospital they used'
Patient 'definitely recommend' responses
TGH 75.17%
National 69.7%