How 12 Hawaii hospitals compare with the national benchmark on six infections patients can catch in the hospital, and on serious complications, according to Medicare (CMS). Hawaii ranks #32 of 50 states on our infection index.
The Hawaii ratio adds up the infections reported by the state's hospitals and divides by the number CMS predicts; below 1.00 means fewer than predicted. Compare it with the U.S. ratio: CMS's predictions come from a fixed baseline period and infections have fallen since, so most ratios are now below 1.00. Counts show how many Hawaii hospitals CMS rated better than, no different from or worse than national.
| Infection | Hawaii ratio | U.S. ratio | Better | No different | Worse |
|---|---|---|---|---|---|
| Central line infectionsCentral line-associated bloodstream infections (CLABSI) | 0.57 | 0.58 | 2 | 9 | 0 |
| Catheter UTIsCatheter-associated urinary tract infections (CAUTI) | 0.69 | 0.47 | 0 | 10 | 0 |
| Colon surgery infectionsSurgical site infections after colon surgery | 1.14 | 0.83 | 0 | 8 | 0 |
| Hysterectomy infectionsSurgical site infections after abdominal hysterectomy | – | 1.02 | 0 | 0 | 0 |
| MRSAMRSA bloodstream infections | 0.27 | 0.68 | 1 | 9 | 0 |
| C. diffC. diff intestinal infections | 0.38 | 0.34 | 9 | 3 | 0 |
– means too few predicted infections to calculate a reliable ratio.
Listed from fewest problems to most: hospitals worse on no infection come first, then by how many infections they were better on. Most hospitals are no different from the national benchmark.
Showing all 12 hospitals
| Hospital | Infections |
|---|---|
| The Queens Medical CenterHonolulu 3 better · 0 worse Complications: worse than national Acute care | ✓CLABSICentral line infections: better than national. =CAUTICatheter UTIs: no different from national. =ColonColon surgery infections: no different from national. ·Hyst.Hysterectomy infections: not reported. ✓MRSAMRSA: better than national. ✓C. diffC. diff: better than national. |
| Hilo Medical CenterHilo 2 better · 0 worse Complications: same as national Acute care | ✓CLABSICentral line infections: better than national. =CAUTICatheter UTIs: no different from national. =ColonColon surgery infections: no different from national. ·Hyst.Hysterectomy infections: not reported. =MRSAMRSA: no different from national. ✓C. diffC. diff: better than national. |
| Castle Medical CenterKailua 1 better · 0 worse Complications: same as national Acute care | =CLABSICentral line infections: no different from national. =CAUTICatheter UTIs: no different from national. =ColonColon surgery infections: no different from national. ·Hyst.Hysterectomy infections: not reported. =MRSAMRSA: no different from national. ✓C. diffC. diff: better than national. |
| Kaiser Foundation HospitalHonolulu 1 better · 0 worse Complications: same as national Acute care | =CLABSICentral line infections: no different from national. =CAUTICatheter UTIs: no different from national. =ColonColon surgery infections: no different from national. ·Hyst.Hysterectomy infections: not reported. =MRSAMRSA: no different from national. ✓C. diffC. diff: better than national. |
| Kuakini Medical CenterHonolulu 1 better · 0 worse Complications: same as national Acute care | =CLABSICentral line infections: no different from national. =CAUTICatheter UTIs: no different from national. ·ColonColon surgery infections: not reported. ·Hyst.Hysterectomy infections: not reported. =MRSAMRSA: no different from national. ✓C. diffC. diff: better than national. |
| Maui Memorial Medical CenterWailuku 1 better · 0 worse Complications: same as national Acute care | =CLABSICentral line infections: no different from national. =CAUTICatheter UTIs: no different from national. =ColonColon surgery infections: no different from national. ·Hyst.Hysterectomy infections: not reported. =MRSAMRSA: no different from national. ✓C. diffC. diff: better than national. |
| Pali Momi Medical CenterAiea 1 better · 0 worse Complications: same as national Acute care | =CLABSICentral line infections: no different from national. =CAUTICatheter UTIs: no different from national. =ColonColon surgery infections: no different from national. ·Hyst.Hysterectomy infections: not reported. =MRSAMRSA: no different from national. ✓C. diffC. diff: better than national. |
| Straub Clinic and HospitalHonolulu 1 better · 0 worse Complications: same as national Acute care | =CLABSICentral line infections: no different from national. =CAUTICatheter UTIs: no different from national. =ColonColon surgery infections: no different from national. ·Hyst.Hysterectomy infections: not reported. =MRSAMRSA: no different from national. ✓C. diffC. diff: better than national. |
| Wilcox Memorial HospitalLihue 1 better · 0 worse Complications: same as national Acute care | =CLABSICentral line infections: no different from national. ·CAUTICatheter UTIs: not reported. ·ColonColon surgery infections: not reported. ·Hyst.Hysterectomy infections: not reported. =MRSAMRSA: no different from national. ✓C. diffC. diff: better than national. |
| Kona Community HospitalKealakekua 0 better · 0 worse Complications: same as national Acute care | =CLABSICentral line infections: no different from national. =CAUTICatheter UTIs: no different from national. =ColonColon surgery infections: no different from national. ·Hyst.Hysterectomy infections: not reported. =MRSAMRSA: no different from national. =C. diffC. diff: no different from national. |
| North Hawaii Community HospitalKamuela 0 better · 0 worse Complications: same as national Acute care | ·CLABSICentral line infections: not reported. ·CAUTICatheter UTIs: not reported. ·ColonColon surgery infections: not reported. ·Hyst.Hysterectomy infections: not reported. ·MRSAMRSA: not reported. =C. diffC. diff: no different from national. |
| Tripler AMC (Ft Shafter)Honolulu 0 better · 0 worse Military | =CLABSICentral line infections: no different from national. =CAUTICatheter UTIs: no different from national. ·ColonColon surgery infections: not reported. ·Hyst.Hysterectomy infections: not reported. ·MRSAMRSA: not reported. =C. diffC. diff: no different from national. |
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9 Hawaii hospitals were better than national on at least one infection and worse on none, led by The Queens Medical Center (Honolulu), Hilo Medical Center (Hilo), Castle Medical Center (Kailua), Kaiser Foundation Hospital (Honolulu), Kuakini Medical Center (Honolulu), Maui Memorial Medical Center (Wailuku). All 9 are listed on this page.
Hawaii ranks #32 of 50 states on HospitalsInEachState.com's infection index (lower is better), at 1.07. Averaged across the infections with enough data, its hospitals reported about 7% more infections than U.S. hospitals overall, relative to what CMS predicts. 0 of 12 reporting hospitals (0%) were worse than national on at least one infection, compared with 5% nationwide.
A "worse" result means CMS found the hospital reported significantly more of that infection than predicted during the measurement period. It covers one type of infection over a past period and does not mean every patient is at higher risk. If you have a planned procedure, ask your doctor or the hospital what it is doing about the result and how it applies to your care. In an emergency, go to the nearest emergency room or call 911.
Only hospitals with at least one CMS infection comparison or a serious-complications result are listed. Hospitals with too few procedures or patient days, such as many small rural, critical access and specialty hospitals, often have no comparison. A missing result is not a bad sign. Every hospital still has its own page in the Hawaii hospital directory.
You're welcome to use these results with a link to this page.
Source: CMS Care Compare, Healthcare-Associated Infections (Oct 2024 – Sep 2025) and Complications and Deaths (Jul 2022 – Jun 2024) files. "Better", "no different" and "worse" are CMS's own statistical comparisons with the national benchmark. The state ratios and infection index are HospitalsInEachState.com's calculation from the same data, not CMS ratings. Each facility is counted once by its CMS Certification Number. Updated automatically when CMS publishes new data.
Infection and complication results are one part of hospital quality and do not capture every service. Talk to your doctor about which hospital is right for your care. About the data. Not affiliated with CMS. For a medical emergency, call 911.