JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Adventhealth Shawnee Mission

3 / 5

At a glance

Adventhealth Shawnee Mission carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.091Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.786Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4316Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.700Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.541Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.015Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.515Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3776Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.255Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.307Same as national
SSI - Colon Surgery: Lower Confidence Limit0.319Same as national
SSI - Colon Surgery: Upper Confidence Limit1.927Same as national
SSI - Colon Surgery: Number of Procedures214Same as national
SSI - Colon Surgery: Predicted Cases5.751Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.869Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.522Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.961Same as national
SSI - Abdominal Hysterectomy: Number of Procedures299Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.436Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy1.642Same as national
MRSA Bacteremia: Lower Confidence Limit0.094Same as national
MRSA Bacteremia: Upper Confidence Limit1.846Same as national
MRSA Bacteremia: Patient Days82780Same as national
MRSA Bacteremia: Predicted Cases3.580Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.559Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.177Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.586Better than national
Clostridium Difficile (C.Diff): Patient Days71521Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.607Better than national
Clostridium Difficile (C.Diff): Observed Cases11Better than national
Clostridium Difficile (C.Diff)0.337Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients5.5Same as national135
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1722
Death rate for heart attack patients12.5Same as national131
Death rate for CABG surgery patients2.5Same as national48
Death rate for COPD patients7.2Same as national122
Death rate for heart failure patients10.5Same as national454
Death rate for pneumonia patients16.7Same as national460
Death rate for stroke patients14Same as national182
Pressure ulcer rate0.70Same as national5078
Death rate among surgical inpatients with serious treatable complications168.18Same as national63
Iatrogenic pneumothorax rate0.33Same as national6546
In-hospital fall-associated fracture rate0.39Same as national6601
Postoperative hemorrhage or hematoma rate2.06Same as national1536
Postoperative acute kidney injury requiring dialysis rate2.08Same as national684
Postoperative respiratory failure rate9.28Same as national695
Perioperative pulmonary embolism or deep vein thrombosis rate3.43Same as national1625
Postoperative sepsis rate5.23Same as national651
Postoperative wound dehiscence rate1.61Same as national391
Abdominopelvic accidental puncture or laceration rate1.17Same as national1129
CMS Medicare PSI 90: Patient safety and adverse events composite1.07Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-34.2Not available135
Hospital return days for heart failure patients-16.1Not available501
Hospital return days for pneumonia patients-1Not available482
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national2777
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national1643
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.3Same as national289
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national289
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national583
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.5Same as national135
Rate of readmission for CABG11Same as national46
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.3Same as national134
Heart failure (HF) 30-Day Readmission Rate18.5Same as national501
Rate of readmission after hip/knee replacement5.7Same as national147
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national482

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating32076
Doctor communication - star rating32076
Communication about medicines - star rating22076
Discharge information - star rating42076
Cleanliness - star rating42076
Quietness - star rating42076
Overall hospital rating - star rating42076
Recommend hospital - star rating42076
Summary star rating32076

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumevery high
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination854928
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 better137439
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 better135391
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16223
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better17027
Left before being seen171725
Head CT results8715
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100253
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing155418
Appropriate care for severe sepsis and septic shock58286
Septic Shock 3-Hour Bundle7478
Septic Shock 6-Hour Bundle8555
Severe Sepsis 3-Hour Bundle71286
Severe Sepsis 6-Hour Bundle98150
Discharged on Antithrombotic Therapy97175
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 288144
Venous Thromboembolism Prophylaxis795150
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Adventhealth Shawnee Mission rated?
Adventhealth Shawnee Mission has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Adventhealth Shawnee Mission have emergency services?
Yes. Adventhealth Shawnee Mission operates a 24/7 emergency department.
Where is Adventhealth Shawnee Mission located?
Adventhealth Shawnee Mission is located at 9100 W 74th Street, Shawnee Mission, KS 66204.
What type of hospital is Adventhealth Shawnee Mission?
Adventhealth Shawnee Mission is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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