JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Advocate Illinois Masonic Medical Center

3 / 5

At a glance

Advocate Illinois Masonic Medical Center 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 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.

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 Limit0.304Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.840Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5763Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.022Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.830Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.049Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.973Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4829Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.793Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.294Better than national
SSI - Colon Surgery: Lower Confidence Limit0.138Same as national
SSI - Colon Surgery: Upper Confidence Limit1.482Same as national
SSI - Colon Surgery: Number of Procedures199Same as national
SSI - Colon Surgery: Predicted Cases5.511Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.544Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.019Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.877Same as national
SSI - Abdominal Hysterectomy: Number of Procedures292Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.627Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.381Same as national
MRSA Bacteremia: Lower Confidence Limit0.077Same as national
MRSA Bacteremia: Upper Confidence Limit1.526Same as national
MRSA Bacteremia: Patient Days71704Same as national
MRSA Bacteremia: Predicted Cases4.329Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.462Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.193Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.636Better than national
Clostridium Difficile (C.Diff): Patient Days65333Better than national
Clostridium Difficile (C.Diff): Predicted Cases30.047Better than national
Clostridium Difficile (C.Diff): Observed Cases11Better than national
Clostridium Difficile (C.Diff)0.366Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national816
Death rate for heart attack patients12.9Same as national55
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national36
Death rate for heart failure patients8.8Same as national246
Death rate for pneumonia patients15.2Same as national160
Death rate for stroke patients10.4Better than national98
Pressure ulcer rate0.65Same as national3096
Death rate among surgical inpatients with serious treatable complications170.84Same as national68
Iatrogenic pneumothorax rate0.29Same as national3801
In-hospital fall-associated fracture rate0.23Same as national3798
Postoperative hemorrhage or hematoma rate2.05Same as national865
Postoperative acute kidney injury requiring dialysis rate2.62Same as national356
Postoperative respiratory failure rate17.29Worse than national361
Perioperative pulmonary embolism or deep vein thrombosis rate3.99Same as national938
Postoperative sepsis rate9.29Worse than national356
Postoperative wound dehiscence rate1.64Same as national226
Abdominopelvic accidental puncture or laceration rate1.31Same as national746
CMS Medicare PSI 90: Patient safety and adverse events composite1.42Worse than 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-16.2Not available57
Hospital return days for heart failure patients7Not available275
Hospital return days for pneumonia patients6.4Not available172
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.2Worse than national1495
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national1028
Rate of inpatient admissions for patients receiving outpatient chemotherapy14.4Worse than national740
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.1Same as national740
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national304
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national57
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.5Same as national45
Heart failure (HF) 30-Day Readmission Rate21.3Same as national275
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national172

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 rating41075
Doctor communication - star rating31075
Communication about medicines - star rating31075
Discharge information - star rating41075
Cleanliness - star rating31075
Quietness - star rating21075
Overall hospital rating - star rating31075
Recommend hospital - star rating41075
Summary star rating31075

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 volumehigh
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 vaccination843913
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 better239397
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 better236371
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better31125
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen247304
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9797
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing102283
Appropriate care for severe sepsis and septic shock85171
Septic Shock 3-Hour Bundle8567
Septic Shock 6-Hour Bundle9651
Severe Sepsis 3-Hour Bundle94172
Severe Sepsis 6-Hour Bundle98120
Discharged on Antithrombotic Therapy99140
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis984692
Intensive Care Unit Venous Thromboembolism Prophylaxis1001616

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 Advocate Illinois Masonic Medical Center rated?
Advocate Illinois Masonic Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Advocate Illinois Masonic Medical Center have emergency services?
Yes. Advocate Illinois Masonic Medical Center operates a 24/7 emergency department.
Where is Advocate Illinois Masonic Medical Center located?
Advocate Illinois Masonic Medical Center is located at 836 West Wellington Avenue, Chicago, IL 60657.
What type of hospital is Advocate Illinois Masonic Medical Center?
Advocate Illinois Masonic Medical Center 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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