JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Advocate Trinity Hospital

2 / 5

At a glance

Advocate Trinity Hospital carries a 2-star CMS overall rating — below 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 Limit0.252Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.913Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7382Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.044Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.793Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.169Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.812Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6375Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.506Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.666Same as national
SSI - Colon Surgery: Lower Confidence Limit0.880Same as national
SSI - Colon Surgery: Upper Confidence Limit3.979Same as national
SSI - Colon Surgery: Number of Procedures129Same as national
SSI - Colon Surgery: Predicted Cases3.480Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery2.011Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures98Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.956Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.209Same as national
MRSA Bacteremia: Upper Confidence Limit2.235Same as national
MRSA Bacteremia: Patient Days89417Same as national
MRSA Bacteremia: Predicted Cases3.653Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.821Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.083Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.376Better than national
Clostridium Difficile (C.Diff): Patient Days88131Better than national
Clostridium Difficile (C.Diff): Predicted Cases36.783Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.190Better 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 patients3.8Same as national30
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1183
Death rate for heart attack patients9.4Better than national160
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national129
Death rate for heart failure patients8.2Better than national544
Death rate for pneumonia patients14Same as national281
Death rate for stroke patients11.3Same as national211
Pressure ulcer rate0.26Same as national5255
Death rate among surgical inpatients with serious treatable complications152.80Same as national49
Iatrogenic pneumothorax rate0.27Same as national6138
In-hospital fall-associated fracture rate0.22Same as national6158
Postoperative hemorrhage or hematoma rate1.86Same as national814
Postoperative acute kidney injury requiring dialysis rate1.50Same as national210
Postoperative respiratory failure rate7.41Same as national249
Perioperative pulmonary embolism or deep vein thrombosis rate4.44Same as national849
Postoperative sepsis rate5.46Same as national215
Postoperative wound dehiscence rate1.60Same as national206
Abdominopelvic accidental puncture or laceration rate0.84Same as national896
CMS Medicare PSI 90: Patient safety and adverse events composite0.87Same 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 patients3.8Not available133
Hospital return days for heart failure patients23.7Not available640
Hospital return days for pneumonia patients20.4Not available269
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Same as national2006
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.1Same as national1511
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national56
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national56
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national340
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national133
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.7Same as national144
Heart failure (HF) 30-Day Readmission Rate20.6Same as national640
Rate of readmission after hip/knee replacement4.9Same as national27
Pneumonia (PN) 30-Day Readmission Rate17.3Same as national269

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 rating2950
Doctor communication - star rating3950
Communication about medicines - star rating2950
Discharge information - star rating3950
Cleanliness - star rating3950
Quietness - star rating3950
Overall hospital rating - star rating2950
Recommend hospital - star rating2950
Summary star rating3950

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 vaccination823561
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 better247764
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 better244711
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better47436
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better26417
Left before being seen777916
Head CT results8127
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99192
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing102872
Appropriate care for severe sepsis and septic shock66225
Septic Shock 3-Hour Bundle6873
Septic Shock 6-Hour Bundle9040
Severe Sepsis 3-Hour Bundle83226
Severe Sepsis 6-Hour Bundle93124
Discharged on Antithrombotic Therapy99356
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis877826
Intensive Care Unit Venous Thromboembolism Prophylaxis971783

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 Trinity Hospital rated?
Advocate Trinity Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Advocate Trinity Hospital have emergency services?
Yes. Advocate Trinity Hospital operates a 24/7 emergency department.
Where is Advocate Trinity Hospital located?
Advocate Trinity Hospital is located at 2320 E 93rd St, Chicago, IL 60617.
What type of hospital is Advocate Trinity Hospital?
Advocate Trinity Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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