JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Ascension Seton Northwest

4 / 5

At a glance

Ascension Seton Northwest carries a 4-star CMS overall rating — above 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.943Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1441Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.018Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.043Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.197Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1601Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.175Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.851Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures28Not available
SSI - Colon Surgery: Predicted Cases0.710Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures8Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.065Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days14278Not available
MRSA Bacteremia: Predicted Cases0.516Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.768Better than national
Clostridium Difficile (C.Diff): Patient Days12849Better than national
Clostridium Difficile (C.Diff): Predicted Cases3.900Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patients4Same as national58
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national198
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national26
Death rate for heart failure patients9.1Same as national60
Death rate for pneumonia patients15.3Same as national98
Death rate for stroke patientsNot available
Pressure ulcer rate0.45Same as national782
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1110
In-hospital fall-associated fracture rate0.26Same as national1098
Postoperative hemorrhage or hematoma rate2.23Same as national230
Postoperative acute kidney injury requiring dialysis rate1.65Same as national100
Postoperative respiratory failure rate7.74Same as national113
Perioperative pulmonary embolism or deep vein thrombosis rate3.16Same as national238
Postoperative sepsis rate5.01Same as national93
Postoperative wound dehiscence rate1.73Same as national58
Abdominopelvic accidental puncture or laceration rate1.01Same as national226
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 patientsNot available
Hospital return days for heart failure patients29.5Not available56
Hospital return days for pneumonia patients18.9Not available99
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national268
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national97
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national106
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national29
Heart failure (HF) 30-Day Readmission Rate20.1Same as national56
Rate of readmission after hip/knee replacement5Same as national49
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national99

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 rating3384
Doctor communication - star rating3384
Communication about medicines - star rating2384
Discharge information - star rating2384
Cleanliness - star rating4384
Quietness - star rating3384
Overall hospital rating - star rating3384
Recommend hospital - star rating4384
Summary star rating3384

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 volume
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 vaccination77890
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 better160300
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 better159288
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13350
Appropriate care for severe sepsis and septic shock5345
Septic Shock 3-Hour Bundle
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle7645
Severe Sepsis 6-Hour Bundle8826
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis86547
Intensive Care Unit Venous Thromboembolism Prophylaxis87141

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 Ascension Seton Northwest rated?
Ascension Seton Northwest has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Ascension Seton Northwest have emergency services?
Yes. Ascension Seton Northwest operates a 24/7 emergency department.
Where is Ascension Seton Northwest located?
Ascension Seton Northwest is located at 11113 Research Boulevard, Austin, TX 78759.
What type of hospital is Ascension Seton Northwest?
Ascension Seton Northwest 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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