JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Beth Israel Deaconess Hospital - Needham

5 / 5

At a glance

Beth Israel Deaconess Hospital - Needham carries a 5-star CMS overall rating — above the national norm.

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 Limit0.193Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.806Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2819Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.736Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.152Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.192Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.778Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3455Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.749Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.144Same as national
SSI - Colon Surgery: Lower Confidence Limit0.025Same as national
SSI - Colon Surgery: Upper Confidence Limit2.431Same as national
SSI - Colon Surgery: Number of Procedures83Same as national
SSI - Colon Surgery: Predicted Cases2.029Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.493Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.743Same as national
MRSA Bacteremia: Patient Days22904Same as national
MRSA Bacteremia: Predicted Cases1.092Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.247Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.492Same as national
Clostridium Difficile (C.Diff): Patient Days22904Same as national
Clostridium Difficile (C.Diff): Predicted Cases7.428Same as national
Clostridium Difficile (C.Diff): Observed Cases5Same as national
Clostridium Difficile (C.Diff)0.673Same as 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 patients3.2Same as national58
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3Better than national1297
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national91
Death rate for heart failure patients8.8Better than national489
Death rate for pneumonia patients10.7Better than national671
Death rate for stroke patients11.5Same as national135
Pressure ulcer rate0.25Same as national3674
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national4910
In-hospital fall-associated fracture rate0.31Same as national4857
Postoperative hemorrhage or hematoma rate2.48Same as national369
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.36Same as national390
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.71Same as national111
Abdominopelvic accidental puncture or laceration rate0.97Same as national408
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients26.3Not available536
Hospital return days for pneumonia patients10Not available706
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national2152
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national2584
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 national619
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national106
Heart failure (HF) 30-Day Readmission Rate20.9Same as national536
Rate of readmission after hip/knee replacement4.7Same as national55
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national706

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 rating4702
Doctor communication - star rating3702
Communication about medicines - star rating2702
Discharge information - star rating3702
Cleanliness - star rating3702
Quietness - star rating2702
Overall hospital rating - star rating3702
Recommend hospital - star rating4702
Summary star rating3702

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 volumemedium
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 vaccination991400
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 better212402
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 better198332
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25040
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32432
Left before being seen122849
Head CT results6436
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9893
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing18914
Appropriate care for severe sepsis and septic shock31397
Septic Shock 3-Hour Bundle43101
Septic Shock 6-Hour Bundle8239
Severe Sepsis 3-Hour Bundle58397
Severe Sepsis 6-Hour Bundle75142
Discharged on Antithrombotic Therapy9992
Anticoagulation Therapy for Atrial Fibrillation/Flutter8927
Antithrombotic Therapy by End of Hospital Day 29592
Venous Thromboembolism Prophylaxis
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Beth Israel Deaconess Hospital - Needham rated?
Beth Israel Deaconess Hospital - Needham has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Beth Israel Deaconess Hospital - Needham have emergency services?
Yes. Beth Israel Deaconess Hospital - Needham operates a 24/7 emergency department.
Where is Beth Israel Deaconess Hospital - Needham located?
Beth Israel Deaconess Hospital - Needham is located at 148 Chestnut Street, Needham, MA 02494.
What type of hospital is Beth Israel Deaconess Hospital - Needham?
Beth Israel Deaconess Hospital - Needham 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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