JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Edward W Sparrow Hospital

3 / 5

At a glance

Edward W Sparrow Hospital 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 1 measure and trails 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 Limit0.344Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.081Same as national
Central Line Associated Bloodstream Infection: Number of Device Days17406Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases18.880Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases12Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.636Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.470Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.111Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days16736Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases28.406Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases21Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.739Same as national
SSI - Colon Surgery: Lower Confidence Limit0.542Same as national
SSI - Colon Surgery: Upper Confidence Limit2.038Same as national
SSI - Colon Surgery: Number of Procedures307Same as national
SSI - Colon Surgery: Predicted Cases8.105Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery1.110Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.234Same as national
SSI - Abdominal Hysterectomy: Number of Procedures150Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.341Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.066Better than national
MRSA Bacteremia: Upper Confidence Limit0.711Better than national
MRSA Bacteremia: Patient Days145719Better than national
MRSA Bacteremia: Predicted Cases11.478Better than national
MRSA Bacteremia: Observed Cases3Better than national
MRSA Bacteremia0.261Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.410Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.718Better than national
Clostridium Difficile (C.Diff): Patient Days134207Better than national
Clostridium Difficile (C.Diff): Predicted Cases89.480Better than national
Clostridium Difficile (C.Diff): Observed Cases49Better than national
Clostridium Difficile (C.Diff)0.548Better 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 Rate4.4Same as national1542
Death rate for heart attack patients13.9Same as national294
Death rate for CABG surgery patients2.6Same as national38
Death rate for COPD patients9.5Same as national161
Death rate for heart failure patients11.4Same as national396
Death rate for pneumonia patients17.8Same as national477
Death rate for stroke patients13.1Same as national291
Pressure ulcer rate0.49Same as national5450
Death rate among surgical inpatients with serious treatable complications172.05Same as national144
Iatrogenic pneumothorax rate0.24Same as national6671
In-hospital fall-associated fracture rate0.31Same as national7152
Postoperative hemorrhage or hematoma rate2.60Same as national1300
Postoperative acute kidney injury requiring dialysis rate1.73Same as national495
Postoperative respiratory failure rate5.78Same as national495
Perioperative pulmonary embolism or deep vein thrombosis rate3.47Same as national1639
Postoperative sepsis rate5.40Same as national500
Postoperative wound dehiscence rate1.49Same as national345
Abdominopelvic accidental puncture or laceration rate0.76Same as national1138
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 patients-11.4Not available285
Hospital return days for heart failure patients-6.8Not available472
Hospital return days for pneumonia patients-13.4Not available486
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.6Better than national2458
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national678
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.9Same as national180
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.7Same as national180
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national757
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.8Same as national285
Rate of readmission for CABG10Same as national37
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national174
Heart failure (HF) 30-Day Readmission Rate19.3Same as national472
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.4Same as national486

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 rating3905
Doctor communication - star rating3905
Communication about medicines - star rating2905
Discharge information - star rating3905
Cleanliness - star rating2905
Quietness - star rating2905
Overall hospital rating - star rating2905
Recommend hospital - star rating3905
Summary star rating3905

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 vaccination5510211
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 better306720
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 better301683
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better68430
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 seen3111105
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98228
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)025
Safe Use of Opioids - Concurrent Prescribing156154
Appropriate care for severe sepsis and septic shock48236
Septic Shock 3-Hour Bundle7168
Septic Shock 6-Hour Bundle9040
Severe Sepsis 3-Hour Bundle69237
Severe Sepsis 6-Hour Bundle83127
Discharged on Antithrombotic Therapy99538
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 288434
Venous Thromboembolism Prophylaxis6611518
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 Edward W Sparrow Hospital rated?
Edward W Sparrow Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Edward W Sparrow Hospital have emergency services?
Yes. Edward W Sparrow Hospital operates a 24/7 emergency department.
Where is Edward W Sparrow Hospital located?
Edward W Sparrow Hospital is located at 1215 E Michigan Avenue, Lansing, MI 48912.
What type of hospital is Edward W Sparrow Hospital?
Edward W Sparrow Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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