JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Eskenazi Health

3 / 5

At a glance

Eskenazi Health 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 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 Limit0.671Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.012Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8515Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.772Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases13Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.207Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.393Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.378Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7571Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.938Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases10Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.773Same as national
SSI - Colon Surgery: Lower Confidence Limit0.146Same as national
SSI - Colon Surgery: Upper Confidence Limit1.564Same as national
SSI - Colon Surgery: Number of Procedures160Same as national
SSI - Colon Surgery: Predicted Cases5.221Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.575Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures62Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.588Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.919Same as national
MRSA Bacteremia: Upper Confidence Limit3.457Same as national
MRSA Bacteremia: Patient Days96813Same as national
MRSA Bacteremia: Predicted Cases4.778Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia1.884Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.111Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.390Better than national
Clostridium Difficile (C.Diff): Patient Days83708Better than national
Clostridium Difficile (C.Diff): Predicted Cases45.681Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.219Better 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 Rate3.8Same as national355
Death rate for heart attack patients12.2Same as national41
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.6Same as national81
Death rate for heart failure patients9.2Same as national147
Death rate for pneumonia patients15.2Same as national94
Death rate for stroke patients12.4Same as national55
Pressure ulcer rate0.21Same as national2062
Death rate among surgical inpatients with serious treatable complications177.09Same as national46
Iatrogenic pneumothorax rate0.19Same as national2353
In-hospital fall-associated fracture rate0.29Same as national2407
Postoperative hemorrhage or hematoma rate2.31Same as national424
Postoperative acute kidney injury requiring dialysis rate1.67Same as national31
Postoperative respiratory failure rate8.94Same as national33
Perioperative pulmonary embolism or deep vein thrombosis rate4.02Same as national432
Postoperative sepsis rate6.08Same as national29
Postoperative wound dehiscence rate1.71Same as national65
Abdominopelvic accidental puncture or laceration rate0.96Same as national351
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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 patients15Not available167
Hospital return days for pneumonia patients62.1Not available92
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national640
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national344
Rate of inpatient admissions for patients receiving outpatient chemotherapy10Same as national39
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6Same as national39
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national49
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national38
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national89
Heart failure (HF) 30-Day Readmission Rate20Same as national167
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17Same as national92

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 rating31286
Doctor communication - star rating31286
Communication about medicines - star rating21286
Discharge information - star rating31286
Cleanliness - star rating31286
Quietness - star rating41286
Overall hospital rating - star rating41286
Recommend hospital - star rating41286
Summary star rating31286

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 Hypoglycemia23848
Hospital Harm - Opioid Related Adverse Events19562
Healthcare workers given influenza vaccination976764
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 better236395
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 better235369
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30525
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 seen4116035
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10078
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing94712
Appropriate care for severe sepsis and septic shock45170
Septic Shock 3-Hour Bundle5169
Septic Shock 6-Hour Bundle8025
Severe Sepsis 3-Hour Bundle71170
Severe Sepsis 6-Hour Bundle9794
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis965538
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 Eskenazi Health rated?
Eskenazi Health has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Eskenazi Health have emergency services?
Yes. Eskenazi Health operates a 24/7 emergency department.
Where is Eskenazi Health located?
Eskenazi Health is located at 720 Eskenazi Avenue, Indianapolis, IN 46202.
What type of hospital is Eskenazi Health?
Eskenazi Health is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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