JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Franciscan Health Indianapolis

4 / 5

At a glance

Franciscan Health Indianapolis 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 Limit0.476Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.573Same as national
Central Line Associated Bloodstream Infection: Number of Device Days11147Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.158Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases11Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.905Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.400Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.322Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10815Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.460Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.761Same as national
SSI - Colon Surgery: Lower Confidence Limit0.542Same as national
SSI - Colon Surgery: Upper Confidence Limit1.791Same as national
SSI - Colon Surgery: Number of Procedures398Same as national
SSI - Colon Surgery: Predicted Cases10.675Same as national
SSI - Colon Surgery: Observed Cases11Same as national
SSI - Colon Surgery1.030Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.179Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.518Same as national
SSI - Abdominal Hysterectomy: Number of Procedures237Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.878Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.065Same as national
MRSA Bacteremia: Lower Confidence Limit0.155Same as national
MRSA Bacteremia: Upper Confidence Limit1.180Same as national
MRSA Bacteremia: Patient Days117352Same as national
MRSA Bacteremia: Predicted Cases8.177Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.489Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.523Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.823Better than national
Clostridium Difficile (C.Diff): Patient Days108227Better than national
Clostridium Difficile (C.Diff): Predicted Cases113.611Better than national
Clostridium Difficile (C.Diff): Observed Cases75Better than national
Clostridium Difficile (C.Diff)0.660Better 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 Rate3.6Same as national2584
Death rate for heart attack patients11.5Same as national261
Death rate for CABG surgery patients3Same as national120
Death rate for COPD patients8.1Same as national148
Death rate for heart failure patients10.3Same as national688
Death rate for pneumonia patients16.7Same as national968
Death rate for stroke patients12.1Same as national418
Pressure ulcer rate0.23Same as national8002
Death rate among surgical inpatients with serious treatable complications188.65Same as national190
Iatrogenic pneumothorax rate0.25Same as national10451
In-hospital fall-associated fracture rate0.34Same as national11010
Postoperative hemorrhage or hematoma rate1.60Same as national2475
Postoperative acute kidney injury requiring dialysis rate2.08Same as national1078
Postoperative respiratory failure rate8.11Same as national1079
Perioperative pulmonary embolism or deep vein thrombosis rate3.86Same as national2631
Postoperative sepsis rate5.18Same as national1052
Postoperative wound dehiscence rate1.52Same as national618
Abdominopelvic accidental puncture or laceration rate0.77Same as national2179
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 patients14.8Not available283
Hospital return days for heart failure patients-27.3Not available790
Hospital return days for pneumonia patients10.3Not available1032
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national4372
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.7Same as national509
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.4Same as national337
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.9Same as national337
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national407
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national283
Rate of readmission for CABG11.4Same as national115
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national161
Heart failure (HF) 30-Day Readmission Rate18.4Same as national790
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national1032

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 rating3454
Doctor communication - star rating3454
Communication about medicines - star rating1454
Discharge information - star rating4454
Cleanliness - star rating2454
Quietness - star rating2454
Overall hospital rating - star rating4454
Recommend hospital - star rating4454
Summary star rating3454

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 vaccination865497
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 better218415
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 better215391
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34418
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 seen265516
Head CT results8621
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100119
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6240
Safe Use of Opioids - Concurrent Prescribing155879
Appropriate care for severe sepsis and septic shock51195
Septic Shock 3-Hour Bundle4654
Septic Shock 6-Hour Bundle10019
Severe Sepsis 3-Hour Bundle74195
Severe Sepsis 6-Hour Bundle8897
Discharged on Antithrombotic Therapy98512
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 292437
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis973925

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 Franciscan Health Indianapolis rated?
Franciscan Health Indianapolis has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Franciscan Health Indianapolis have emergency services?
Yes. Franciscan Health Indianapolis operates a 24/7 emergency department.
Where is Franciscan Health Indianapolis located?
Franciscan Health Indianapolis is located at 8111 S Emerson Ave, Indianapolis, IN 46237.
What type of hospital is Franciscan Health Indianapolis?
Franciscan Health Indianapolis 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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