JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Franciscan Health Michigan City

3 / 5

At a glance

Franciscan Health Michigan City carries a 3-star CMS overall rating — in line with 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 Limit0.079Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.554Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6148Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.251Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.470Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.095Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.872Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4990Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.529Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.567Same as national
SSI - Colon Surgery: Lower Confidence Limit0.029Same as national
SSI - Colon Surgery: Upper Confidence Limit2.820Same as national
SSI - Colon Surgery: Number of Procedures67Same as national
SSI - Colon Surgery: Predicted Cases1.749Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.572Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures30Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.257Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.234Same as national
MRSA Bacteremia: Upper Confidence Limit4.618Same as national
MRSA Bacteremia: Patient Days33143Same as national
MRSA Bacteremia: Predicted Cases1.431Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.398Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.374Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.003Same as national
Clostridium Difficile (C.Diff): Patient Days33143Same as national
Clostridium Difficile (C.Diff): Predicted Cases25.340Same as national
Clostridium Difficile (C.Diff): Observed Cases16Same as national
Clostridium Difficile (C.Diff)0.631Same 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 national54
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national1081
Death rate for heart attack patients11.9Same as national133
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national84
Death rate for heart failure patients12.6Same as national287
Death rate for pneumonia patients18.2Same as national354
Death rate for stroke patients12.2Same as national131
Pressure ulcer rate0.54Same as national3159
Death rate among surgical inpatients with serious treatable complications158.08Same as national43
Iatrogenic pneumothorax rate0.17Same as national4499
In-hospital fall-associated fracture rate0.27Same as national4548
Postoperative hemorrhage or hematoma rate2.23Same as national777
Postoperative acute kidney injury requiring dialysis rate1.51Same as national187
Postoperative respiratory failure rate7.58Same as national193
Perioperative pulmonary embolism or deep vein thrombosis rate3.00Same as national837
Postoperative sepsis rate5.31Same as national168
Postoperative wound dehiscence rate1.69Same as national156
Abdominopelvic accidental puncture or laceration rate1.15Same as national900
CMS Medicare PSI 90: Patient safety and adverse events composite0.89Same 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 patients20.6Not available125
Hospital return days for heart failure patients-11.4Not available333
Hospital return days for pneumonia patients1.1Not available362
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1758
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national1546
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.8Same as national311
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.4Same as national311
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national571
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.8Same as national125
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national93
Heart failure (HF) 30-Day Readmission Rate20.4Same as national333
Rate of readmission after hip/knee replacement5.4Same as national58
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national362

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 rating4449
Doctor communication - star rating3449
Communication about medicines - star rating3449
Discharge information - star rating4449
Cleanliness - star rating3449
Quietness - star rating4449
Overall hospital rating - star rating4449
Recommend hospital - star rating4449
Summary star rating4449

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 volumehigh
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 vaccination682404
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 better142490
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 better140473
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 seen250586
Head CT results5819
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients91181
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing162491
Appropriate care for severe sepsis and septic shock76185
Septic Shock 3-Hour Bundle8184
Septic Shock 6-Hour Bundle9849
Severe Sepsis 3-Hour Bundle90185
Severe Sepsis 6-Hour Bundle94121
Discharged on Antithrombotic Therapy97137
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 290123
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis99952

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 Michigan City rated?
Franciscan Health Michigan City has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Franciscan Health Michigan City have emergency services?
Yes. Franciscan Health Michigan City operates a 24/7 emergency department.
Where is Franciscan Health Michigan City located?
Franciscan Health Michigan City is located at 3500 Franciscan Way, Michigan City, IN 46360.
What type of hospital is Franciscan Health Michigan City?
Franciscan Health Michigan City 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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