JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Hancock Regional Hospital

4 / 5

At a glance

Hancock Regional Hospital carries a 4-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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days333Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.205Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days572Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.293Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures28Not available
SSI - Colon Surgery: Predicted Cases0.684Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures8Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.069Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days13954Not available
MRSA Bacteremia: Predicted Cases0.567Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.144Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.538Same as national
Clostridium Difficile (C.Diff): Patient Days12977Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.307Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.565Same 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 patients3.7Same as national44
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.4Worse than national410
Death rate for heart attack patients13.2Same as national26
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.1Same as national142
Death rate for heart failure patients9.4Same as national73
Death rate for pneumonia patients19.1Same as national118
Death rate for stroke patients12.3Same as national56
Pressure ulcer rate0.44Same as national992
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1425
In-hospital fall-associated fracture rate0.26Same as national1416
Postoperative hemorrhage or hematoma rate2.28Same as national194
Postoperative acute kidney injury requiring dialysis rate1.63Same as national91
Postoperative respiratory failure rate7.86Same as national87
Perioperative pulmonary embolism or deep vein thrombosis rate3.67Same as national203
Postoperative sepsis rate4.80Same as national80
Postoperative wound dehiscence rate1.72Same as national44
Abdominopelvic accidental puncture or laceration rate1.00Same as national181
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 patients49.5Not available86
Hospital return days for pneumonia patients-2.1Not available125
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national577
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national311
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.2Same as national73
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national73
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national110
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national144
Heart failure (HF) 30-Day Readmission Rate20Same as national86
Rate of readmission after hip/knee replacement4.7Same as national42
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national125

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 rating4599
Doctor communication - star rating4599
Communication about medicines - star rating4599
Discharge information - star rating5599
Cleanliness - star rating5599
Quietness - star rating4599
Overall hospital rating - star rating4599
Recommend hospital - star rating5599
Summary star rating4599

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 vaccination901703
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 better164503
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 better154438
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 better29656
Left before being seen123949
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9645
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14737
Appropriate care for severe sepsis and septic shock82188
Septic Shock 3-Hour Bundle9788
Septic Shock 6-Hour Bundle9355
Severe Sepsis 3-Hour Bundle91190
Severe Sepsis 6-Hour Bundle93130
Discharged on Antithrombotic Therapy9240
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis931636
Intensive Care Unit Venous Thromboembolism Prophylaxis96170

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 Hancock Regional Hospital rated?
Hancock Regional Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Hancock Regional Hospital have emergency services?
Yes. Hancock Regional Hospital operates a 24/7 emergency department.
Where is Hancock Regional Hospital located?
Hancock Regional Hospital is located at 801 N State St, Greenfield, IN 46140.
What type of hospital is Hancock Regional Hospital?
Hancock Regional Hospital 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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