JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Lutheran Hospital of Indiana

3 / 5

At a glance

Lutheran Hospital of Indiana 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 24 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 Limit0.052Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.553Better than national
Central Line Associated Bloodstream Infection: Number of Device Days13407Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.759Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.203Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.224Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.843Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days14403Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases19.587Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.459Better than national
SSI - Colon Surgery: Lower Confidence Limit0.106Same as national
SSI - Colon Surgery: Upper Confidence Limit1.133Same as national
SSI - Colon Surgery: Number of Procedures247Same as national
SSI - Colon Surgery: Predicted Cases7.206Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.416Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures66Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.629Not available
SSI - Abdominal Hysterectomy: Observed Cases3Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.005Better than national
MRSA Bacteremia: Upper Confidence Limit0.513Better than national
MRSA Bacteremia: Patient Days103720Better than national
MRSA Bacteremia: Predicted Cases9.620Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.104Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.213Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.554Better than national
Clostridium Difficile (C.Diff): Patient Days100690Better than national
Clostridium Difficile (C.Diff): Predicted Cases48.098Better than national
Clostridium Difficile (C.Diff): Observed Cases17Better than national
Clostridium Difficile (C.Diff)0.353Better 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 Rate4.3Same as national1507
Death rate for heart attack patients13.6Same as national226
Death rate for CABG surgery patients2.3Same as national81
Death rate for COPD patients10.3Same as national110
Death rate for heart failure patients11.2Same as national414
Death rate for pneumonia patients19.1Same as national365
Death rate for stroke patients15.1Same as national211
Pressure ulcer rate0.37Same as national5601
Death rate among surgical inpatients with serious treatable complications209.08Same as national129
Iatrogenic pneumothorax rate0.24Same as national6365
In-hospital fall-associated fracture rate0.25Same as national6827
Postoperative hemorrhage or hematoma rate1.96Same as national1909
Postoperative acute kidney injury requiring dialysis rate1.32Same as national691
Postoperative respiratory failure rate6.88Same as national671
Perioperative pulmonary embolism or deep vein thrombosis rate4.21Same as national1947
Postoperative sepsis rate3.60Same as national698
Postoperative wound dehiscence rate2.13Same as national435
Abdominopelvic accidental puncture or laceration rate0.98Same as national1473
CMS Medicare PSI 90: Patient safety and adverse events composite0.81Same 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-7.8Not available260
Hospital return days for heart failure patients18.8Not available530
Hospital return days for pneumonia patients4Not available406
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national2616
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national1786
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national223
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national260
Rate of readmission for CABG11.5Same as national80
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national121
Heart failure (HF) 30-Day Readmission Rate19.7Same as national530
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national406

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 rating31589
Doctor communication - star rating31589
Communication about medicines - star rating11589
Discharge information - star rating31589
Cleanliness - star rating21589
Quietness - star rating21589
Overall hospital rating - star rating21589
Recommend hospital - star rating31589
Summary star rating21589

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 Hypoglycemia25048
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination724517
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 better219411
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 better214392
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better31711
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 seen235773
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8966
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)3832
Safe Use of Opioids - Concurrent Prescribing114005
Appropriate care for severe sepsis and septic shock50127
Septic Shock 3-Hour Bundle4538
Septic Shock 6-Hour Bundle8513
Severe Sepsis 3-Hour Bundle78127
Severe Sepsis 6-Hour Bundle8268
Discharged on Antithrombotic Therapy97313
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 286277
Venous Thromboembolism Prophylaxis
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 Lutheran Hospital of Indiana rated?
Lutheran Hospital of Indiana has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Lutheran Hospital of Indiana have emergency services?
Yes. Lutheran Hospital of Indiana operates a 24/7 emergency department.
Where is Lutheran Hospital of Indiana located?
Lutheran Hospital of Indiana is located at 7950 W Jefferson Blvd, Fort Wayne, IN 46804.
What type of hospital is Lutheran Hospital of Indiana?
Lutheran Hospital of Indiana is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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