JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Mclaren Northern Michigan

3 / 5

At a glance

Mclaren Northern Michigan 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 Limit0.111Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.196Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3260Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.009Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.665Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.098Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.925Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3386Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.432Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.583Same as national
SSI - Colon Surgery: Lower Confidence Limit0.312Same as national
SSI - Colon Surgery: Upper Confidence Limit3.334Same as national
SSI - Colon Surgery: Number of Procedures98Same as national
SSI - Colon Surgery: Predicted Cases2.449Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.225Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures26Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.217Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.023Same as national
MRSA Bacteremia: Upper Confidence Limit2.280Same as national
MRSA Bacteremia: Patient Days35719Same as national
MRSA Bacteremia: Predicted Cases2.163Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.462Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.118Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.711Better than national
Clostridium Difficile (C.Diff): Patient Days35714Better than national
Clostridium Difficile (C.Diff): Predicted Cases15.583Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.321Better 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 patients4Same as national33
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national1138
Death rate for heart attack patients12.7Same as national300
Death rate for CABG surgery patients1.9Same as national68
Death rate for COPD patients8.1Same as national89
Death rate for heart failure patients13.1Same as national311
Death rate for pneumonia patients16.7Same as national233
Death rate for stroke patients13.9Same as national172
Pressure ulcer rate0.52Same as national2768
Death rate among surgical inpatients with serious treatable complications179.04Same as national51
Iatrogenic pneumothorax rate0.22Same as national4029
In-hospital fall-associated fracture rate0.27Same as national4111
Postoperative hemorrhage or hematoma rate1.93Same as national1224
Postoperative acute kidney injury requiring dialysis rate1.44Same as national475
Postoperative respiratory failure rate6.04Same as national471
Perioperative pulmonary embolism or deep vein thrombosis rate2.68Same as national1261
Postoperative sepsis rate4.93Same as national448
Postoperative wound dehiscence rate1.66Same as national177
Abdominopelvic accidental puncture or laceration rate1.13Same as national737
CMS Medicare PSI 90: Patient safety and adverse events composite0.82Same 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 patients1.4Not available314
Hospital return days for heart failure patients6.2Not available360
Hospital return days for pneumonia patients0.4Not available261
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national1721
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national1537
Rate of inpatient admissions for patients receiving outpatient chemotherapy10Same as national174
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national174
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national413
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national314
Rate of readmission for CABG11Same as national68
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national102
Heart failure (HF) 30-Day Readmission Rate19.1Same as national360
Rate of readmission after hip/knee replacement5Same as national33
Pneumonia (PN) 30-Day Readmission Rate13.8Same as national261

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 rating31218
Doctor communication - star rating31218
Communication about medicines - star rating21218
Discharge information - star rating31218
Cleanliness - star rating11218
Quietness - star rating31218
Overall hospital rating - star rating21218
Recommend hospital - star rating31218
Summary star rating31218

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 vaccination581469
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 better154454
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 better150421
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25923
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 seen225209
Head CT results7914
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98122
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)3342
Safe Use of Opioids - Concurrent Prescribing162220
Appropriate care for severe sepsis and septic shock4991
Septic Shock 3-Hour Bundle6819
Septic Shock 6-Hour Bundle8211
Severe Sepsis 3-Hour Bundle6591
Severe Sepsis 6-Hour Bundle8541
Discharged on Antithrombotic Therapy97179
Anticoagulation Therapy for Atrial Fibrillation/Flutter5754
Antithrombotic Therapy by End of Hospital Day 293127
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 Mclaren Northern Michigan rated?
Mclaren Northern Michigan has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mclaren Northern Michigan have emergency services?
Yes. Mclaren Northern Michigan operates a 24/7 emergency department.
Where is Mclaren Northern Michigan located?
Mclaren Northern Michigan is located at 416 Connable Ave, Petoskey, MI 49770.
What type of hospital is Mclaren Northern Michigan?
Mclaren Northern Michigan is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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