JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mt Sinai Hospital Medical Center

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At a glance

Mt Sinai Hospital Medical Center carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 6.

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 Limit2.362Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.039Worse than national
Central Line Associated Bloodstream Infection: Number of Device Days7705Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.688Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases27Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards)3.512Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.763Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.395Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6846Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.517Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases12Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.409Same as national
SSI - Colon Surgery: Lower Confidence Limit0.569Same as national
SSI - Colon Surgery: Upper Confidence Limit2.922Same as national
SSI - Colon Surgery: Number of Procedures125Same as national
SSI - Colon Surgery: Predicted Cases4.271Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.405Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.032Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.198Same as national
SSI - Abdominal Hysterectomy: Number of Procedures168Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.542Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.649Same as national
MRSA Bacteremia: Lower Confidence Limit0.515Same as national
MRSA Bacteremia: Upper Confidence Limit2.643Same as national
MRSA Bacteremia: Patient Days60866Same as national
MRSA Bacteremia: Predicted Cases4.722Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia1.271Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.367Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.906Better than national
Clostridium Difficile (C.Diff): Patient Days56970Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.129Better than national
Clostridium Difficile (C.Diff): Observed Cases19Better than national
Clostridium Difficile (C.Diff)0.591Better 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 Rate4.4Same as national216
Death rate for heart attack patients12.1Same as national33
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.2Same as national30
Death rate for heart failure patients9.9Same as national75
Death rate for pneumonia patients15.3Same as national49
Death rate for stroke patients14.4Same as national32
Pressure ulcer rate0.95Same as national1177
Death rate among surgical inpatients with serious treatable complications200.69Same as national31
Iatrogenic pneumothorax rate0.19Same as national1295
In-hospital fall-associated fracture rate0.26Same as national1333
Postoperative hemorrhage or hematoma rate2.13Same as national296
Postoperative acute kidney injury requiring dialysis rate2.06Same as national53
Postoperative respiratory failure rate13.88Same as national59
Perioperative pulmonary embolism or deep vein thrombosis rate3.87Same as national291
Postoperative sepsis rate4.49Same as national58
Postoperative wound dehiscence rate1.71Same as national80
Abdominopelvic accidental puncture or laceration rate0.97Same as national261
CMS Medicare PSI 90: Patient safety and adverse events composite1.20Same 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 patients40.5Not available104
Hospital return days for pneumonia patients0.6Not available51
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.3Same as national370
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national126
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.7Same as national29
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national29
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national39
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national36
Heart failure (HF) 30-Day Readmission Rate19.4Same as national104
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national51

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 rating1441
Doctor communication - star rating2441
Communication about medicines - star rating1441
Discharge information - star rating1441
Cleanliness - star rating1441
Quietness - star rating2441
Overall hospital rating - star rating2441
Recommend hospital - star rating1441
Summary star rating1441

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 Hyperglycemia1114742
Hospital Harm - Severe Hypoglycemia22167
Hospital Harm - Opioid Related Adverse Events14661
Healthcare workers given influenza vaccination982453
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 better210400
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 better200374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better33124
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 seen141938
Head CT results6913
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9846
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing61197
Appropriate care for severe sepsis and septic shock52513
Septic Shock 3-Hour Bundle57169
Septic Shock 6-Hour Bundle8685
Severe Sepsis 3-Hour Bundle74513
Severe Sepsis 6-Hour Bundle94271
Discharged on Antithrombotic Therapy9652
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29576
Venous Thromboembolism Prophylaxis844288
Intensive Care Unit Venous Thromboembolism Prophylaxis93893

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 Mt Sinai Hospital Medical Center rated?
Mt Sinai Hospital Medical Center has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Mt Sinai Hospital Medical Center have emergency services?
Yes. Mt Sinai Hospital Medical Center operates a 24/7 emergency department.
Where is Mt Sinai Hospital Medical Center located?
Mt Sinai Hospital Medical Center is located at 15th Street at California, Chicago, IL 60608.
What type of hospital is Mt Sinai Hospital Medical Center?
Mt Sinai Hospital Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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