JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Northshore University Healthsystem - Evanston Hospital

5 / 5

At a glance

Northshore University Healthsystem - Evanston Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 and worse on 0. For 30-day readmissions, it beats the national rate on 4 measures and trails 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 Limit0.028Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.297Better than national
Central Line Associated Bloodstream Infection: Number of Device Days28196Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases27.488Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.109Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.203Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.713Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days22512Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases24.989Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases10Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.400Better than national
SSI - Colon Surgery: Lower Confidence Limit0.369Same as national
SSI - Colon Surgery: Upper Confidence Limit1.508Same as national
SSI - Colon Surgery: Number of Procedures423Same as national
SSI - Colon Surgery: Predicted Cases10.076Same as national
SSI - Colon Surgery: Observed Cases8Same as national
SSI - Colon Surgery0.794Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.962Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.349Same as national
SSI - Abdominal Hysterectomy: Number of Procedures402Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.184Same as national
SSI - Abdominal Hysterectomy: Observed Cases7Same as national
SSI - Abdominal Hysterectomy2.198Same as national
MRSA Bacteremia: Lower Confidence Limit0.159Better than national
MRSA Bacteremia: Upper Confidence Limit0.961Better than national
MRSA Bacteremia: Patient Days199314Better than national
MRSA Bacteremia: Predicted Cases11.530Better than national
MRSA Bacteremia: Observed Cases5Better than national
MRSA Bacteremia0.434Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.158Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.391Better than national
Clostridium Difficile (C.Diff): Patient Days184048Better than national
Clostridium Difficile (C.Diff): Predicted Cases74.427Better than national
Clostridium Difficile (C.Diff): Observed Cases19Better than national
Clostridium Difficile (C.Diff)0.255Better 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 patients2.4Better than national1044
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3Better than national7004
Death rate for heart attack patients9.9Better than national547
Death rate for CABG surgery patients1.8Same as national80
Death rate for COPD patients5.6Better than national338
Death rate for heart failure patients8.2Better than national1924
Death rate for pneumonia patients12.1Better than national2153
Death rate for stroke patients9.5Better than national740
Pressure ulcer rate0.10Better than national22733
Death rate among surgical inpatients with serious treatable complications127.88Better than national238
Iatrogenic pneumothorax rate0.14Same as national26217
In-hospital fall-associated fracture rate0.33Same as national26397
Postoperative hemorrhage or hematoma rate1.90Same as national6622
Postoperative acute kidney injury requiring dialysis rate1.37Same as national2420
Postoperative respiratory failure rate4.26Better than national2433
Perioperative pulmonary embolism or deep vein thrombosis rate3.46Same as national6980
Postoperative sepsis rate2.45Better than national2425
Postoperative wound dehiscence rate2.22Same as national1393
Abdominopelvic accidental puncture or laceration rate0.73Same as national4624
CMS Medicare PSI 90: Patient safety and adverse events composite0.58Better than 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-0.3Not available593
Hospital return days for heart failure patients17.8Not available2138
Hospital return days for pneumonia patients7.2Not available2245
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national11699
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)10.2Better than national9680
Rate of inpatient admissions for patients receiving outpatient chemotherapy6.9Better than national751
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy3.3Better than national751
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national4358
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national593
Rate of readmission for CABG10.4Same as national80
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17Same as national378
Heart failure (HF) 30-Day Readmission Rate20.7Same as national2138
Rate of readmission after hip/knee replacement4.3Same as national1072
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national2245

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 rating33748
Doctor communication - star rating33748
Communication about medicines - star rating23748
Discharge information - star rating43748
Cleanliness - star rating33748
Quietness - star rating33748
Overall hospital rating - star rating33748
Recommend hospital - star rating43748
Summary star rating33748

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 volumevery high
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 Hyperglycemia749853
Hospital Harm - Severe Hypoglycemia19285
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination8712726
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 better269405
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 better265385
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better43420
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 seen10120626
Head CT results3847
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98119
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6926
Safe Use of Opioids - Concurrent Prescribing178340
Appropriate care for severe sepsis and septic shock66273
Septic Shock 3-Hour Bundle76110
Septic Shock 6-Hour Bundle8971
Severe Sepsis 3-Hour Bundle80274
Severe Sepsis 6-Hour Bundle98148
Discharged on Antithrombotic Therapy98457
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293429
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 Northshore University Healthsystem - Evanston Hospital rated?
Northshore University Healthsystem - Evanston Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Northshore University Healthsystem - Evanston Hospital have emergency services?
Yes. Northshore University Healthsystem - Evanston Hospital operates a 24/7 emergency department.
Where is Northshore University Healthsystem - Evanston Hospital located?
Northshore University Healthsystem - Evanston Hospital is located at 2650 Ridge Ave, Evanston, IL 60201.
What type of hospital is Northshore University Healthsystem - Evanston Hospital?
Northshore University Healthsystem - Evanston Hospital 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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