JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Northside Hospital Gwinnett

3 / 5

At a glance

Northside Hospital Gwinnett 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 Limit0.341Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.980Better than national
Central Line Associated Bloodstream Infection: Number of Device Days21661Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases23.402Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases14Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.598Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.285Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.895Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days16535Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases22.797Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases12Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.526Better than national
SSI - Colon Surgery: Lower Confidence Limit0.658Same as national
SSI - Colon Surgery: Upper Confidence Limit2.065Same as national
SSI - Colon Surgery: Number of Procedures350Same as national
SSI - Colon Surgery: Predicted Cases9.877Same as national
SSI - Colon Surgery: Observed Cases12Same as national
SSI - Colon Surgery1.215Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.271Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.894Same as national
SSI - Abdominal Hysterectomy: Number of Procedures330Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.821Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy1.063Same as national
MRSA Bacteremia: Lower Confidence Limit0.004Better than national
MRSA Bacteremia: Upper Confidence Limit0.388Better than national
MRSA Bacteremia: Patient Days188318Better than national
MRSA Bacteremia: Predicted Cases12.716Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.079Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.180Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.403Better than national
Clostridium Difficile (C.Diff): Patient Days172586Better than national
Clostridium Difficile (C.Diff): Predicted Cases87.192Better than national
Clostridium Difficile (C.Diff): Observed Cases24Better than national
Clostridium Difficile (C.Diff)0.275Better 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 patients3.8Same as national55
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national2212
Death rate for heart attack patients11.8Same as national176
Death rate for CABG surgery patients1.9Same as national231
Death rate for COPD patients9Same as national128
Death rate for heart failure patients10.7Same as national509
Death rate for pneumonia patients15Same as national563
Death rate for stroke patients12.6Same as national212
Pressure ulcer rate0.79Same as national7073
Death rate among surgical inpatients with serious treatable complications150.92Same as national106
Iatrogenic pneumothorax rate0.31Same as national8279
In-hospital fall-associated fracture rate0.20Same as national8603
Postoperative hemorrhage or hematoma rate3.44Same as national2198
Postoperative acute kidney injury requiring dialysis rate1.30Same as national997
Postoperative respiratory failure rate8.81Same as national1045
Perioperative pulmonary embolism or deep vein thrombosis rate4.06Same as national2393
Postoperative sepsis rate4.54Same as national1002
Postoperative wound dehiscence rate1.94Same as national372
Abdominopelvic accidental puncture or laceration rate0.99Same as national1501
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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-17.5Not available196
Hospital return days for heart failure patients39.8Not available611
Hospital return days for pneumonia patients22.4Not available585
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national3679
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national314
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.4Same as national64
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national64
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national551
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.3Same as national196
Rate of readmission for CABG9.4Same as national227
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national138
Heart failure (HF) 30-Day Readmission Rate21.7Same as national611
Rate of readmission after hip/knee replacement4.3Same as national55
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national585

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 rating23112
Doctor communication - star rating33112
Communication about medicines - star rating23112
Discharge information - star rating33112
Cleanliness - star rating43112
Quietness - star rating33112
Overall hospital rating - star rating33112
Recommend hospital - star rating43112
Summary star rating33112

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination877849
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 better269908
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 better264848
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better43453
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 seen3103199
Head CT results7560
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9769
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)7540
Safe Use of Opioids - Concurrent Prescribing116677
Appropriate care for severe sepsis and septic shock57182
Septic Shock 3-Hour Bundle8050
Septic Shock 6-Hour Bundle9731
Severe Sepsis 3-Hour Bundle70182
Severe Sepsis 6-Hour Bundle8585
Discharged on Antithrombotic Therapy98332
Anticoagulation Therapy for Atrial Fibrillation/Flutter7258
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis903145

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 Northside Hospital Gwinnett rated?
Northside Hospital Gwinnett has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Northside Hospital Gwinnett have emergency services?
Yes. Northside Hospital Gwinnett operates a 24/7 emergency department.
Where is Northside Hospital Gwinnett located?
Northside Hospital Gwinnett is located at 1000 Medical Center Boulevard, Lawrenceville, GA 30045.
What type of hospital is Northside Hospital Gwinnett?
Northside Hospital Gwinnett is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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.

Report an issue with this page