JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Northwestern Medicine Kishwaukee Hospital

5 / 5

At a glance

Northwestern Medicine Kishwaukee 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 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 Limit0.025Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.427Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2956Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.032Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.492Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.705Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2521Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.757Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.643Same as national
SSI - Colon Surgery: Number of Procedures71Same as national
SSI - Colon Surgery: Predicted Cases1.823Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures47Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.410Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.520Same as national
MRSA Bacteremia: Patient Days33499Same as national
MRSA Bacteremia: Predicted Cases1.189Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.028Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.561Better than national
Clostridium Difficile (C.Diff): Patient Days31927Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.785Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.170Better 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 Rate3.1Better than national896
Death rate for heart attack patients11.3Same as national98
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.3Same as national113
Death rate for heart failure patients7.7Better than national232
Death rate for pneumonia patients12.8Better than national369
Death rate for stroke patients10.7Same as national111
Pressure ulcer rate0.22Same as national3349
Death rate among surgical inpatients with serious treatable complications165.58Same as national45
Iatrogenic pneumothorax rate0.17Same as national3821
In-hospital fall-associated fracture rate0.24Same as national3941
Postoperative hemorrhage or hematoma rate2.08Same as national507
Postoperative acute kidney injury requiring dialysis rate1.61Same as national73
Postoperative respiratory failure rate7.51Same as national75
Perioperative pulmonary embolism or deep vein thrombosis rate3.47Same as national546
Postoperative sepsis rate4.82Same as national67
Postoperative wound dehiscence rate1.98Same as national136
Abdominopelvic accidental puncture or laceration rate1.15Same as national616
CMS Medicare PSI 90: Patient safety and adverse events composite0.80Same 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 patients15.3Not available93
Hospital return days for heart failure patients-39.5Not available274
Hospital return days for pneumonia patients2.2Not available394
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national1524
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national1298
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6Same as national181
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.4Same as national181
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national331
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national93
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national125
Heart failure (HF) 30-Day Readmission Rate18.4Same as national274
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national394

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 rating3540
Doctor communication - star rating3540
Communication about medicines - star rating2540
Discharge information - star rating4540
Cleanliness - star rating3540
Quietness - star rating3540
Overall hospital rating - star rating3540
Recommend hospital - star rating3540
Summary star rating3540

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 Hypoglycemia21711
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination962570
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 better201399
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 better197367
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26824
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 seen236320
Head CT results5511
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9976
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151683
Appropriate care for severe sepsis and septic shock76156
Septic Shock 3-Hour Bundle8559
Septic Shock 6-Hour Bundle9344
Severe Sepsis 3-Hour Bundle89157
Severe Sepsis 6-Hour Bundle9398
Discharged on Antithrombotic Therapy9893
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296106
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 Northwestern Medicine Kishwaukee Hospital rated?
Northwestern Medicine Kishwaukee Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Northwestern Medicine Kishwaukee Hospital have emergency services?
Yes. Northwestern Medicine Kishwaukee Hospital operates a 24/7 emergency department.
Where is Northwestern Medicine Kishwaukee Hospital located?
Northwestern Medicine Kishwaukee Hospital is located at One Kish Hospital Drive, Dekalb, IL 60115.
What type of hospital is Northwestern Medicine Kishwaukee Hospital?
Northwestern Medicine Kishwaukee Hospital 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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