JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Presence Saints Mary and Elizabeth Medical Center

3 / 5

At a glance

Presence Saints Mary and Elizabeth Medical Center 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days630Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.591Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days545Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.514Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.125Same as national
SSI - Colon Surgery: Upper Confidence Limit2.466Same as national
SSI - Colon Surgery: Number of Procedures92Same as national
SSI - Colon Surgery: Predicted Cases2.679Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.747Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures16Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.135Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.104Same as national
MRSA Bacteremia: Patient Days51417Same as national
MRSA Bacteremia: Predicted Cases2.714Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.016Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.317Better than national
Clostridium Difficile (C.Diff): Patient Days50290Better than national
Clostridium Difficile (C.Diff): Predicted Cases20.838Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.096Better 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 Rate3.8Same as national242
Death rate for heart attack patients12.2Same as national41
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8Same as national40
Death rate for heart failure patients10.9Same as national126
Death rate for pneumonia patients13.2Same as national125
Death rate for stroke patients13.8Same as national36
Pressure ulcer rate0.28Same as national2345
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2480
In-hospital fall-associated fracture rate0.25Same as national2566
Postoperative hemorrhage or hematoma rate2.71Same as national316
Postoperative acute kidney injury requiring dialysis rate1.65Same as national62
Postoperative respiratory failure rate13.49Same as national68
Perioperative pulmonary embolism or deep vein thrombosis rate3.47Same as national328
Postoperative sepsis rate5.90Same as national61
Postoperative wound dehiscence rate1.73Same as national91
Abdominopelvic accidental puncture or laceration rate0.92Same as national428
CMS Medicare PSI 90: Patient safety and adverse events composite1.02Same 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 patients13.5Not available161
Hospital return days for pneumonia patients-6.9Not available124
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national384
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national571
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national52
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national52
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.1Same as national32
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.3Same as national53
Heart failure (HF) 30-Day Readmission Rate21Same as national161
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15Same as national124

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 rating3796
Doctor communication - star rating3796
Communication about medicines - star rating2796
Discharge information - star rating2796
Cleanliness - star rating2796
Quietness - star rating3796
Overall hospital rating - star rating3796
Recommend hospital - star rating3796
Summary star rating3796

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 volume
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 vaccination702259
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 better191297
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 better189275
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20818
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 seen
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock4493
Septic Shock 3-Hour Bundle6414
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle6193
Severe Sepsis 6-Hour Bundle8539
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Presence Saints Mary and Elizabeth Medical Center rated?
Presence Saints Mary and Elizabeth Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Presence Saints Mary and Elizabeth Medical Center have emergency services?
Yes. Presence Saints Mary and Elizabeth Medical Center operates a 24/7 emergency department.
Where is Presence Saints Mary and Elizabeth Medical Center located?
Presence Saints Mary and Elizabeth Medical Center is located at 2233 W Division St, Chicago, IL 60622.
What type of hospital is Presence Saints Mary and Elizabeth Medical Center?
Presence Saints Mary and Elizabeth Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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