Ascension St Vincent Hospital

Hospital in Indianapolis, IN, Medicare certification number 150084. CMS publishes 58 quality measures for it.

Medicare certification

Provider of Services

CCN: 150084The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Church
Control type: Church
Participating since: Jul 1, 1966
Last certification: Sep 2, 2017
Beds: 779
Overall star rating: 2 of 5Care Compare
Address: 2001 W 86TH St
Indianapolis, IN 46260
(317) 338-7000

NPI records for this facility 2

St. Vincent Hospital & Health Care Center, Inc.
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
Medicare enrollment
St. Vincent Hospital & Health Care Center, Inc.
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse1 of 5
- State average 3.54 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse1 of 5
- State average 2.49 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse2 of 5
- State average 3.57 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.08 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse1 of 5
- State average 3.54 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 3.54 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 3.52 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse2 of 5
- State average 3.82 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 3.38 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.03
- State average 1.05 (computed here)
- National average 1.06
- No different than the national rate
- 2,101 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.91
- State average 0.95 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected185.99
- State average 180.37 (computed here)
- National average 173.3
- No different than the national rate
- 156 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2
- State average 2.48 (computed here)
- National average 2.4
- No different than the national rate
- 36 patients
- Period from 07/01/2022
Death rate for COPD patients As expected12.2
- State average 8.63 (computed here)
- National average 8.6
- No different than the national rate
- 66 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.7
- State average 12.13 (computed here)
- National average 11.9
- No different than the national rate
- 101 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.2
- State average 11.45 (computed here)
- National average 11.1
- No different than the national rate
- 390 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected17.8
- State average 15.69 (computed here)
- National average 15.2
- No different than the national rate
- 342 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.6
- State average 12.44 (computed here)
- National average 11.9
- No different than the national rate
- 485 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.2
- State average 4.04 (computed here)
- National average 3.9
- No different than the national rate
- 4,352 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 8,176 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.22
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 8,271 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.85
- State average 3.37 (computed here)
- National average 3.52
- No different than the national rate
- 3,040 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.75
- State average 1.72 (computed here)
- National average 1.67
- No different than the national rate
- 1,516 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.22
- State average 2.22 (computed here)
- National average 2.34
- No different than the national rate
- 2,908 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected12.5
- State average 9.68 (computed here)
- National average 9.42
- No different than the national rate
- 1,412 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.02
- State average 5.19 (computed here)
- National average 5.27
- No different than the national rate
- 1,490 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.46
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 716 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.2
- State average 0.49 (computed here)
- National average 0.63
- No different than the national rate
- 7,473 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.9
- State average 4.22 (computed here)
- National average 4.1
- No different than the national rate
- 67 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.68
- State average 0.48
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.53
- State average 0.53
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.44
- State average 0.37
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.7
- State average 0.64
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0
- State average 1
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.67
- State average 0.65
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 3.7
- State average 5.82 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 6
- State average 6.04 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 1.04
- State average 1.01
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 8

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 59
- State average 60
- National average 65
- 537 patients
- Period from 10/01/2024
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 better 126
- State average 150
- National average 168
- 402 patients
- Period from 10/01/2024
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 better 125
- State average 145
- National average 162
- 387 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 92
- State average 82
- National average 78
- 6,671 patients
- Period from 10/01/2024
Septic Shock 3-Hour Bundle 66
- State average 66
- National average 73
- 137 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 85
- State average 82
- National average 87
- 66 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 76
- State average 81
- National average 81
- 537 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 91
- State average 92
- National average 93
- 318 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (22)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better — 1
Discharged on Antithrombotic Therapy — 5
Emergency department volume — 5
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients — 5
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
Left before being seen — 5
Safe Use of Opioids - Concurrent Prescribing — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 5
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14
- State average 14.24 (computed here)
- National average 14.4
- No different than the national rate
- 135 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.4
- State average 20.96 (computed here)
- National average 21.3
- No different than the national rate
- 491 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 42.2
- State average 3.22 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 97 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 23.8
- State average -4.26 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 473 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 26.6
- State average -1.71 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 354 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.9
- State average 16.99 (computed here)
- National average 17.3
- No different than the national rate
- 417 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.7
- State average 5.53 (computed here)
- National average 5.4
- No different than the national rate
- 37 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11.4
- State average 10.62 (computed here)
- National average 10.7
- No different than the national rate
- 37 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.9
- State average 5.69 (computed here)
- National average 5.8
- No different than the national rate
- 63 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected17.5
- State average 19.64 (computed here)
- National average 20
- No different than the national rate
- 115 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected15.1
- State average 12.92 (computed here)
- National average 13
- No different than the national rate
- 755 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.01 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 203 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 1, 29

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.