Winchester Hospital

Hospital in Winchester, MA, Medicare certification number 220105. CMS publishes 62 quality measures for it.

Medicare certification

Provider of Services

CCN: 220105The 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 - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Jan 13, 2014
Beds: 189
Overall star rating: 3 of 5Care Compare
Address: 41 Highland Avenue
Winchester, MA 01890
(781) 729-9000

NPI records for this facility (CCN to NPI Mapping) 1

Winchester Hospital
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.13 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.7 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.65 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.02 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.46 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 2.98 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 2.11 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.56 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.06 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 1,294

Page 29 of 52Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Syed Kashif Mahmood, MD
- Gastroenterology Physician
- Burlington, MA
- NPI 1013186535
Mohamed Mahmoud, MD
- Internal Medicine Physician
- Winchester, MA
- NPI 1033191366
Eric J Mahoney
- Surgical Critical Care Physician
- Boston, MA
- NPI 1568681328
Bishal Mainali, MD
- Internal Medicine Physician
- Arlington, MA
- NPI 1700936747
Arjun Majithia, MD
- Interventional Cardiology Physician
- Burlington, MA
- NPI 1285922054
Erin Regan Malenick, RN, NP-C
- Primary Care Nurse Practitioner
- East Boston, MA
- NPI 1982277158
Neha Malik, M.D.
- Internal Medicine Physician
- Arlington, MA
- NPI 1306081963
Raza Malik, MD, PHD
- Transplant Hepatology Physician
- Burlington, MA
- NPI 1518082510
Erin L Malone, MD
- Internal Medicine Physician
- Burlington, MA
- NPI 1093812828
Jenny Laheri Mamtora, D.O.
- Family Medicine Physician
- Danvers, MA
- NPI 1457974396
Robert Mancini, CRNA
- Certified Registered Nurse Anesthetist
- Manchester, NH
- NPI 1730322082
Divakar Mandapati, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Worcester, MA
- NPI 1144261942
Jessica A Mandeville, MD
- Urology Physician
- Burlington, MA
- NPI 1396916045
Emily Manfra, AGNP
- Primary Care Nurse Practitioner
- Woburn, MA
- NPI 1497535363
Nicholas Manice
- Emergency Medicine Physician
- New York, NY
- NPI 1588051080
Mary Ellen Manning, MD
- Internal Medicine Physician
- Boston, MA
- NPI 1033109160
Kristin L Mannke
- Family Nurse Practitioner
- Somerville, MA
- NPI 1376971838
Adrianna Rose Manzi, PA
- Medical Physician Assistant
- Winchester, MA
- NPI 1508591991
Irini E Maradianos
- Physician Assistant
- Medford, MA
- NPI 1407633654
Emily Marbas, MD
- Family Medicine Physician
- Cambridge, MA
- NPI 1891374765
Jose Manuel Marcal Jr., M.D.
- Gastroenterology Physician
- Stoneham, MA
- NPI 1538116223
Peter W Marcello, MD
- Colon & Rectal Surgery Physician
- Burlington, MA
- NPI 1477603660
Nicole K Marchionda, PA
- Medical Physician Assistant
- Winchester, MA
- NPI 1073741310
Dana Marcinkowski-Desmond, M.D.
- Family Medicine Physician
- Medford, MA
- NPI 1922454677
Laura Katherine Marcinkowski, AGPCNP
- Gerontology Nurse Practitioner
- Chapel Hill, NC
- NPI 1740879915

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.91
- State average 1.04 (computed here)
- National average 1.06
- No different than the national rate
- 968 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.81
- State average 1.02 (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 expected167.42
- State average 174.7 (computed here)
- National average 173.3
- No different than the national rate
- 28 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.2
- State average 7.49 (computed here)
- National average 8.6
- No different than the national rate
- 225 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11
- State average 11.44 (computed here)
- National average 11.9
- No different than the national rate
- 59 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10
- State average 9.78 (computed here)
- National average 11.1
- No different than the national rate
- 580 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected11.4
- State average 13.44 (computed here)
- National average 15.2
- No different than the national rate
- 996 patients
- Period from 07/01/2022
Death rate for stroke patients As expected8.1
- State average 11.76 (computed here)
- National average 11.9
- No different than the national rate
- 135 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.3
- State average 3.42 (computed here)
- National average 3.9
- No different than the national rate
- 3,177 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.16
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 7,901 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.32
- State average 0.3 (computed here)
- National average 0.27
- No different than the national rate
- 7,832 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.24
- State average 3.74 (computed here)
- National average 3.52
- No different than the national rate
- 923 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.59
- State average 1.61 (computed here)
- National average 1.67
- No different than the national rate
- 339 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.22
- State average 2.48 (computed here)
- National average 2.34
- No different than the national rate
- 868 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.5
- State average 9.19 (computed here)
- National average 9.42
- No different than the national rate
- 328 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.08
- State average 5.33 (computed here)
- National average 5.27
- No different than the national rate
- 330 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.36
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 155 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.2
- State average 0.67 (computed here)
- National average 0.63
- No different than the national rate
- 5,302 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.1
- State average 4.09 (computed here)
- National average 4.1
- No different than the national rate
- 218 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0
- State average 0.65
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.62
- State average 0.52
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) As expected0.68
- State average 0.49
- National average 1
- No different than national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.26
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.15
- State average 0.9
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 4.5
- State average 4.36 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.1
- State average 6.33 (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) 0.93
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 98
- State average 93 (computed here)
- National average 92.79 (computed here)
- 84 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 52
- State average 56
- National average 65
- 107 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 242
- State average 222
- National average 168
- 401 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 292
- State average 346
- National average 287
- 12 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 233
- State average 214
- National average 162
- 368 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 424
- State average 338
- National average 257
- 22 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 95
- State average 97
- National average 93
- 103 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 100
- State average 89
- National average 78
- 2,759 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 97
- State average 96.17 (computed here)
- National average 93.49 (computed here)
- 559 patients
- Period from 01/01/2024
Left before being seen 3
- State average 4
- National average 2
- 53,285 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 13
- State average 18
- National average 15
- 2,522 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 53
- State average 67
- National average 73
- 38 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 62
- State average 84
- National average 87
- 16 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 81
- State average 75
- National average 81
- 108 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 87
- State average 91
- National average 93
- 52 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 93
- State average 91.36 (computed here)
- National average 82.23 (computed here)
- 6,520 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Discharged on Antithrombotic Therapy — 5
Emergency department volume — high
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
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 10

Medicare Care Compare

Heart failure (HF) 30-Day Readmission Rate As expected23.3
- State average 22.03 (computed here)
- National average 21.3
- No different than the national rate
- 646 patients
- Period from 07/01/2023
Hospital return days for heart failure patients 24.8
- State average 17.34 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 681 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 11.6
- State average 17.01 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 1,066 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.2
- State average 17.81 (computed here)
- National average 17.3
- No different than the national rate
- 1,082 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.1
- State average 5.18 (computed here)
- National average 5.4
- No different than the national rate
- 202 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11
- State average 10.92 (computed here)
- National average 10.7
- No different than the national rate
- 202 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.9
- State average 5.71 (computed here)
- National average 5.8
- No different than the national rate
- 219 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.9
- State average 20.36 (computed here)
- National average 20
- No different than the national rate
- 284 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.3
- State average 12.66 (computed here)
- National average 13
- No different than the national rate
- 1,493 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.96 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 515 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (4)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 1
Hospital return days for heart attack patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 5

Other hospitals near Winchester, MA

No other hospitals are listed in Winchester, MA; these share its ZIP code area (018xx).

Lowell General Hospital Lowell
Merrimack Health Lawrence Hospital Lawrence
Whittier Pavilion Haverhill
Whittier Rehabilitation Hospital 76 Summer St, Haverhill terminated
Whittier Rehabilitation Hospital 76 Summer Street, Haverhill terminated

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, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

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.