Hospital

COMMUNITY HOSPITAL NORTH

CCN: 150169 · INDIANAPOLIS, IN 46256 · MARION County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256
Phone
(317) 621-5335
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
4 /5
★★★★★
CMS Overall Rating
p63
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 5 of 7 measures reported
5
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 8 of 8 measures reported
4
3
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 7 of 11 measures reported
7
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 11 of 12 measures reported
11 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

⚠ This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack)
— Not reported
Heart Failure 262 discharges
1.0578 p81
Pneumonia 331 discharges
0.9525 p21
COPD 131 discharges
0.9691 p23
Hip/Knee Replacement
0.7973 p6
CABG Surgery
— Not reported
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

15.5 p5
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
0.0 p0
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
7.5 p27
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
8.0 p43
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
0.0 p0
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.0578
Value-Based Purchasing
15.5 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: 0.1337

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 2.80 No Different Than the National Rate 213
Hybrid_HWM 4.10 No Different Than the National Rate 1,409
MORT_30_AMI — Number of Cases Too Small —
MORT_30_CABG — — —
MORT_30_COPD 9.80 No Different Than the National Rate 119
MORT_30_HF 13.50 No Different Than the National Rate 246
MORT_30_PN 18.10 No Different Than the National Rate 347
MORT_30_STK 15.40 No Different Than the National Rate 214
PSI_03 0.15 No Different Than the National Rate 5,173
PSI_04 200.11 No Different Than the National Rate 70
PSI_06 0.22 No Different Than the National Rate 6,123
PSI_08 0.35 No Different Than the National Rate 6,219
PSI_09 1.82 No Different Than the National Rate 1,433
PSI_10 3.00 No Different Than the National Rate 884
PSI_11 22.81 Worse Than the National Rate 850
PSI_12 3.82 No Different Than the National Rate 1,560
PSI_13 5.39 No Different Than the National Rate 859
PSI_14 1.56 No Different Than the National Rate 594
PSI_15 1.27 No Different Than the National Rate 1,654
PSI_90 1.30 No Different Than the National Value —

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 74% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 5% —
H_COMP_1_U_P: Nurses "usually" communicated well 21% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 81% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 4% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 15% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 71% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 22% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 71% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 4% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 25% —
H_COMP_2_A_P: Doctors "always" communicated well 78% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6% —
H_COMP_2_U_P: Doctors "usually" communicated well 16% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 84% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 12% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 77% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 7% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 16% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 73% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 9% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 18% —
H_COMP_5_A_P: Staff "always" explained 60% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 22% —
H_COMP_5_U_P: Staff "usually" explained 18% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 2
H_MED_FOR_A_P: Staff "always" explained new medications 76% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11% —
H_MED_FOR_U_P: Staff "usually" explained new medications 13% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 45% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 34% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 21% —
H_COMP_6_N_P: No, staff "did not" give patients this information 10% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 90% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 4
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 8% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 92% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 12% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 88% —
H_CLEAN_HSP_A_P: Room was "always" clean 54% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 20% —
H_CLEAN_HSP_U_P: Room was "usually" clean 26% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 1
H_QUIET_HSP_A_P: "Always" quiet at night 52% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 11% —
H_QUIET_HSP_U_P: "Usually" quiet at night 37% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 3
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 9% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 19% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 72% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 8% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 73% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 19% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 4
H_STAR_RATING: Summary star rating — 3

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.368 No Different than National Benchmark
HAI_1_CIUPPER 1.386 No Different than National Benchmark
HAI_1_DOPC 10860.000 No Different than National Benchmark
HAI_1_ELIGCASES 11.918 No Different than National Benchmark
HAI_1_NUMERATOR 9.000 No Different than National Benchmark
HAI_1_SIR 0.755 No Different than National Benchmark
HAI_2_CILOWER 0.057 Better than the National Benchmark
HAI_2_CIUPPER 0.606 Better than the National Benchmark
HAI_2_DOPC 10412.000 Better than the National Benchmark
HAI_2_ELIGCASES 13.467 Better than the National Benchmark
HAI_2_NUMERATOR 3.000 Better than the National Benchmark
HAI_2_SIR 0.223 Better than the National Benchmark
HAI_3_CILOWER 0.330 No Different than National Benchmark
HAI_3_CIUPPER 1.494 No Different than National Benchmark
HAI_3_DOPC 341.000 No Different than National Benchmark
HAI_3_ELIGCASES 9.268 No Different than National Benchmark
HAI_3_NUMERATOR 7.000 No Different than National Benchmark
HAI_3_SIR 0.755 No Different than National Benchmark
HAI_4_CILOWER 0.559 No Different than National Benchmark
HAI_4_CIUPPER 5.986 No Different than National Benchmark
HAI_4_DOPC 139.000 No Different than National Benchmark
HAI_4_ELIGCASES 1.364 No Different than National Benchmark
HAI_4_NUMERATOR 3.000 No Different than National Benchmark
HAI_4_SIR 2.199 No Different than National Benchmark
HAI_5_CILOWER 0.049 Better than the National Benchmark
HAI_5_CIUPPER 0.962 Better than the National Benchmark
HAI_5_DOPC 102479.000 Better than the National Benchmark
HAI_5_ELIGCASES 6.871 Better than the National Benchmark
HAI_5_NUMERATOR 2.000 Better than the National Benchmark
HAI_5_SIR 0.291 Better than the National Benchmark
HAI_6_CILOWER 0.173 Better than the National Benchmark
HAI_6_CIUPPER 0.518 Better than the National Benchmark
HAI_6_DOPC 88678.000 Better than the National Benchmark
HAI_6_ELIGCASES 41.799 Better than the National Benchmark
HAI_6_NUMERATOR 13.000 Better than the National Benchmark
HAI_6_SIR 0.311 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV very high Emergency Department
GMCS — Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented — Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening — Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment — Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan — Electronic Clinical Quality Measure
HH_HYPER — Electronic Clinical Quality Measure
HH_HYPO 2.0 Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 94.0 Healthcare Personnel Vaccination
OP_18a 203.0 Emergency Department
OP_18b 200.0 Emergency Department
OP_18c 345.0 Emergency Department
OP_18d 389.0 Emergency Department
OP_22 4.0 Emergency Department
OP_23 — Emergency Department
OP_29 97.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 11.0 Electronic Clinical Quality Measure
SEP_1 22.0 Sepsis Care
SEP_SH_3HR 31.0 Sepsis Care
SEP_SH_6HR 42.0 Sepsis Care
SEV_SEP_3HR 65.0 Sepsis Care
SEV_SEP_6HR 75.0 Sepsis Care
STK_02 97.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 95.0 Electronic Clinical Quality Measure
VTE_1 — Electronic Clinical Quality Measure
VTE_2 — Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI — Number of Cases Too Small
EDAC_30_HF 18.20 More Days Than Average per 100 Discharges
EDAC_30_PN -22.20 Fewer Days Than Average per 100 Discharges
Hybrid_HWR 14.50 No Different Than the National Rate
OP_32 12.80 No Different Than the National Rate
OP_35_ADM 9.30 No Different Than the National Rate
OP_35_ED 6.50 No Different Than the National Rate
OP_36 1.10 No Different than expected
READM_30_AMI — Number of Cases Too Small
READM_30_CABG — —
READM_30_COPD 17.70 No Different Than the National Rate
READM_30_HF 20.70 No Different Than the National Rate
READM_30_HIP_KNEE 3.90 No Different Than the National Rate
READM_30_PN 15.20 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.06

Financial Health (Cost Report — FY 2023)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

Download CSV

Show 85 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Current Ratio 30.60 — metrics.current_ratio
Cost Report Employees per Bed 4.66 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $1,709,425,445 — metrics.fund_balance
Cost Report Net Income ($) $101,689,192 — metrics.net_income
Cost Report Net Patient Revenue ($) $581,867,608 — metrics.net_patient_revenue
Cost Report Operating Margin (%) 16.9% — metrics.operating_margin
Cost Report Total Assets ($) $1,717,322,634 — metrics.total_assets
Cost Report Total Costs ($) $412,916,452 — metrics.total_costs
Cost Report Total Liabilities ($) $7,897,189 — metrics.total_liabilities
Cost Report Total Margin (%) 17.4% — metrics.total_margin
Cost Report Uncompensated Care (%) 2.7% — metrics.uncompensated_care_pct
General Information Address 7150 CLEARVISTA DR — Address
General Information City/Town INDIANAPOLIS — City/Town
General Information Count of Facility MORT Measures 5 — Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 — Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 7 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 8 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 11 — Count of Facility TE Measures
General Information Count of MORT Measures Better 0 — Count of MORT Measures Better
General Information Count of MORT Measures No Different 5 — Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 — Count of MORT Measures Worse
General Information Count of READM Measures Better 0 — Count of READM Measures Better
General Information Count of READM Measures No Different 7 — Count of READM Measures No Different
General Information Count of READM Measures Worse 0 — Count of READM Measures Worse
General Information Count of Safety Measures Better 4 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 3 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 — Count of Safety Measures Worse
General Information County/Parish MARION — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 150169 — Facility ID
General Information Facility Name COMMUNITY HOSPITAL NORTH — Facility Name
General Information Hospital overall rating 4 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Private — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation Y — Meets criteria for birthing friendly designation
General Information MORT Group Footnote — — MORT Group Footnote
General Information MORT Group Measure Count 7 — MORT Group Measure Count
General Information Pt Exp Group Footnote — — Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 — Pt Exp Group Measure Count
General Information READM Group Footnote — — READM Group Footnote
General Information READM Group Measure Count 11 — READM Group Measure Count
General Information Safety Group Footnote — — Safety Group Footnote
General Information Safety Group Measure Count 8 — Safety Group Measure Count
General Information State IN — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (317) 621-5335 — Telephone Number
General Information ZIP Code 46256 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.35 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.33 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.46 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.14 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.21 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score 0.13 — total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 — End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 — Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 — Start Date
Medicare Spending per Beneficiary Value 1.06 — Value
Readmissions (HRRP) COPD — Excess readmission ratio 0.97 0.9969 p23 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.2% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 131 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 22 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 18.6% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.06 0.9983 p81 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.5% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 262 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 58 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 20.6% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.80 0.9916 p6 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.5% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 4.4% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.95 0.9955 p21 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.0% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 331 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 44 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 14.3% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 0.00 5.00 p0 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 8.00 8.75 p43 person_community_score
Value-Based Purchasing Safety 7.50 10.00 p27 safety_score
Value-Based Purchasing Total Performance Score 15.50 29.50 p5 total_performance_score
Methodology

Full methodology →