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

Overview

Address
7500 SOUTH 91ST ST, LINCOLN, NE 68526
Phone
(402) 328-3000
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
No
3 /5
CMS Overall Rating
p30
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 3 of 7 measures reported
3
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 2 of 8 measures reported
2
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 5 of 11 measures reported
5
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 4 of 12 measures reported
4 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 does not have excess readmissions triggering HRRP penalties.
Acute Myocardial Infarction (Heart Attack) 213 discharges
0.9240 p11
Heart Failure 201 discharges
0.9941 p46
Pneumonia
— Not reported
COPD
— Not reported
Hip/Knee Replacement
— Not reported
CABG Surgery 176 discharges
0.8802 p8
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 above the national median, suggesting a positive payment adjustment.

35.9 p71
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
5.6 p53
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.
Person & Community Engagement 25% weight
27.0 p99
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
3.3 p56
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)
Not Penalized
Worst ERR: 0.9941
Value-Based Purchasing
35.9 TPS
Above national median
HAC Reduction
Payment Reduced
HAC Score: 0.9301

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
Hybrid_HWM 4.10 No Different Than the National Rate 631
MORT_30_AMI 11.80 No Different Than the National Rate 167
MORT_30_CABG 3.30 No Different Than the National Rate 181
MORT_30_COPD
MORT_30_HF 12.50 No Different Than the National Rate 150
MORT_30_PN Number of Cases Too Small
MORT_30_STK Number of Cases Too Small
PSI_03 0.37 No Different Than the National Rate 785
PSI_04 Number of Cases Too Small
PSI_06 0.16 No Different Than the National Rate 1,567
PSI_08 0.25 No Different Than the National Rate 1,910
PSI_09 2.75 No Different Than the National Rate 718
PSI_10 1.87 No Different Than the National Rate 529
PSI_11 8.01 No Different Than the National Rate 544
PSI_12 3.59 No Different Than the National Rate 927
PSI_13 6.56 No Different Than the National Rate 562
PSI_14 Number of Cases Too Small
PSI_15 1.04 No Different Than the National Rate 69
PSI_90 0.94 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 89%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 1%
H_COMP_1_U_P: Nurses "usually" communicated well 10%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 5
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 95%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 1%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 4%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 87%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 2%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 11%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 84%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 1%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 15%
H_COMP_2_A_P: Doctors "always" communicated well 83%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 4%
H_COMP_2_U_P: Doctors "usually" communicated well 13%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 4
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 89%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 2%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 9%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 81%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 14%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 78%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 5%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 17%
H_COMP_5_A_P: Staff "always" explained 66%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 13%
H_COMP_5_U_P: Staff "usually" explained 21%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 4
H_MED_FOR_A_P: Staff "always" explained new medications 79%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 7%
H_MED_FOR_U_P: Staff "usually" explained new medications 14%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 53%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 20%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 27%
H_COMP_6_N_P: No, staff "did not" give patients this information 12%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 88%
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 15%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 85%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 8%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 92%
H_CLEAN_HSP_A_P: Room was "always" clean 82%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 5%
H_CLEAN_HSP_U_P: Room was "usually" clean 13%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 5
H_QUIET_HSP_A_P: "Always" quiet at night 60%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 7%
H_QUIET_HSP_U_P: "Usually" quiet at night 33%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 4
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 3%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 13%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 84%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 5
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 1%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 85%
H_RECMND_PY: "YES", patients would probably recommend the hospital 14%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 5
H_STAR_RATING: Summary star rating 4

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
HAI_1_CIUPPER
HAI_1_DOPC
HAI_1_ELIGCASES
HAI_1_NUMERATOR
HAI_1_SIR
HAI_2_CILOWER
HAI_2_CIUPPER
HAI_2_DOPC
HAI_2_ELIGCASES
HAI_2_NUMERATOR
HAI_2_SIR
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC
HAI_3_ELIGCASES
HAI_3_NUMERATOR
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC
HAI_4_ELIGCASES
HAI_4_NUMERATOR
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC 7638.000
HAI_5_ELIGCASES 0.194
HAI_5_NUMERATOR 0.000
HAI_5_SIR
HAI_6_CILOWER 0.195 No Different than National Benchmark
HAI_6_CIUPPER 3.835 No Different than National Benchmark
HAI_6_DOPC 7638.000 No Different than National Benchmark
HAI_6_ELIGCASES 1.723 No Different than National Benchmark
HAI_6_NUMERATOR 2.000 No Different than National Benchmark
HAI_6_SIR 1.161 No Different than National Benchmark

Timely & Effective Care

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

Measure Score Condition
EDV 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 0.0 Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 89.0 Healthcare Personnel Vaccination
OP_18a Emergency Department
OP_18b Emergency Department
OP_18c Emergency Department
OP_18d Emergency Department
OP_22 Emergency Department
OP_23 Emergency Department
OP_29 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 15.0 Electronic Clinical Quality Measure
SEP_1 Sepsis Care
SEP_SH_3HR Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR Sepsis Care
SEV_SEP_6HR Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 93.0 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 -18.60 Fewer Days Than Average per 100 Discharges
EDAC_30_HF 29.60 More Days Than Average per 100 Discharges
EDAC_30_PN Number of Cases Too Small
Hybrid_HWR 13.30 Better Than the National Rate
OP_32
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 0.90 No Different than expected
READM_30_AMI 12.90 No Different Than the National Rate
READM_30_CABG 9.50 No Different Than the National Rate
READM_30_COPD Number of Cases Too Small
READM_30_HF 20.50 No Different Than the National Rate
READM_30_HIP_KNEE
READM_30_PN Number of Cases Too Small

Medicare Spending Per Beneficiary

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

Value
1.00

Financial Health (Cost Report — FY 2024)

All Data

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

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.29 metrics.cost_to_charge_ratio
Cost Report Employees per Bed 3.11 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $201,991,366 metrics.fund_balance
Cost Report Net Income ($) $825,503 metrics.net_income
Cost Report Net Patient Revenue ($) $73,886,257 metrics.net_patient_revenue
Cost Report Operating Margin (%) -0.3% metrics.operating_margin
Cost Report Total Assets ($) $134,570,294 metrics.total_assets
Cost Report Total Costs ($) $70,369,214 metrics.total_costs
Cost Report Total Liabilities ($) $-67,421,072 metrics.total_liabilities
Cost Report Total Margin (%) 1.1% metrics.total_margin
Cost Report Uncompensated Care (%) 1.3% metrics.uncompensated_care_pct
General Information Address 7500 SOUTH 91ST ST Address
General Information City/Town LINCOLN City/Town
General Information Count of Facility MORT Measures 3 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 5 Count of Facility READM Measures
General Information Count of Facility Safety Measures 2 Count of Facility Safety Measures
General Information Count of Facility TE Measures 4 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 3 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 5 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 0 Count of Safety Measures Better
General Information Count of Safety Measures No Different 2 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish LANCASTER County/Parish
General Information Emergency Services No Emergency Services
General Information Facility ID 280128 Facility ID
General Information Facility Name CHI HEALTH NEBRASKA HEART Facility Name
General Information Hospital overall rating 3 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 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 NE State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (402) 328-3000 Telephone Number
General Information ZIP Code 68526 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cdi — sir 0.94 measures.cdi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 0.93 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 1.00 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.92 0.9995 p11 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 11.6% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 213 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 19 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 10.7% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.88 1.0000 p8 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.2% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Number of discharges 176 READM-30-CABG-HRRP.num_discharges
Readmissions (HRRP) CABG Surgery — Number of readmissions 14 READM-30-CABG-HRRP.num_readmissions
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 9.8% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.99 0.9983 p46 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 18.2% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 201 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 36 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 18.1% READM-30-HF-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 5.56 5.00 p53 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 3.33 2.50 p56 efficiency_score
Value-Based Purchasing Person & Community Engagement 27.00 8.75 p99 person_community_score
Value-Based Purchasing Total Performance Score 35.89 29.50 p71 total_performance_score
Methodology

Full methodology →