Insight Hospital & Medical Center

Quality - All

Process of Care and Inpatient Quality

Readmission Rates

"Readmission" is when patients who had a recent stay in the hospital go back into hospital again. Rates of readmission can give information about whether a hospital is doing its best to prevent complications, educate patients at discharge, and ensure patients make a smooth transition to their home or another setting such as a nursing home. This data comes from medicare.gov/hospitalcompare .

Pneumonia Patients Readmitted to Hospital Within 30 Days

This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for pneumonia.

Q3 2021 - Q2 2024

16%

Measure	Result
Pneumonia Patients Readmitted to Hospital Within 30 Days Q3 2021 - Q2 2024 Result 16.30 percent	16.30 percent
Description This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for pneumonia. Historical Data
Measure	Result
Q3 2020 - Q2 2023 Result 16.10 percent	16.10 percent
Q3 2019 - Q2 2022 Result 16.80 percent	16.80 percent
Q3 2018 - Q2 2021 Result 17.80 percent	17.80 percent
Q3 2016 - Q2 2019 Result 19.30 percent	19.30 percent
Q3 2015 - Q2 2018 Result 20.90 percent	20.90 percent
Q3 2014 - Q2 2017 Result 21.10 percent	21.10 percent

Heart Failure Patients Readmitted to Hospital Within 30 Days

This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for heart failure.

Q3 2021 - Q2 2024

20%

Measure	Result
Heart Failure Patients Readmitted to Hospital Within 30 Days Q3 2021 - Q2 2024 Result 20.10 percent	20.10 percent
Description This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for heart failure. Historical Data
Measure	Result
Q3 2020 - Q2 2023 Result 22.50 percent	22.50 percent
Q3 2019 - Q2 2022 Result 23.60 percent	23.60 percent
Q3 2018 - Q2 2021 Result 25.20 percent	25.20 percent
Q3 2016 - Q2 2019 Result 25.30 percent	25.30 percent
Q3 2015 - Q2 2018 Result 24.70 percent	24.70 percent
Q3 2014 - Q2 2017 Result 23.40 percent	23.40 percent

Heart Attack Patients Readmitted to Hospital Within 30 Days

This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for heart attack.

Q3 2021 - Q2 2024

N/A

Measure	Result
Heart Attack Patients Readmitted to Hospital Within 30 Days Q3 2021 - Q2 2024 Result N/A percent	N/A percent
Description This measure shows the all-cause 30-day readmission rate for patients discharged from a previous hospital stay for heart attack. Historical Data
Measure	Result
Q3 2020 - Q2 2023 Result N/A percent	N/A percent
Q3 2019 - Q2 2022 Result N/A percent	N/A percent
Q3 2018 - Q2 2021 Result 14.80 percent	14.80 percent
Q3 2016 - Q2 2019 Result 15.90 percent	15.90 percent
Q3 2015 - Q2 2018 Result 15.60 percent	15.60 percent
Q3 2014 - Q2 2017 Result 16.00 percent	16.00 percent

Thirty Day Mortality

These indicators are used to measure patient mortality within thirty days of a hospital admission. This adverse outome could potentially be related to quality of care. This data comes from medicare.gov/hospitalcompare .

Pneumonia 30-Day Mortality Rate

This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for pneumonia.

Q3 2021 - Q2 2024

13%

Measure	Result
Pneumonia 30-Day Mortality Rate Q3 2021 - Q2 2024 Result 13.30 percent	13.30 percent
Description This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for pneumonia. Historical Data
Measure	Result
Q3 2020 - Q2 2023 Result 19.10 percent	19.10 percent
Q3 2019 - Q2 2022 Result 17.40 percent	17.40 percent
Q3 2018 - Q2 2021 Result 15.40 percent	15.40 percent
Q3 2016 - Q2 2019 Result 15.10 percent	15.10 percent
Q3 2015 - Q2 2018 Result 15.40 percent	15.40 percent
Q3 2014 - Q2 2017 Result 14.80 percent	14.80 percent

Heart Failure 30-Day Mortality Rate

This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for heart failure.

Q3 2021 - Q2 2024

11%

Measure	Result
Heart Failure 30-Day Mortality Rate Q3 2021 - Q2 2024 Result 11.30 percent	11.30 percent
Description This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for heart failure. Historical Data
Measure	Result
Q3 2020 - Q2 2023 Result 11.10 percent	11.10 percent
Q3 2019 - Q2 2022 Result 10.90 percent	10.90 percent
Q3 2018 - Q2 2021 Result 9.70 percent	9.70 percent
Q3 2016 - Q2 2019 Result 9.30 percent	9.30 percent
Q3 2015 - Q2 2018 Result 9.30 percent	9.30 percent
Q3 2014 - Q2 2017 Result 10.00 percent	10.00 percent

Heart Attack 30-Day Mortality Rate

This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for heart attack.

Q3 2021 - Q2 2024

N/A

Measure	Result
Heart Attack 30-Day Mortality Rate Q3 2021 - Q2 2024 Result N/A percent	N/A percent
Description This measure shows the rate for all-cause mortality (death from any cause) within 30 days of a hospital admission for heart attack. Historical Data
Measure	Result
Q3 2020 - Q2 2023 Result N/A percent	N/A percent
Q3 2019 - Q2 2022 Result N/A percent	N/A percent
Q3 2018 - Q2 2021 Result 13.50 percent	13.50 percent
Q3 2016 - Q2 2019 Result 12.90 percent	12.90 percent
Q3 2015 - Q2 2018 Result 12.40 percent	12.40 percent
Q3 2014 - Q2 2017 Result 12.30 percent	12.30 percent

Inpatient Mortality

Better processes of care may reduce short-term mortality, which represents better quality. IDPH uses discharge data provided by hospitals and inpatient quality indicators provided by the Agency for Healthcare Research and Quality (AHRQ) . Read about risk adjustment and the Report Card methodology .

Statistical Significance

Statistically significantly better than the national average or performing at the best possible rate

Not statistically significantly better or worse than the national average

Statistically significantly worse than the national average

Measure

Inpatient Bypass Graft Deaths

Q1 2015 - Q4 2015

Rating: SIR: 22.14

Description

Mortality indicators for inpatient conditions include conditions for which mortality has been shown to vary substantially across institutions and for which evidence suggests that high mortality may be associated with deficiencies in the quality of care. This measure is used to assess the number of deaths per 1000 patients with discharge procedure code coronary artery bypass graft. (IQI 12)

Current Averages

State Average	15 per 1000

Historical Data

Measure

Inpatient Heart Attack Deaths

Q4 2024 - Q3 2025

Rating: SIR: 0.00

Description

Timely and effective treatments for heart attack, which are essential for patient survival, include appropriate therapy to dissolve blood clots and reopen blood vessels. Better processes of care may reduce mortality for heart attack, which represents better quality. This measure is used to assess the number of deaths per 1000 discharges with the principle diagnosis of heart attack (acute myocardial infarction) (IQI 15).

Current Averages

State Average	44 per 1000

Historical Data

Measure

Pneumonia

Q4 2024 - Q3 2025

Rating: SIR: 46.69

Description

Mortality indicators for inpatient conditions include conditions for which mortality has been shown to vary substantially across institutions and for which evidence suggests that high mortality may be associated with deficiencies in the quality of care. This measure is used to assess mortality per 1000 discharges with principal diagnosis code of pneumonia (IQI 20).

Current Averages

State Average	55 per 1000

Historical Data

Measure

Hip Fracture

Q4 2024 - Q3 2025

Rating: SIR: 0.00

Description

Mortality indicators for inpatient conditions include conditions for which mortality has been shown to vary substantially across institutions and for which evidence suggests that high mortality may be associated with deficiencies in the quality of care. This measure is used to assess the number of deaths per 1000 discharges with principal diagnosis code of hip fracture (IQI 19).

Current Averages

State Average	14 per 1000

Historical Data

Measure

Stroke

Q4 2024 - Q3 2025

Rating: SIR: 57.40

Description

Mortality indicators for inpatient conditions include conditions for which mortality has been shown to vary substantially across institutions and for which evidence suggests that high mortality may be associated with deficiencies in the quality of care. This measure is used to assess the number of deaths per 1000 discharges with principal diagnosis code of stroke (IQI 17).

Current Averages

State Average	54 per 1000

Historical Data

Measure

Congestive heart failure

Q4 2024 - Q3 2025

Rating: SIR: 9.49

Description

Mortality indicators for inpatient conditions include conditions for which mortality has been shown to vary substantially across institutions and for which evidence suggests that high mortality may be associated with deficiencies in the quality of care. This measure is used to assess the number of deaths per 1000 discharges with principal diagnosis code of congestive heart failure (CHF) (IQI 16).

Current Averages

State Average	18 per 1000

Historical Data

Measure