Endeavor Health Clinical Operations

Doing business as Northshore University Healthsystem - Evanston Hospital

Hospital in Evanston, IL, Medicare certification number 140010. CMS publishes 69 quality measures for it.

Medicare certification

Provider of Services

CCN: 140010The 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 - Other
Control type: Other
Participating since: Jul 1, 1966
Last certification: Jan 19, 2005
Beds: 466
Overall star rating: 5 of 5Care Compare
Address: 2650 Ridge Ave
Evanston, IL 60201
(847) 432-8000

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

Endeavor Health Clinical Operations

dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
Medicare enrollment

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Endeavor Health Clinical Operations Hospital, CCN 14S010

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.19 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.56 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.24 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 2.89 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.31 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.14 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.24 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.46 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.12 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 2,806

Page 3 of 113Medicare Care Compare

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

James Louis Alford III, M.D.
- Anesthesiology Physician
- Evanston, IL
- NPI 1154508547
Akbar M. Ali, MD
- Hospitalist Physician
- Evanston, IL
- NPI 1679702591
Arfaa Hadi Ali, MD
- Hospitalist Physician
- Evanston, IL
- NPI 1295146421
Arif Ali, M.D.
- Orthopaedic Trauma Physician
- Skokie, IL
- NPI 1679673164
Mansoor Ali, MD
- Internal Medicine Physician
- Freeport, IL
- NPI 1760944763
Mustafa Mohammed Ali, M.D.
- Internal Medicine Physician
- Washington, DC
- NPI 1184857138
Nadia Ali, DO
- Family Medicine Physician
- Evanston, IL
- NPI 1366063760
Naheed Afshan Ali, MD
- Internal Medicine Physician
- Skokie, IL
- NPI 1811971559
Sylveena E. Ali, DO
- Family Medicine Physician
- Chicago, IL
- NPI 1134174931
Mir Basharath Alikhan, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
- NPI 1215229935
Diane Alkatout
- Hospitalist Physician
- Glenview, IL
- NPI 1447838206
Oubada Alkowatli, MD
- Hospitalist Physician
- Evanston, IL
- NPI 1528677135
Neil Allen, M.D.
- Neurology Physician
- Northbrook, IL
- NPI 1255325023
Valerie Ann Allen, M.D.
- Obstetrics & Gynecology Physician
- Skokie, IL
- NPI 1346689734
Joseph Thomas Alleva, MD
- Physical Medicine & Rehabilitation Physician
- Glenview, IL
- NPI 1053331074
Hussein Alnajar
- Anatomic Pathology & Clinical Pathology Physician
- Evanston, IL
- NPI 1215341912
Marc J Alonzo, MD
- Vascular & Interventional Radiology Physician
- Evanston, IL
- NPI 1033142351
Ammar Abdullah Alqaid, MD
- Internal Medicine Physician
- Shreveport, LA
- NPI 1235484692
David Alspach, MD
- Anesthesiology Physician
- Evanston, IL
- NPI 1669413811
Sameer Ahmed Alvi, MD
- Otolaryngology Physician
- Chicago, IL
- NPI 1619311875
Unknown Amandeep Kaur, MD
- Anatomic Pathology & Clinical Pathology Physician
- Evanston, IL
- NPI 1215458013
Victoria Amesbury, MD
- Internal Medicine Physician
- Deerfield, IL
- NPI 1982763926
Parag Kiran Amin, DO
- Internal Medicine Physician
- McHenry, IL
- NPI 1639107667
Umesh C. Amin, MD
- Diagnostic Radiology Physician
- Hoffman Estates, IL
- NPI 1285664060
Julia Rothe Amundson, MD
- Surgery Physician
- Westerville, OH
- NPI 1366935694

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.73
- State average 1.05 (computed here)
- National average 1.06
- No different than the national rate
- 4,624 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Better0.58
- State average 0.99 (computed here)
- National average 1
- Better than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications Better127.88
- State average 172.62 (computed here)
- National average 173.3
- Better than the national rate
- 238 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected1.8
- State average 2.39 (computed here)
- National average 2.4
- No different than the national rate
- 73 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.9
- State average 8.22 (computed here)
- National average 8.6
- No different than the national rate
- 379 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.6
- State average 11.78 (computed here)
- National average 11.9
- No different than the national rate
- 543 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected8.1
- State average 10.49 (computed here)
- National average 11.1
- No different than the national rate
- 1,690 patients
- Period from 07/01/2022
Death rate for pneumonia patients Better11
- State average 15.41 (computed here)
- National average 15.2
- Better than the national rate
- 2,359 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.5
- State average 11.77 (computed here)
- National average 11.9
- No different than the national rate
- 649 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better3.1
- State average 4.05 (computed here)
- National average 3.9
- Better than the national rate
- 10,221 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.14
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 26,217 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.33
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 26,397 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.46
- State average 3.71 (computed here)
- National average 3.52
- No different than the national rate
- 6,980 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.37
- State average 1.67 (computed here)
- National average 1.67
- No different than the national rate
- 2,420 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.9
- State average 2.3 (computed here)
- National average 2.34
- No different than the national rate
- 6,622 patients
- Period from 07/01/2022
Postoperative respiratory failure rate Better4.26
- State average 9.53 (computed here)
- National average 9.42
- Better than the national rate
- 2,433 patients
- Period from 07/01/2022
Postoperative sepsis rate Better2.45
- State average 5.15 (computed here)
- National average 5.27
- Better than the national rate
- 2,425 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.22
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 1,393 patients
- Period from 07/01/2022
Pressure ulcer rate Better0.1
- State average 0.57 (computed here)
- National average 0.63
- Better than the national rate
- 22,733 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.3
- State average 4.2 (computed here)
- National average 4.1
- No different than the national rate
- 850 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.56
- State average 0.57
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.11
- State average 0.69
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.24
- State average 0.37
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Better0.25
- State average 0.57
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected1.5
- State average 0.98
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.89
- State average 0.9
- 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 7.5
- State average 6.49 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 19
- State average 7.81 (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) 0.97
- State average 1
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 18

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 93
- State average 94.02 (computed here)
- National average 92.79 (computed here)
- 429 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 63
- State average 63
- National average 65
- 297 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 278
- State average 171
- National average 168
- 397 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 273
- State average 162
- National average 162
- 372 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 371
- State average 288
- National average 257
- 25 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 97 (computed here)
- National average 96.1 (computed here)
- 457 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 98
- State average 95
- National average 93
- 119 patients
- Period from 01/01/2024
Head CT results 47
- State average 75
- National average 69
- 38 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 87
- State average 87
- National average 78
- 12,726 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 7
- State average 8.66 (computed here)
- National average 8.08 (computed here)
- 49,853 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.11 (computed here)
- National average 1.09 (computed here)
- 9,285 patients
- Period from 01/01/2024
Left before being seen 10
- State average 3
- National average 2
- 120,626 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 17
- State average 16
- National average 15
- 8,340 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 75
- State average 72
- National average 73
- 133 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 89
- State average 86
- National average 87
- 88 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 81
- State average 79
- National average 81
- 298 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 96
- State average 93
- National average 93
- 164 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 69
- State average 40.38 (computed here)
- National average 46.51 (computed here)
- 26 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (12)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 7
Emergency department volume — very 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
Hospital Harm - Opioid Related Adverse Events — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.6
- State average 14.43 (computed here)
- National average 14.4
- No different than the national rate
- 575 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.5
- State average 21.51 (computed here)
- National average 21.3
- No different than the national rate
- 1,729 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 7
- State average 11.54 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 573 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 5.3
- State average 8.22 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 1,906 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 7.4
- State average 13.94 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 2,497 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.6
- State average 17.5 (computed here)
- National average 17.3
- No different than the national rate
- 2,420 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy Better3.3
- State average 5.18 (computed here)
- National average 5.4
- Better than the national rate
- 751 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy Better6.9
- State average 11.17 (computed here)
- National average 10.7
- Better than the national rate
- 751 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.2
- State average 5.98 (computed here)
- National average 5.8
- No different than the national rate
- 828 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.8
- State average 11.3 (computed here)
- National average 11
- No different than the national rate
- 83 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.6
- State average 20.07 (computed here)
- National average 20
- No different than the national rate
- 464 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) Better10.2
- State average 12.97 (computed here)
- National average 13
- Better than the national rate
- 9,680 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery Better0.8
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- Better than expected
- 4,358 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Other hospitals in Evanston, IL

Saint Francis Hospital-Evanston

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.