HSHS St Elizabeth'S Hospital

Hospital in O Fallon, IL, Medicare certification number 140187. CMS publishes 72 quality measures for it.

Medicare certification

Provider of Services

CCN: 140187The 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 - Church
Control type: Church
Participating since: Jul 1, 1966
Last certification: Aug 28, 2009
Beds: 260
Overall star rating: 4 of 5Care Compare
Address: One St Elizabeth Boulevard
O Fallon, IL 62269
(618) 234-2120

NPI records for this facility 1

St Elizabeths Hospital of the Hospital Sisters of the Third Order
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse1 of 5
- State average 3.19 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 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 Better4 of 5
- State average 2.89 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.31 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.14 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 3.24 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.46 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.12 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 594

Page 1 of 24Medicare Care Compare

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

Douglas B Aach, MD
- Surgery Physician
- Shiloh, IL
- NPI 1508817040
Syed Abdul-Aziz, MD
- Cardiovascular Disease Physician
- Belleville, IL
- NPI 1114906005
Matthew Scott Abell, M.D.
- Diagnostic Radiology Physician
- Springfield, IL
- NPI 1568726826
Donald G. Adams, M.D.
- Family Medicine Physician
- Belleville, IL
- NPI 1508842352
Oluwafunmilayo Beverly Adebayo-Adonis, MD
- Critical Care Medicine (Anesthesiology) Physician
- Saint Louis, MO
- NPI 1437593613
Mary C. Agne, M.D.
- Family Medicine Physician
- Belleville, IL
- NPI 1326147935
Shakeel Ahmed, MD
- Gastroenterology Physician
- Fairview Heights, IL
- NPI 1699792143
Ece I Akduman, MD
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1700894557
Omer M Aker, MD
- Diagnostic Radiology Physician
- Springfield, IL
- NPI 1205821543
Mohammed Ismail Al Hamati, MD
- Hospitalist Physician
- Belleville, IL
- NPI 1851779920
Roula Al-Dahhak, M.D.
- Neurology Physician
- O Fallon, IL
- NPI 1033116165
Abdulaziz Alali, MD, PHD
- Neurological Surgery Physician
- Seattle, WA
- NPI 1881104164
Stewart G Albert, MD
- Endocrinology, Diabetes & Metabolism Physician
- St Louis, MO
- NPI 1417967969
Kaci Alexander, D.O.
- Internal Medicine Physician
- Springfield, IL
- NPI 1427439363
Louis Alexander Aliperti, M.D.
- Urology Physician
- Saint Louis, MO
- NPI 1861810350
Omar Almousalli, M.D.
- Cardiovascular Disease Physician
- Festus, MO
- NPI 1134161904
Caitlin Alonzo
- Nurse Practitioner
- O Fallon, IL
- NPI 1083576243
Ann M. Altgilbers, APRN
- Family Nurse Practitioner
- Maryville, IL
- NPI 1447638887
James C Althoff, MD
- Family Medicine Physician
- Freeburg, IL
- NPI 1306952098
Charles W Ampadu, MD
- Internal Medicine Physician
- Swansea, IL
- NPI 1962545269
Christopher James Anderson, DPM
- Foot Surgery Podiatrist
- O'Fallon, IL
- NPI 1790760494
Wallace M Anderson, MD
- Diagnostic Radiology Physician
- Springfield, IL
- NPI 1578510913
Venkatesh Anjan, M.D.
- Interventional Cardiology Physician
- O Fallon, IL
- NPI 1275799850
Michael Ansstas, M.D.
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1851658728
Jacob T Ark, M.D.
- Urology Physician
- Saint Louis, MO
- NPI 1891053716

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.83
- State average 1.05 (computed here)
- National average 1.06
- No different than the national rate
- 915 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.98
- State average 0.99 (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 expected169.11
- State average 172.62 (computed here)
- National average 173.3
- No different than the national rate
- 58 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected3.8
- State average 2.39 (computed here)
- National average 2.4
- No different than the national rate
- 51 patients
- Period from 07/01/2022
Death rate for COPD patients As expected10.6
- State average 8.22 (computed here)
- National average 8.6
- No different than the national rate
- 85 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.8
- State average 11.78 (computed here)
- National average 11.9
- No different than the national rate
- 235 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11
- State average 10.49 (computed here)
- National average 11.1
- No different than the national rate
- 543 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.5
- State average 15.41 (computed here)
- National average 15.2
- No different than the national rate
- 384 patients
- Period from 07/01/2022
Death rate for stroke patients As expected14.2
- State average 11.77 (computed here)
- National average 11.9
- No different than the national rate
- 208 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.9
- State average 4.05 (computed here)
- National average 3.9
- No different than the national rate
- 3,070 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.2
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 5,731 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.29
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 5,811 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.12
- State average 3.71 (computed here)
- National average 3.52
- No different than the national rate
- 1,378 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.6
- State average 1.67 (computed here)
- National average 1.67
- No different than the national rate
- 530 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.81
- State average 2.3 (computed here)
- National average 2.34
- No different than the national rate
- 1,300 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected12.27
- State average 9.53 (computed here)
- National average 9.42
- No different than the national rate
- 543 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected3.7
- State average 5.15 (computed here)
- National average 5.27
- No different than the national rate
- 543 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.59
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 288 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.55
- State average 0.57 (computed here)
- National average 0.63
- No different than the national rate
- 4,563 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.8
- State average 4.2 (computed here)
- National average 4.1
- No different than the national rate
- 29 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.54
- State average 0.57
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.2
- State average 0.69
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.31
- State average 0.37
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.79
- State average 0.57
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.26
- 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 5.5
- State average 6.49 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 6.3
- 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) 1
- State average 1
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 22

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 62
- State average 75.87 (computed here)
- National average 74.05 (computed here)
- 45 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 91
- State average 94.02 (computed here)
- National average 92.79 (computed here)
- 157 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 66
- State average 63
- National average 65
- 292 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 164
- State average 171
- National average 168
- 374 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 162
- State average 162
- National average 162
- 359 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 220
- State average 288
- National average 257
- 11 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 96
- State average 97 (computed here)
- National average 96.1 (computed here)
- 167 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 97
- State average 95
- National average 93
- 342 patients
- Period from 01/01/2024
Head CT results 71
- State average 75
- National average 69
- 17 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 75
- State average 87
- National average 78
- 2,007 patients
- Period from 10/01/2024
Hospital Harm - Opioid Related Adverse Events 0
- State average 0.23 (computed here)
- National average 0.18 (computed here)
- 6,927 patients
- Period from 01/01/2024
Hospital Harm - Severe Hyperglycemia 8
- State average 8.66 (computed here)
- National average 8.08 (computed here)
- 16,178 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 2
- State average 1.11 (computed here)
- National average 1.09 (computed here)
- 2,777 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 99
- State average 94.61 (computed here)
- National average 93.49 (computed here)
- 1,177 patients
- Period from 01/01/2024
Left before being seen 0
- State average 3
- National average 2
- 46,753 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 21
- State average 16
- National average 15
- 3,052 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 81
- State average 72
- National average 73
- 69 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 98
- State average 86
- National average 87
- 45 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 73
- State average 79
- National average 81
- 293 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 96
- State average 93
- National average 93
- 142 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 0
- State average 40.38 (computed here)
- National average 46.51 (computed here)
- 51 patients
- Period from 01/01/2024
Venous Thromboembolism Prophylaxis 90
- State average 81.77 (computed here)
- National average 82.23 (computed here)
- 6,040 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (8)

Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
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
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected12.7
- State average 14.43 (computed here)
- National average 14.4
- No different than the national rate
- 408 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22.5
- State average 21.51 (computed here)
- National average 21.3
- No different than the national rate
- 1,002 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 14.6
- State average 11.54 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 255 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 22.6
- State average 8.22 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 647 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 3.5
- State average 13.94 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 394 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.2
- State average 17.5 (computed here)
- National average 17.3
- No different than the national rate
- 606 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
- 32 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.8
- State average 11.17 (computed here)
- National average 10.7
- No different than the national rate
- 32 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.3
- State average 5.98 (computed here)
- National average 5.8
- No different than the national rate
- 34 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected12.1
- State average 11.3 (computed here)
- National average 11
- No different than the national rate
- 76 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.7
- State average 20.07 (computed here)
- National average 20
- No different than the national rate
- 185 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.1
- State average 12.97 (computed here)
- National average 13
- No different than the national rate
- 1,179 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 714 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

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

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.