Elmhurst Memorial Hospital

Hospital in Elmhurst, IL, Medicare certification number 140200. CMS publishes 68 quality measures for it.

Medicare certification

Provider of Services

CCN: 140200The 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: Proprietary
Control type: Private (for profit)
Participating since: Jul 1, 1966
Last certification: Mar 11, 2006
Beds: 247
Overall star rating: 3 of 5Care Compare
Address: 155 East Brush Hill Road
Elmhurst, IL 60126
(331) 221-0130

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

Elmhurst Memorial Hospital

dba Endeavor Health Elmhurst Hospital
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
Medicare enrollment

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 Better3 of 5
- State average 2.56 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 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 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 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 1,147

Page 1 of 46Medicare Care Compare

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

Albert Abalos, M.D.
- Emergency Medicine Physician
- Elmhurst, IL
- NPI 1881983484
Maha Abboud, MD FACE
- Endocrinology, Diabetes & Metabolism Physician
- Melrose Park, IL
- NPI 1346208956
Eyad Abdulrazzak, MD
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1710592589
Joseph Abraham, MD
- Internal Medicine Physician
- Elmhurst, IL
- NPI 1982809356
Moni Abraham, MD
- Internal Medicine Physician
- Elmhurst, IL
- NPI 1275729436
Robyn Aceves, FNP-C
- Family Nurse Practitioner
- Mokena, IL
- NPI 1740651611
Melanie Anne Adamsky, M.D.
- Urology Physician
- Melrose Park, IL
- NPI 1639518459
Cathy Jo Adamson, N.P.
- Acute Care Nurse Practitioner
- Elmhurst, IL
- NPI 1407906126
Olatokunbo Adegboro, MD
- Family Medicine Physician
- Chicago, IL
- NPI 1093100893
Yasaman Adibnia
- Neurology Physician
- Elmhurst, IL
- NPI 1245857242
Nozaina Aftab, MD
- Infectious Disease Physician
- Lombard, IL
- NPI 1629158662
Maria Guadalupe Aguilar, APN-CNP
- Nurse Practitioner
- Barrington, IL
- NPI 1538802095
Saad Ahmad, MD
- Ophthalmology Physician
- Elmhurst, IL
- NPI 1881613297
Yumna Ahmad, MD
- Internal Medicine Physician
- Naperville, IL
- NPI 1952938284
Jennifer Ahmadian, M.D.
- Neurology Physician
- Arlington Heights, IL
- NPI 1285635466
Ida Nessa Ahmady, DO
- Family Medicine Physician
- Oak Park, IL
- NPI 1255081873
Asrar Ahmed, D.O
- Hospitalist Physician
- Elmhurst, IL
- NPI 1407298334
Aziz Ahmed, M.D.
- Interventional Cardiology Physician
- Bloomingdale, IL
- NPI 1962403998
Mohammed Mohsin Ahmed, M.D.
- Orthopaedic Surgery Physician
- Lombard, IL
- NPI 1053623868
Nausheen Ahmed, MD
- Hospitalist Physician
- Rockford, IL
- NPI 1235322215
Syed Samaduddin Ahmed, DO
- Hospitalist Physician
- Elmhurst, IL
- NPI 1689311037
Shahid M. Ahsan, M.D.
- Pulmonary Disease Physician
- Naperville, IL
- NPI 1740208180
Zahab Shahid Ahsan, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Woodridge, IL
- NPI 1629497045
Kehinde S Shaquille Ajede, MD
- Anesthesiology Physician
- Chicago, IL
- NPI 1285129650
Ronya Abed Ajeel, APN-CRNA
- Certified Registered Nurse Anesthetist
- Denver, CO
- NPI 1184279044

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.04
- State average 1.05 (computed here)
- National average 1.06
- No different than the national rate
- 2,267 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.89
- 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 expected172.32
- State average 172.62 (computed here)
- National average 173.3
- No different than the national rate
- 99 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.4
- State average 2.39 (computed here)
- National average 2.4
- No different than the national rate
- 89 patients
- Period from 07/01/2022
Death rate for COPD patients As expected5.9
- State average 8.22 (computed here)
- National average 8.6
- No different than the national rate
- 297 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.7
- State average 11.78 (computed here)
- National average 11.9
- No different than the national rate
- 191 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.8
- State average 10.49 (computed here)
- National average 11.1
- No different than the national rate
- 935 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected16.2
- State average 15.41 (computed here)
- National average 15.2
- No different than the national rate
- 739 patients
- Period from 07/01/2022
Death rate for stroke patients As expected16.7
- State average 11.77 (computed here)
- National average 11.9
- No different than the national rate
- 336 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
- 4,776 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
- 11,578 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.27
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 11,653 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate Worse5.23
- State average 3.71 (computed here)
- National average 3.52
- Worse than the national rate
- 3,685 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.58
- State average 1.67 (computed here)
- National average 1.67
- No different than the national rate
- 2,294 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.67
- State average 2.3 (computed here)
- National average 2.34
- No different than the national rate
- 3,562 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected11.34
- State average 9.53 (computed here)
- National average 9.42
- No different than the national rate
- 2,333 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected3.54
- State average 5.15 (computed here)
- National average 5.27
- No different than the national rate
- 2,266 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
- 645 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.11
- State average 0.57 (computed here)
- National average 0.63
- No different than the national rate
- 9,604 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.6
- State average 4.2 (computed here)
- National average 4.1
- No different than the national rate
- 549 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.48
- 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
- State average 0.69
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.07
- State average 0.37
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.11
- State average 0.57
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0
- State average 0.98
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.61
- 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 6.1
- State average 6.49 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 9.1
- 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) 0.98
- State average 1
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 76
- State average 75.87 (computed here)
- National average 74.05 (computed here)
- 70 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 63
- State average 63
- National average 65
- 179 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 168
- State average 171
- National average 168
- 404 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 166
- State average 162
- National average 162
- 388 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 210
- State average 288
- National average 257
- 13 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 99
- State average 97 (computed here)
- National average 96.1 (computed here)
- 298 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 100
- State average 95
- National average 93
- 72 patients
- Period from 01/01/2024
Head CT results 91
- State average 75
- National average 69
- 11 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 94
- State average 87
- National average 78
- 4,367 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.11 (computed here)
- National average 1.09 (computed here)
- 4,642 patients
- Period from 01/01/2024
Left before being seen 1
- State average 3
- National average 2
- 89,449 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 18
- State average 16
- National average 15
- 4,979 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 71
- State average 72
- National average 73
- 70 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 84
- State average 86
- National average 87
- 37 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 80
- State average 79
- National average 81
- 179 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 98
- State average 93
- National average 93
- 108 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 50
- State average 40.38 (computed here)
- National average 46.51 (computed here)
- 52 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Antithrombotic Therapy by End of Hospital Day 2 — 5
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 — 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
Hospital Harm - Severe Hyperglycemia — 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 expected14.9
- State average 14.43 (computed here)
- National average 14.4
- No different than the national rate
- 232 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.7
- State average 21.51 (computed here)
- National average 21.3
- No different than the national rate
- 1,226 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 31.1
- State average 11.54 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 188 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 17.7
- State average 8.22 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 1,113 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 2
- State average 13.94 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 794 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17
- State average 17.5 (computed here)
- National average 17.3
- No different than the national rate
- 912 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.3
- State average 5.18 (computed here)
- National average 5.4
- No different than the national rate
- 293 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11
- State average 11.17 (computed here)
- National average 10.7
- No different than the national rate
- 293 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.2
- State average 5.98 (computed here)
- National average 5.8
- No different than the national rate
- 451 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected11.3
- State average 11.3 (computed here)
- National average 11
- No different than the national rate
- 107 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.2
- State average 20.07 (computed here)
- National average 20
- No different than the national rate
- 430 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected11.9
- State average 12.97 (computed here)
- National average 13
- No different than the national rate
- 2,039 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
- 1,105 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 near Elmhurst, IL

No other hospitals are listed in Elmhurst, IL; these share its ZIP code area (601xx).

Advocate Sherman Hospital Elgin
Aeries Healthcare of Illinois, Inc., Dba Riveredge Hospital Forest Park
Alexian Brothers Behavioral HLTH Hosp Hoffman Estates
BHC Streamwood Hospital Inc Streamwood
Elgin Mental Health Center Elgin
Hines VA Medical Center Hines
John J Madden Mental HLTH Ctr Hines terminated
Loyola Gottlieb Memorial Hospital Melrose Park
Loyola University Medical Center Maywood
Madden Mental Health Center Hines

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.