Elkhart General Hospital Inc

Doing business as Elkhart General Hospital

Hospital in Elkhart, IN, Medicare certification number 150018. CMS publishes 68 quality measures for it.

Medicare certification

Provider of Services

CCN: 150018The 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: Government - Local
Control type: Local
Participating since: Jul 1, 1966
Last certification: Mar 31, 2016
Beds: 297
Overall star rating: 4 of 5Care Compare
Address: 600 E Blvd
Elkhart, IN 46514
(574) 294-2621

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

Elkhart General Hospital, Inc.
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.54 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.49 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.57 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.08 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 3.54 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.54 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.52 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.82 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.38 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 535

Page 1 of 22Medicare Care Compare

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

Daniel Walter Abel, M.D.
- Family Medicine Physician
- Mishawaka, IN
- NPI 1508177619
Nicholas Abel, MD
- Diagnostic Radiology Physician
- Mishawaka, IN
- NPI 1326278862
Jonathan H. Abiera II, DPM
- Foot & Ankle Surgery Podiatrist
- Granger, IN
- NPI 1689055451
Matthew Lee Abrell, DPM
- Podiatrist
- Elkhart, IN
- NPI 1164917167
Omar Saleh Abu-Romeh, M.D
- Nephrology Physician
- Lima, OH
- NPI 1184805681
Kimberlee Lynn Acton, FNP-C
- Family Nurse Practitioner
- Goshen, IN
- NPI 1225510522
Irfan Ahmad, MD
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1790902690
Hamza Ahsan, MD
- Hospitalist Physician
- The Woodlands, TX
- NPI 1841712585
Pavan Ahuja, M.D.
- Internal Medicine Physician
- Elkhart, IN
- NPI 1578566675
Rocio Ahuja, M.D.
- Obstetrics & Gynecology Physician
- Elkhart, IN
- NPI 1699057976
Ismail Al-Ani, MD
- Critical Care Medicine (Internal Medicine) Physician
- South Bend, IN
- NPI 1578547402
Aleksandar Alavanja, MD
- Diagnostic Radiology Physician
- Evanston, IL
- NPI 1619321106
Syed Ibrahim Ali, M.D
- Diagnostic Radiology Physician
- La Porte, IN
- NPI 1700021037
Tommi Andersen
- Physician Assistant
- Elkhart, IN
- NPI 1407534712
Brett Austin Anderson
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1417606716
Kiesha Anderson, D.O.
- Clinical Neurophysiology Physician
- Mishawaka, IN
- NPI 1720439680
Tamera J. Andrews, NP-C
- Nurse Practitioner
- Elkhart, IN
- NPI 1740281690
Nicole Anest, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- South Bend, IN
- NPI 1255438644
Edwin Laryea Annan, MD
- Critical Care Medicine (Internal Medicine) Physician
- Elkhart, IN
- NPI 1528245040
Christopher M. Annis, M.D.
- Interventional Pain Medicine Physician
- Elkhart, IN
- NPI 1376760827
Bilal Ansari, M.D.
- Medical Oncology Physician
- Mishawaka, IN
- NPI 1386648749
Abuzafar M. Arif, M.D.
- Gastroenterology Physician
- Elkhart, IN
- NPI 1447253539
Hafiz Muhammad Aslam, MD
- Medical Oncology Physician
- Elkhart, IN
- NPI 1740761915
Muhammad Shakil Aslam, MD
- Interventional Cardiology Physician
- South Bend, IN
- NPI 1023053022
Kristen A Atwood, APN
- Family Nurse Practitioner
- South Bend, IN
- NPI 1316587165

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.18
- State average 1.05 (computed here)
- National average 1.06
- No different than the national rate
- 540 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.95
- State average 0.95 (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 expected175.81
- State average 180.37 (computed here)
- National average 173.3
- No different than the national rate
- 39 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected1.6
- State average 2.48 (computed here)
- National average 2.4
- No different than the national rate
- 113 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.6
- State average 8.63 (computed here)
- National average 8.6
- No different than the national rate
- 133 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.6
- State average 12.13 (computed here)
- National average 11.9
- No different than the national rate
- 134 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10
- State average 11.45 (computed here)
- National average 11.1
- No different than the national rate
- 289 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.9
- State average 15.69 (computed here)
- National average 15.2
- No different than the national rate
- 352 patients
- Period from 07/01/2022
Death rate for stroke patients As expected10.8
- State average 12.44 (computed here)
- National average 11.9
- No different than the national rate
- 273 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.8
- State average 4.04 (computed here)
- National average 3.9
- No different than the national rate
- 2,702 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.23
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 4,633 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.31
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 4,920 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.46
- State average 3.37 (computed here)
- National average 3.52
- No different than the national rate
- 1,114 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.89
- State average 1.72 (computed here)
- National average 1.67
- No different than the national rate
- 542 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.49
- State average 2.22 (computed here)
- National average 2.34
- No different than the national rate
- 1,035 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected13.36
- State average 9.68 (computed here)
- National average 9.42
- No different than the national rate
- 531 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.06
- State average 5.19 (computed here)
- National average 5.27
- No different than the national rate
- 529 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.68
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 156 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.21
- State average 0.49 (computed here)
- National average 0.63
- No different than the national rate
- 3,948 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.4
- State average 4.22 (computed here)
- National average 4.1
- No different than the national rate
- 42 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.25
- State average 0.48
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0
- State average 0.53
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.32
- State average 0.37
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.99
- State average 0.64
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0
- State average 1
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.72
- State average 0.65
- 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 4.6
- State average 5.82 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.1
- State average 6.04 (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 1.01
- 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 62
- State average 72.33 (computed here)
- National average 74.05 (computed here)
- 47 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 82
- State average 94.11 (computed here)
- National average 92.79 (computed here)
- 151 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 57
- State average 60
- National average 65
- 199 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 198
- State average 150
- National average 168
- 473 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 195
- State average 145
- National average 162
- 445 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 231
- State average 231
- National average 257
- 19 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 88
- State average 96.86 (computed here)
- National average 96.1 (computed here)
- 208 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 87
- State average 94
- National average 93
- 108 patients
- Period from 01/01/2024
Head CT results 77
- State average 71
- National average 69
- 13 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 94
- State average 82
- National average 78
- 2,093 patients
- Period from 10/01/2024
Left before being seen 4
- State average 2
- National average 2
- 47,761 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 6
- State average 15
- National average 15
- 5,095 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 81
- State average 66
- National average 73
- 70 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 66
- State average 82
- National average 87
- 47 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 79
- State average 81
- National average 81
- 199 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 88
- State average 92
- National average 93
- 109 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 40
- State average 51.85 (computed here)
- National average 46.51 (computed here)
- 25 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

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
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 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 expected13.7
- State average 14.24 (computed here)
- National average 14.4
- No different than the national rate
- 210 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22
- State average 20.96 (computed here)
- National average 21.3
- No different than the national rate
- 497 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -22.1
- State average 3.22 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 132 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 0.2
- State average -4.26 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 323 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -27.5
- State average -1.71 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 368 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.1
- State average 16.99 (computed here)
- National average 17.3
- No different than the national rate
- 583 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5
- State average 5.53 (computed here)
- National average 5.4
- No different than the national rate
- 54 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.6
- State average 10.62 (computed here)
- National average 10.7
- No different than the national rate
- 54 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.3
- State average 5.69 (computed here)
- National average 5.8
- No different than the national rate
- 39 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.7
- State average 10.8 (computed here)
- National average 11
- No different than the national rate
- 123 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.2
- State average 19.64 (computed here)
- National average 20
- No different than the national rate
- 313 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.8
- State average 12.92 (computed here)
- National average 13
- No different than the national rate
- 499 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.01 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 278 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 Elkhart, IN

No other hospitals are listed in Elkhart, IN; these share its ZIP code area (465xx).

Cancer Care Partners LLC Mishawaka terminated
Community Hospital of Bremen Inc Bremen
Doctors Neuromedical Hospital & Brain Institute 411 S Whitlock St, Bremen terminated
Doctors Neuromedical Hospital & Brain Institute 411 S Whitlock St, Bremen terminated
Doctors Neuropsychiatric Hospital Bremen
Goshen Hospital Goshen
Kosciusko Community Hospital Warsaw
Lutheran Kosciusko Hospital Warsaw
Medical Behavioral Hospital - Mishawaka Mishawaka
Michiana Behavioral Health Center Plymouth

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.