Mount Carmel Health System

Doing business as Mount Carmel St Ann's

Hospital in Westerville, OH, Medicare certification number 360012. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 360012The 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 - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Mar 15, 2019
Beds: 392
Overall star rating: 3 of 5Care Compare
Most recent change of ownership: Jul 1, 2012 (3 total)
Address: 500 South Cleveland Avenue
Westerville, OH 43081
(614) 546-4034

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

Mount Carmel Health System
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse1 of 5
- State average 3.7 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.71 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.61 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.14 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.84 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.45 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 3.31 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.79 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.43 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 716

Page 1 of 29Medicare Care Compare

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

John Philamer V Abad, M.D.
- Family Medicine Physician
- Westerville, OH
- NPI 1356376800
Andrew I. Abeles, M.D.
- Anesthesiology Physician
- Columbus, OH
- NPI 1386967933
Sabreen O Abu Obaid, MD
- Internal Medicine Physician
- Columbus, OH
- NPI 1700026556
Abdulmajid Adam
- Hospitalist Physician
- Oshkosh, WI
- NPI 1528362258
Kamel Addo, MD
- Internal Medicine Physician
- Columbus, OH
- NPI 1700864626
Renee Adkins, CNP
- Nurse Practitioner
- Westerville, OH
- NPI 1942236377
Vaishali S Admane, MD
- Hospitalist Physician
- Columbus, OH
- NPI 1265687560
Punit Agrawal, DO
- Neurology Physician
- Dublin, OH
- NPI 1578787990
Fernando N Aguila, MD
- Surgery Physician
- Columbus, OH
- NPI 1942499280
Rami Ahmad, MD
- Pulmonary Disease Physician
- Grove City, OH
- NPI 1316303332
Tayma Al Faruqi, M.D.
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1578542700
Patricia Albano-Seitz
- Critical Care Medicine Nurse Practitioner
- Montgomery, OH
- NPI 1699328294
Ayat Mustafa Aljawawdeh, DNP, APRN-CNP, ACNS
- Nurse Practitioner
- Columbus, OH
- NPI 1265049209
Joseph F Amato, MD
- Obstetrics & Gynecology Physician
- Westerville, OH
- NPI 1215976055
Onma A Ameh, M.D
- Hospitalist Physician
- Columbus, OH
- NPI 1578884565
Danamarie E. Aminian, MD
- Pain Medicine (Anesthesiology) Physician
- Delaware, OH
- NPI 1407007818
Sameer M Ankolkar, MD
- Family Medicine Physician
- Westerville, OH
- NPI 1417924119
Ryan Anthony, M.D.
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1295942647
Guillermo A Arbona, MD
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1871582189
Heidi D Arbona, M.D.
- Obstetrics & Gynecology Physician
- Westerville, OH
- NPI 1548215551
Jordan Michael Arends, DO
- Internal Medicine Physician
- Columbus, OH
- NPI 1629654587
David K Arenstein, MD
- Family Medicine Physician
- Kalamazoo, MI
- NPI 1083273734
Mianna Marie Armstrong Gilmore
- Obstetrics & Gynecology Physician
- Reynoldsburg, OH
- NPI 1417416520
Amol Arora, M.D.
- Gynecology Physician
- Westerville, OH
- NPI 1538365846
Michelle C Arvai, CNP
- Family Nurse Practitioner
- Columbus, OH
- NPI 1730339839

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.86
- State average 1.04 (computed here)
- National average 1.06
- No different than the national rate
- 1,053 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.84
- State average 0.97 (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 expected172.8
- State average 170.96 (computed here)
- National average 173.3
- No different than the national rate
- 58 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.5
- State average 8.28 (computed here)
- National average 8.6
- No different than the national rate
- 81 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13
- State average 11.61 (computed here)
- National average 11.9
- No different than the national rate
- 131 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.9
- State average 10.63 (computed here)
- National average 11.1
- No different than the national rate
- 291 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected15.7
- State average 14.65 (computed here)
- National average 15.2
- No different than the national rate
- 322 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.2
- State average 11.66 (computed here)
- National average 11.9
- No different than the national rate
- 215 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.8
- State average 3.92 (computed here)
- National average 3.9
- No different than the national rate
- 2,917 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.22
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 4,112 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.23
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 4,201 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.42
- State average 3.41 (computed here)
- National average 3.52
- No different than the national rate
- 1,002 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.49
- State average 1.7 (computed here)
- National average 1.67
- No different than the national rate
- 406 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.33
- State average 2.32 (computed here)
- National average 2.34
- No different than the national rate
- 943 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected9.82
- State average 9.31 (computed here)
- National average 9.42
- No different than the national rate
- 450 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.73
- State average 5.13 (computed here)
- National average 5.27
- No different than the national rate
- 408 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.65
- State average 1.79 (computed here)
- National average 1.77
- No different than the national rate
- 260 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.2
- State average 0.56 (computed here)
- National average 0.63
- No different than the national rate
- 3,348 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.6
- State average 4.31 (computed here)
- National average 4.1
- No different than the national rate
- 38 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 1

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0
- State average 0.43
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.75
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.16
- State average 0.45
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.18
- State average 0.84
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected0.62
- State average 1.07
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.67
- State average 1.08
- 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 2.5
- State average 4.61 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 9.9
- State average 7.08 (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) 1.01
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 79
- State average 72 (computed here)
- National average 74.05 (computed here)
- 33 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 96
- State average 95.51 (computed here)
- National average 92.79 (computed here)
- 170 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 72
- State average 63
- National average 65
- 136 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 167
- State average 164
- National average 168
- 401 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 167
- State average 158
- National average 162
- 379 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 271
- State average 248
- National average 257
- 15 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 97.97 (computed here)
- National average 96.1 (computed here)
- 193 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 96
- National average 93
- 77 patients
- Period from 01/01/2024
Head CT results 82
- State average 71
- National average 69
- 11 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 39
- State average 82
- National average 78
- 3,096 patients
- Period from 10/01/2024
Left before being seen 1
- State average 2
- National average 2
- 61,984 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 10
- State average 13
- National average 15
- 3,977 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 83
- State average 73
- National average 73
- 48 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 96
- State average 86
- National average 87
- 27 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 85
- State average 79
- National average 81
- 136 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 88
- State average 93
- National average 93
- 66 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

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
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
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.9
- State average 14.52 (computed here)
- National average 14.4
- No different than the national rate
- 211 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.5
- State average 21.66 (computed here)
- National average 21.3
- No different than the national rate
- 620 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -3.9
- State average 10.24 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 111 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -34.5
- State average 3.25 (computed here)
- National average 4.02 (computed here)
- Fewer days than average per 100 discharges
- 309 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -17.3
- State average 2.29 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 329 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16
- State average 17.27 (computed here)
- National average 17.3
- No different than the national rate
- 708 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.7
- State average 5.36 (computed here)
- National average 5.4
- No different than the national rate
- 25 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected10.7
- State average 11.09 (computed here)
- National average 10.7
- No different than the national rate
- 25 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.1
- State average 6.07 (computed here)
- National average 5.8
- No different than the national rate
- 35 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.7
- State average 19.74 (computed here)
- National average 20
- No different than the national rate
- 196 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.4
- State average 13.26 (computed here)
- National average 13
- No different than the national rate
- 668 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 1.02 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 487 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 5

Other hospitals near Westerville, OH

No other hospitals are listed in Westerville, OH; these share its ZIP code area (430xx).

Medical Center of Newark LLC Newark terminated
Memorial Hospital Marysville
Mercy Health - Urbana Hospital Urbana
Mount Carmel Dublin Dublin
Mount Carmel New Albany Surgical Hospital New Albany

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.