Uh St John Medical Center

Hospital in Westlake, OH, Medicare certification number 360123. CMS publishes 62 quality measures for it.

Medicare certification

Provider of Services

CCN: 360123The 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: Nov 17, 2022
Beds: 240
Overall star rating: 4 of 5Care Compare
Most recent change of ownership: Dec 31, 2009 (2 total)
Address: 29000 Center Ridge Road
Westlake, OH 44145
(440) 827-5454

NPI records for this facility 1

University Hospitals St. John Medical Center
- General Acute Care Hospital
- Westlake, OH
- NPI 1841264868
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.7 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.71 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 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 Better4 of 5
- State average 3.84 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.45 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.31 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.79 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.43 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.87
- State average 1.04 (computed here)
- National average 1.06
- No different than the national rate
- 728 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.86
- 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 expected148.95
- State average 170.96 (computed here)
- National average 173.3
- No different than the national rate
- 31 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.6
- State average 8.28 (computed here)
- National average 8.6
- No different than the national rate
- 95 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.7
- State average 11.61 (computed here)
- National average 11.9
- No different than the national rate
- 112 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.8
- State average 10.63 (computed here)
- National average 11.1
- No different than the national rate
- 252 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.5
- State average 14.65 (computed here)
- National average 15.2
- No different than the national rate
- 327 patients
- Period from 07/01/2022
Death rate for stroke patients As expected10.2
- State average 11.66 (computed here)
- National average 11.9
- No different than the national rate
- 227 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.5
- State average 3.92 (computed here)
- National average 3.9
- No different than the national rate
- 2,491 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.17
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 4,411 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
- 4,396 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.26
- State average 3.41 (computed here)
- National average 3.52
- No different than the national rate
- 749 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.58
- State average 1.7 (computed here)
- National average 1.67
- No different than the national rate
- 239 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.56
- State average 2.32 (computed here)
- National average 2.34
- No different than the national rate
- 707 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.67
- State average 9.31 (computed here)
- National average 9.42
- No different than the national rate
- 239 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.29
- State average 5.13 (computed here)
- National average 5.27
- No different than the national rate
- 228 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.66
- State average 1.79 (computed here)
- National average 1.77
- No different than the national rate
- 210 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.46
- State average 0.56 (computed here)
- National average 0.63
- No different than the national rate
- 3,483 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected5.2
- State average 4.31 (computed here)
- National average 4.1
- No different than the national rate
- 53 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
- State average 0.43
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.34
- State average 0.45
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.85
- State average 0.84
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0
- State average 1.08
- 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 1.5
- State average 4.61 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 10.2
- 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) 1.06
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 71
- State average 63
- National average 65
- 139 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 234
- State average 164
- National average 168
- 398 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 231
- State average 158
- National average 162
- 375 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 300
- State average 248
- National average 257
- 16 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 96
- State average 97.97 (computed here)
- National average 96.1 (computed here)
- 153 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 95
- State average 96
- National average 93
- 84 patients
- Period from 01/01/2024
Head CT results 93
- State average 71
- National average 69
- 15 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 74
- State average 82
- National average 78
- 1,083 patients
- Period from 10/01/2024
Hospital Harm - Opioid Related Adverse Events 0
- State average 0.12 (computed here)
- National average 0.18 (computed here)
- 3,069 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 2
- State average 1.09 (computed here)
- National average 1.09 (computed here)
- 1,978 patients
- Period from 01/01/2024
Left before being seen 1
- State average 2
- National average 2
- 36,405 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 11
- State average 13
- National average 15
- 1,382 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 84
- State average 73
- National average 73
- 50 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 97
- State average 86
- National average 87
- 36 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 79
- State average 79
- National average 81
- 141 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 97
- State average 93
- National average 93
- 71 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
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 — medium
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 - Severe Hyperglycemia — 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 10

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.6
- State average 14.52 (computed here)
- National average 14.4
- No different than the national rate
- 162 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.5
- State average 21.66 (computed here)
- National average 21.3
- No different than the national rate
- 454 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 10.4
- State average 10.24 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 101 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -3
- State average 3.25 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 274 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 21.9
- State average 2.29 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 342 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.8
- State average 17.27 (computed here)
- National average 17.3
- No different than the national rate
- 524 patients
- Period from 07/01/2023
Rate of readmission after hip/knee replacement As expected5.8
- State average 6.07 (computed here)
- National average 5.8
- No different than the national rate
- 57 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
- 203 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.8
- State average 13.26 (computed here)
- National average 13
- No different than the national rate
- 295 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
- 610 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (4)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
Rate of readmission for CABG — 5

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.
NPPES NPI Registry: the NPI records connected to this certification.

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.