Hospital

LOUIS A WEISS MEMORIAL HOSPITAL

CCN: 140082 · CHICAGO, IL 60640 · COOK County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
4646 N MARINE DRIVE, CHICAGO, IL 60640
Phone
(773) 878-8700
Hospital Type
Acute Care
Ownership
For-Profit
Emergency Services
Yes
1 /5
★★★★★
CMS Overall Rating
p0
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 6 of 7 measures reported
6
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 6 of 8 measures reported
5
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 10 of 11 measures reported
10
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 8 of 12 measures reported
8 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

⚠ This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack)
0.9463 p18
Heart Failure 105 discharges
1.0441 p76
Pneumonia 169 discharges
1.0581 p82
COPD 42 discharges
1.0419 p81
Hip/Knee Replacement 106 discharges
1.4155 p98
CABG Surgery
— Not reported
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

12.9 p2
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
8.0 p71
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
3.1 p5
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
1.8 p1
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
0.0 p0
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.4155
Value-Based Purchasing
12.9 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 1.6627

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 5.30 No Different Than the National Rate 106
Hybrid_HWM 4.30 No Different Than the National Rate 368
MORT_30_AMI 11.80 No Different Than the National Rate 56
MORT_30_CABG — — —
MORT_30_COPD 7.80 No Different Than the National Rate 35
MORT_30_HF 8.70 No Different Than the National Rate 93
MORT_30_PN 14.90 No Different Than the National Rate 178
MORT_30_STK 11.70 No Different Than the National Rate 37
PSI_03 1.31 No Different Than the National Rate 1,755
PSI_04 — Number of Cases Too Small —
PSI_06 0.19 No Different Than the National Rate 2,013
PSI_08 0.29 No Different Than the National Rate 2,062
PSI_09 2.19 No Different Than the National Rate 333
PSI_10 2.08 No Different Than the National Rate 184
PSI_11 12.46 No Different Than the National Rate 194
PSI_12 3.84 No Different Than the National Rate 350
PSI_13 5.85 No Different Than the National Rate 155
PSI_14 1.74 No Different Than the National Rate 40
PSI_15 1.00 No Different Than the National Rate 307
PSI_90 1.32 No Different Than the National Value —

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 61% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 16% —
H_COMP_1_U_P: Nurses "usually" communicated well 23% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 1
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 67% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 14% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 19% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 57% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 18% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 25% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 61% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 16% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 23% —
H_COMP_2_A_P: Doctors "always" communicated well 70% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 11% —
H_COMP_2_U_P: Doctors "usually" communicated well 19% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 1
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 75% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 9% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 16% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 65% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 13% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 22% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 68% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 12% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 20% —
H_COMP_5_A_P: Staff "always" explained 51% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 31% —
H_COMP_5_U_P: Staff "usually" explained 18% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 1
H_MED_FOR_A_P: Staff "always" explained new medications 63% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 18% —
H_MED_FOR_U_P: Staff "usually" explained new medications 19% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 38% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 43% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 19% —
H_COMP_6_N_P: No, staff "did not" give patients this information 20% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 80% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 20% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 80% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 21% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 79% —
H_CLEAN_HSP_A_P: Room was "always" clean 66% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 18% —
H_CLEAN_HSP_U_P: Room was "usually" clean 16% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 2
H_QUIET_HSP_A_P: "Always" quiet at night 49% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 22% —
H_QUIET_HSP_U_P: "Usually" quiet at night 29% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 22% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 30% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 48% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 1
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 22% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 50% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 28% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 1
H_STAR_RATING: Summary star rating — 1

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.410 No Different than National Benchmark
HAI_1_CIUPPER 4.385 No Different than National Benchmark
HAI_1_DOPC 2024.000 No Different than National Benchmark
HAI_1_ELIGCASES 1.862 No Different than National Benchmark
HAI_1_NUMERATOR 3.000 No Different than National Benchmark
HAI_1_SIR 1.611 No Different than National Benchmark
HAI_2_CILOWER 0.010 Better than the National Benchmark
HAI_2_CIUPPER 0.990 Better than the National Benchmark
HAI_2_DOPC 4740.000 Better than the National Benchmark
HAI_2_ELIGCASES 4.984 Better than the National Benchmark
HAI_2_NUMERATOR 1.000 Better than the National Benchmark
HAI_2_SIR 0.201 Better than the National Benchmark
HAI_3_CILOWER — —
HAI_3_CIUPPER — —
HAI_3_DOPC 10.000 —
HAI_3_ELIGCASES 0.326 —
HAI_3_NUMERATOR 0.000 —
HAI_3_SIR — —
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 22.000 —
HAI_4_ELIGCASES 0.196 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER — —
HAI_5_CIUPPER — —
HAI_5_DOPC 10899.000 —
HAI_5_ELIGCASES 0.599 —
HAI_5_NUMERATOR 0.000 —
HAI_5_SIR — —
HAI_6_CILOWER 0.244 No Different than National Benchmark
HAI_6_CIUPPER 1.853 No Different than National Benchmark
HAI_6_DOPC 10899.000 No Different than National Benchmark
HAI_6_ELIGCASES 5.208 No Different than National Benchmark
HAI_6_NUMERATOR 4.000 No Different than National Benchmark
HAI_6_SIR 0.768 No Different than National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV low Emergency Department
GMCS — Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented — Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening — Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment — Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan — Electronic Clinical Quality Measure
HH_HYPER — Electronic Clinical Quality Measure
HH_HYPO — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 41.0 Healthcare Personnel Vaccination
OP_18a 218.0 Emergency Department
OP_18b 209.0 Emergency Department
OP_18c 322.0 Emergency Department
OP_18d — Emergency Department
OP_22 5.0 Emergency Department
OP_23 — Emergency Department
OP_29 100.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 14.0 Electronic Clinical Quality Measure
SEP_1 31.0 Sepsis Care
SEP_SH_3HR 58.0 Sepsis Care
SEP_SH_6HR 60.0 Sepsis Care
SEV_SEP_3HR 60.0 Sepsis Care
SEV_SEP_6HR 70.0 Sepsis Care
STK_02 100.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 94.0 Electronic Clinical Quality Measure
VTE_2 91.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI — Number of Cases Too Small
EDAC_30_HF 13.80 Average Days per 100 Discharges
EDAC_30_PN 16.00 Average Days per 100 Discharges
Hybrid_HWR 16.10 No Different Than the National Rate
OP_32 13.50 No Different Than the National Rate
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 — Number of cases too small
READM_30_AMI 12.90 No Different Than the National Rate
READM_30_CABG — —
READM_30_COPD 19.00 No Different Than the National Rate
READM_30_HF 20.50 No Different Than the National Rate
READM_30_HIP_KNEE 6.80 No Different Than the National Rate
READM_30_PN 16.90 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.12

Financial Health (Cost Report — FY 2023)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.21 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.10 — metrics.current_ratio
Cost Report Employees per Bed 3.56 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $-24,597,588 — metrics.fund_balance
Cost Report Net Income ($) $-11,225,388 — metrics.net_income
Cost Report Net Patient Revenue ($) $47,402,162 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -32.3% — metrics.operating_margin
Cost Report Total Assets ($) $39,317,457 — metrics.total_assets
Cost Report Total Costs ($) $59,188,175 — metrics.total_costs
Cost Report Total Liabilities ($) $63,915,045 — metrics.total_liabilities
Cost Report Total Margin (%) -21.8% — metrics.total_margin
Cost Report Uncompensated Care (%) 0.7% — metrics.uncompensated_care_pct
General Information Address 4646 N MARINE DRIVE — Address
General Information City/Town CHICAGO — City/Town
General Information Count of Facility MORT Measures 6 — Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 — Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 10 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 6 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 8 — Count of Facility TE Measures
General Information Count of MORT Measures Better 0 — Count of MORT Measures Better
General Information Count of MORT Measures No Different 6 — Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 — Count of MORT Measures Worse
General Information Count of READM Measures Better 0 — Count of READM Measures Better
General Information Count of READM Measures No Different 10 — Count of READM Measures No Different
General Information Count of READM Measures Worse 0 — Count of READM Measures Worse
General Information Count of Safety Measures Better 0 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 5 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 — Count of Safety Measures Worse
General Information County/Parish COOK — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 140082 — Facility ID
General Information Facility Name LOUIS A WEISS MEMORIAL HOSPITAL — Facility Name
General Information Hospital overall rating 1 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Proprietary — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation — — Meets criteria for birthing friendly designation
General Information MORT Group Footnote — — MORT Group Footnote
General Information MORT Group Measure Count 7 — MORT Group Measure Count
General Information Pt Exp Group Footnote — — Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 — Pt Exp Group Measure Count
General Information READM Group Footnote — — READM Group Footnote
General Information READM Group Measure Count 11 — READM Group Measure Count
General Information Safety Group Footnote — — Safety Group Footnote
General Information Safety Group Measure Count 8 — Safety Group Measure Count
General Information State IL — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (773) 878-8700 — Telephone Number
General Information ZIP Code 60640 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.42 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.96 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.41 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 2.56 — measures.mrsa.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 1.66 — total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 — End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 — Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 — Start Date
Medicare Spending per Beneficiary Value 1.12 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.95 0.9995 p18 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 19.5% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 18.4% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.04 0.9969 p81 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 24.4% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 42 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 14 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 25.5% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.04 0.9983 p76 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 21.7% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 105 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 27 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 22.6% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.42 0.9916 p98 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 4.7% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Number of discharges 106 — READM-30-HIP-KNEE-HRRP.num_discharges
Readmissions (HRRP) Hip/Knee Replacement — Number of readmissions 11 — READM-30-HIP-KNEE-HRRP.num_readmissions
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 6.6% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.06 0.9955 p82 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 19.0% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 169 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 38 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 20.1% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 8.00 5.00 p71 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 1.75 8.75 p1 person_community_score
Value-Based Purchasing Safety 3.13 10.00 p5 safety_score
Value-Based Purchasing Total Performance Score 12.88 29.50 p2 total_performance_score
Methodology

Full methodology →