Hospital

VISTA MEDICAL CENTER EAST

CCN: 140084 · WAUKEGAN, IL 60085 · LAKE County

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

Overview

Address
1324 NORTH SHERIDAN ROAD, WAUKEGAN, IL 60085
Phone
(847) 360-3000
Hospital Type
Acute Care
Ownership
For-Profit
Emergency Services
Yes
2 /5
★★★★★
CMS Overall Rating
p7
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 5 of 7 measures reported
5
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 5 of 8 measures reported
5
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 7 of 11 measures reported
5
2
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 9 of 12 measures reported
9 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)
0.9296 p12
Heart Failure 215 discharges
0.9521 p20
Pneumonia 228 discharges
1.0343 p72
COPD 81 discharges
1.0186 p68
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
Expected (1.0) National median

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: 1.0343
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: -0.6736

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 — Number of Cases Too Small —
Hybrid_HWM 4.50 No Different Than the National Rate 471
MORT_30_AMI 10.40 No Different Than the National Rate 72
MORT_30_CABG — Number of Cases Too Small —
MORT_30_COPD 12.40 No Different Than the National Rate 80
MORT_30_HF 9.50 No Different Than the National Rate 190
MORT_30_PN 13.60 No Different Than the National Rate 217
MORT_30_STK 12.50 No Different Than the National Rate 85
PSI_03 0.27 No Different Than the National Rate 2,228
PSI_04 — Number of Cases Too Small —
PSI_06 0.25 No Different Than the National Rate 2,547
PSI_08 0.29 No Different Than the National Rate 2,659
PSI_09 2.21 No Different Than the National Rate 268
PSI_10 — Number of Cases Too Small —
PSI_11 8.81 No Different Than the National Rate 25
PSI_12 3.57 No Different Than the National Rate 275
PSI_13 5.10 No Different Than the National Rate 27
PSI_14 1.73 No Different Than the National Rate 54
PSI_15 1.00 No Different Than the National Rate 284
PSI_90 0.88 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 63% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 13% —
H_COMP_1_U_P: Nurses "usually" communicated well 24% —
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 72% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 11% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 17% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 60% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 15% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 25% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 58% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 14% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 28% —
H_COMP_2_A_P: Doctors "always" communicated well 70% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 9% —
H_COMP_2_U_P: Doctors "usually" communicated well 21% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 2
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 74% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 7% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 19% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 68% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 9% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 23% —
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 11% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 21% —
H_COMP_5_A_P: Staff "always" explained 52% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 32% —
H_COMP_5_U_P: Staff "usually" explained 16% —
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 62% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 20% —
H_MED_FOR_U_P: Staff "usually" explained new medications 18% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 42% —
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 15% —
H_COMP_6_N_P: No, staff "did not" give patients this information 21% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 79% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 1
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 23% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 77% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 19% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 81% —
H_CLEAN_HSP_A_P: Room was "always" clean 58% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 21% —
H_CLEAN_HSP_U_P: Room was "usually" clean 21% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 1
H_QUIET_HSP_A_P: "Always" quiet at night 48% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 15% —
H_QUIET_HSP_U_P: "Usually" quiet at night 37% —
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) 33% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 33% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 34% —
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) 32% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 31% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 37% —
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 0.027 No Different than National Benchmark
HAI_1_CIUPPER 2.699 No Different than National Benchmark
HAI_1_DOPC 2322.000 No Different than National Benchmark
HAI_1_ELIGCASES 1.827 No Different than National Benchmark
HAI_1_NUMERATOR 1.000 No Different than National Benchmark
HAI_1_SIR 0.547 No Different than National Benchmark
HAI_2_CILOWER 0.023 No Different than National Benchmark
HAI_2_CIUPPER 2.295 No Different than National Benchmark
HAI_2_DOPC 2863.000 No Different than National Benchmark
HAI_2_ELIGCASES 2.149 No Different than National Benchmark
HAI_2_NUMERATOR 1.000 No Different than National Benchmark
HAI_2_SIR 0.465 No Different than National Benchmark
HAI_3_CILOWER — —
HAI_3_CIUPPER — —
HAI_3_DOPC 10.000 —
HAI_3_ELIGCASES 0.289 —
HAI_3_NUMERATOR 0.000 —
HAI_3_SIR — —
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 6.000 —
HAI_4_ELIGCASES 0.053 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER — —
HAI_5_CIUPPER — —
HAI_5_DOPC 19377.000 —
HAI_5_ELIGCASES 0.813 —
HAI_5_NUMERATOR 1.000 —
HAI_5_SIR — —
HAI_6_CILOWER 0.006 Better than the National Benchmark
HAI_6_CIUPPER 0.620 Better than the National Benchmark
HAI_6_DOPC 18590.000 Better than the National Benchmark
HAI_6_ELIGCASES 7.950 Better than the National Benchmark
HAI_6_NUMERATOR 1.000 Better than the National Benchmark
HAI_6_SIR 0.126 Better than the National Benchmark

Timely & Effective Care

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

Measure Score Condition
EDV medium 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 72.0 Healthcare Personnel Vaccination
OP_18a 192.0 Emergency Department
OP_18b 179.0 Emergency Department
OP_18c 446.0 Emergency Department
OP_18d 392.0 Emergency Department
OP_22 5.0 Emergency Department
OP_23 — Emergency Department
OP_29 98.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 9.0 Electronic Clinical Quality Measure
SEP_1 69.0 Sepsis Care
SEP_SH_3HR 89.0 Sepsis Care
SEP_SH_6HR 94.0 Sepsis Care
SEV_SEP_3HR 77.0 Sepsis Care
SEV_SEP_6HR 95.0 Sepsis Care
STK_02 — Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 62.0 Electronic Clinical Quality Measure
VTE_2 — Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -43.40 Fewer Days Than Average per 100 Discharges
EDAC_30_HF -4.80 Average Days per 100 Discharges
EDAC_30_PN 49.20 More Days Than Average per 100 Discharges
Hybrid_HWR 15.40 No Different Than the National Rate
OP_32 12.90 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 12.70 No Different Than the National Rate
READM_30_CABG — Number of Cases Too Small
READM_30_COPD 18.50 No Different Than the National Rate
READM_30_HF 18.80 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 16.80 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
1.00

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 0.14 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.45 — metrics.current_ratio
Cost Report Employees per Bed 3.23 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $-18,991,066 — metrics.fund_balance
Cost Report Net Income ($) $-18,991,067 — metrics.net_income
Cost Report Net Patient Revenue ($) $139,360,500 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -14.3% — metrics.operating_margin
Cost Report Total Assets ($) $99,494,328 — metrics.total_assets
Cost Report Total Costs ($) $129,823,145 — metrics.total_costs
Cost Report Total Liabilities ($) $118,485,394 — metrics.total_liabilities
Cost Report Total Margin (%) -13.5% — metrics.total_margin
Cost Report Uncompensated Care (%) 2.7% — metrics.uncompensated_care_pct
General Information Address 1324 NORTH SHERIDAN ROAD — Address
General Information City/Town WAUKEGAN — City/Town
General Information Count of Facility MORT Measures 5 — 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 7 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 5 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 9 — 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 5 — 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 5 — Count of READM Measures No Different
General Information Count of READM Measures Worse 2 — 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 0 — Count of Safety Measures Worse
General Information County/Parish LAKE — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 140084 — Facility ID
General Information Facility Name VISTA MEDICAL CENTER EAST — Facility Name
General Information Hospital overall rating 2 — 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 (847) 360-3000 — Telephone Number
General Information ZIP Code 60085 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.50 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.44 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.40 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score -0.67 — 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 1.00 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.93 0.9995 p12 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.7% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.7% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.02 0.9969 p68 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.9% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 81 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 17 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 19.2% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.95 0.9983 p20 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.3% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 215 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 36 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 18.4% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.03 0.9955 p72 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.2% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 228 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 43 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.8% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →