Hospital

ALEXIAN BROTHERS MEDICAL CENTER 1

CCN: 140258 · ELK GROVE VILLAGE, IL 60007 · COOK County

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

Overview

Address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007
Phone
(847) 437-5500
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
Yes
Birthing Friendly
Yes
4 /5
★★★★★
CMS Overall Rating
p63
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 7 of 7 measures reported
1
6
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 8 of 8 measures reported
1
7
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
1
9
1
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 10 of 12 measures reported
10 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) 175 discharges
1.0179 p61
Heart Failure 791 discharges
1.0320 p70
Pneumonia 580 discharges
1.0148 p62
COPD 136 discharges
1.0810 p94
Hip/Knee Replacement 295 discharges
1.0648 p70
CABG Surgery
0.9318 p22
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: 1.0810
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: -0.2019

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 3.60 No Different Than the National Rate 323
Hybrid_HWM 3.90 No Different Than the National Rate 1,278
MORT_30_AMI 11.70 No Different Than the National Rate 144
MORT_30_CABG 1.90 No Different Than the National Rate 104
MORT_30_COPD 7.80 No Different Than the National Rate 125
MORT_30_HF 9.40 Better Than the National Rate 701
MORT_30_PN 14.20 No Different Than the National Rate 550
MORT_30_STK 12.60 No Different Than the National Rate 274
PSI_03 0.53 No Different Than the National Rate 6,192
PSI_04 176.88 No Different Than the National Rate 113
PSI_06 0.19 No Different Than the National Rate 6,974
PSI_08 0.30 No Different Than the National Rate 7,141
PSI_09 1.93 No Different Than the National Rate 1,852
PSI_10 1.92 No Different Than the National Rate 984
PSI_11 6.74 No Different Than the National Rate 1,009
PSI_12 4.86 No Different Than the National Rate 2,052
PSI_13 5.57 No Different Than the National Rate 974
PSI_14 1.58 No Different Than the National Rate 408
PSI_15 0.74 No Different Than the National Rate 1,349
PSI_90 0.96 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 72% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 7% —
H_COMP_1_U_P: Nurses "usually" communicated well 21% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 82% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 15% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 69% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 24% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 66% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 10% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 24% —
H_COMP_2_A_P: Doctors "always" communicated well 68% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 9% —
H_COMP_2_U_P: Doctors "usually" communicated well 23% —
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 77% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 6% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 17% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 67% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 10% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 23% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 60% —
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 28% —
H_COMP_5_A_P: Staff "always" explained 53% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 27% —
H_COMP_5_U_P: Staff "usually" explained 20% —
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 68% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 16% —
H_MED_FOR_U_P: Staff "usually" explained new medications 16% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 37% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 38% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 25% —
H_COMP_6_N_P: No, staff "did not" give patients this information 15% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 85% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 3
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 17% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 83% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 13% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 87% —
H_CLEAN_HSP_A_P: Room was "always" clean 68% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 8% —
H_CLEAN_HSP_U_P: Room was "usually" clean 24% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 3
H_QUIET_HSP_A_P: "Always" quiet at night 48% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 13% —
H_QUIET_HSP_U_P: "Usually" quiet at night 39% —
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) 16% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 21% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 63% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 2
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 10% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 64% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 26% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 2
H_STAR_RATING: Summary star rating — 2

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 0.084 No Different than National Benchmark
HAI_1_CIUPPER 1.650 No Different than National Benchmark
HAI_1_DOPC 3744.000 No Different than National Benchmark
HAI_1_ELIGCASES 4.004 No Different than National Benchmark
HAI_1_NUMERATOR 2.000 No Different than National Benchmark
HAI_1_SIR 0.500 No Different than National Benchmark
HAI_2_CILOWER 0.086 No Different than National Benchmark
HAI_2_CIUPPER 1.701 No Different than National Benchmark
HAI_2_DOPC 3051.000 No Different than National Benchmark
HAI_2_ELIGCASES 3.885 No Different than National Benchmark
HAI_2_NUMERATOR 2.000 No Different than National Benchmark
HAI_2_SIR 0.515 No Different than National Benchmark
HAI_3_CILOWER 0.179 No Different than National Benchmark
HAI_3_CIUPPER 3.535 No Different than National Benchmark
HAI_3_DOPC 71.000 No Different than National Benchmark
HAI_3_ELIGCASES 1.869 No Different than National Benchmark
HAI_3_NUMERATOR 2.000 No Different than National Benchmark
HAI_3_SIR 1.070 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 73.000 —
HAI_4_ELIGCASES 0.562 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.522 No Different than National Benchmark
HAI_5_CIUPPER 3.966 No Different than National Benchmark
HAI_5_DOPC 35764.000 No Different than National Benchmark
HAI_5_ELIGCASES 2.433 No Different than National Benchmark
HAI_5_NUMERATOR 4.000 No Different than National Benchmark
HAI_5_SIR 1.644 No Different than National Benchmark
HAI_6_CILOWER 0.109 Better than the National Benchmark
HAI_6_CIUPPER 0.660 Better than the National Benchmark
HAI_6_DOPC 33761.000 Better than the National Benchmark
HAI_6_ELIGCASES 16.791 Better than the National Benchmark
HAI_6_NUMERATOR 5.000 Better than the National Benchmark
HAI_6_SIR 0.298 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 — 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 74.0 Healthcare Personnel Vaccination
OP_18a 203.0 Emergency Department
OP_18b 200.0 Emergency Department
OP_18c — Emergency Department
OP_18d — Emergency Department
OP_22 — Emergency Department
OP_23 — Emergency Department
OP_29 — 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 51.0 Sepsis Care
SEP_SH_3HR 63.0 Sepsis Care
SEP_SH_6HR 69.0 Sepsis Care
SEV_SEP_3HR 74.0 Sepsis Care
SEV_SEP_6HR 94.0 Sepsis Care
STK_02 96.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 88.0 Electronic Clinical Quality Measure
VTE_2 98.0 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI 11.60 Average Days per 100 Discharges
EDAC_30_HF 20.50 More Days Than Average per 100 Discharges
EDAC_30_PN 3.60 Average Days per 100 Discharges
Hybrid_HWR 14.70 Worse Than the National Rate
OP_32 13.70 No Different Than the National Rate
OP_35_ADM — Number of Cases Too Small
OP_35_ED — Number of Cases Too Small
OP_36 1.00 No Different than expected
READM_30_AMI 13.80 No Different Than the National Rate
READM_30_CABG 9.90 No Different Than the National Rate
READM_30_COPD 19.70 No Different Than the National Rate
READM_30_HF 20.20 No Different Than the National Rate
READM_30_HIP_KNEE 5.20 No Different Than the National Rate
READM_30_PN 16.20 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
1.09
Footnote
29.00

Financial Health (Cost Report — FY 2024)

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 0.20 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 1 — metrics.current_ratio
Cost Report Employees per Bed 4.37 — metrics.employees_per_bed
Cost Report fiscal_year 2,024 — fiscal_year
Cost Report Fund Balance ($) $183,743,536 — metrics.fund_balance
Cost Report Net Income ($) $-29,090,749 — metrics.net_income
Cost Report Net Patient Revenue ($) $470,187,643 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -8.6% — metrics.operating_margin
Cost Report Total Assets ($) $332,414,507 — metrics.total_assets
Cost Report Total Costs ($) $464,145,640 — metrics.total_costs
Cost Report Total Liabilities ($) $148,670,971 — metrics.total_liabilities
Cost Report Total Margin (%) -6.0% — metrics.total_margin
Cost Report Uncompensated Care (%) 2.5% — metrics.uncompensated_care_pct
General Information Address 800 BIESTERFIELD RD — Address
General Information City/Town ELK GROVE VILLAGE — City/Town
General Information Count of Facility MORT Measures 7 — 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 11 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 8 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 10 — Count of Facility TE Measures
General Information Count of MORT Measures Better 1 — 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 1 — Count of READM Measures Better
General Information Count of READM Measures No Different 9 — Count of READM Measures No Different
General Information Count of READM Measures Worse 1 — Count of READM Measures Worse
General Information Count of Safety Measures Better 1 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 7 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 — Count of Safety Measures Worse
General Information County/Parish COOK — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 140258 — Facility ID
General Information Facility Name ALEXIAN BROTHERS MEDICAL CENTER 1 — Facility Name
General Information Hospital overall rating 4 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Private — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation Y — 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) 437-5500 — Telephone Number
General Information ZIP Code 60007 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.57 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.14 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.53 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.41 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.17 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score -0.20 — total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 — End Date
Medicare Spending per Beneficiary Footnote 29 — Footnote
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 1.09 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.02 0.9995 p61 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.5% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 175 — READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 25 — READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 13.8% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.93 1.0000 p22 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.4% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.6% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.08 0.9969 p94 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 17.8% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 136 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 32 — 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 1.03 0.9983 p70 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.1% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 791 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 166 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 20.7% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 1.06 0.9916 p70 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.2% — READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Number of discharges 295 — READM-30-HIP-KNEE-HRRP.num_discharges
Readmissions (HRRP) Hip/Knee Replacement — Number of readmissions 17 — READM-30-HIP-KNEE-HRRP.num_readmissions
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 5.5% — READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.01 0.9955 p62 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.7% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 580 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 99 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 16.9% — READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →