Quality Report


Quality Report

Louis A. Weiss Memorial Hospital
HCO ID: 7286
4646 North Marine Drive
Chicago, IL, 60640
(773) 878-8700
weisshospital.com
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
7/7/2023
Last Full Survey Date
4/12/2023
Last On-Site Survey Date
4/12/2023
Gold Seal
Hospital
Accreditation Decision
Effective Date
6/27/2023
Last Full Survey Date
4/14/2023
Last On-Site Survey Date
6/26/2023

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
8/25/2022
Last Full Survey Date
8/24/2022
Last On-Site Survey Date
8/24/2022

Core Certification Programs

Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
12/22/2021
Last Full Survey Date
2/5/2024
Last On-Site Survey Date
2/5/2024
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
2/6/2024
Last Full Survey Date
2/5/2024
Last On-Site Survey Date
2/5/2024

Sites

Jacob M. Arvey Weiss Health Center
4646 N.Marine Drive
Chicago, IL, 60640

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Jacob M. Arvey Weiss Health Center

Louis A. Weiss Center for Radiation Oncology
4700 N. Marine Drive
Chicago, IL, 60640

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Louis A. Weiss Center for Radiation Oncology

Louis A. Weiss Memorial Hospital
4646 North Marine Drive
Chicago, IL, 60640

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Family Support (Non 24 Hour Care )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Plastic Surgery (Surgical Services )
  • Positron Emission Tomography (PET) (Imaging/Diagnostic Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Surgical ICU (Intensive Care Unit )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Primary Stroke Center

Other Clinics/Practices Located at This Site:

  • Jacob M. Arvey Weiss Community Health Center
  • Louis A. Weiss Memorial Hospital Wound Healing Center

Louis A. Weiss Memorial Hospital Wound Healing Center
4646 N. Marine Drive
Chicago, IL, 60640

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Louis A. Weiss Memorial Hospital Wound Healing Center

Louis A. Weiss Strauss Cancer Center
4700 N.Marine Drive
Chicago, IL, 60640

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Louis A. Weiss Strauss Cancer Center

Plastics and Reconstructive Surgery at Weiss
4646 N. Marine Drive
Chicago, IL, 60640

Available Services

  • Outpatient Clinics (Outpatient )

Resilience Healthcare - Chicago Center for Orthopedics
DBA: Resilience Healthcare - Chicago Center for Orthopedics
4646 N.Marine Drive
Chicago, IL, 60640

Available Services

  • Outpatient Clinics (Outpatient )

Resilience Healthcare - Colorectal Surgery Center at Weiss
DBA: Resilience Healthcare - Colorectal Surgery Center at Weiss
4646 N. Marine Drive
Chicago, IL, 60640

Available Services

  • Outpatient Clinics (Outpatient )

Women's Health Center at Weiss
4646 N. Marine Drive
Chicago, IL, 60640

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.