Quality Report


Quality Report

Adventist Midwest Health

DBA: UChicago Medicine AdventHealt
HCO ID: 7359
120 North Oak Street
Hinsdale, IL, 60521-3890
(630) 856-9000
www.adventhealth.com/hospital/adventhealth-hinsdale
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Behavioral Health Care and Human Services
Accreditation Decision
Effective Date
3/10/2021
Last Full Survey Date
2/8/2024
Last On-Site Survey Date
2/8/2024
Gold Seal
Home Care
Accreditation Decision
Effective Date
3/12/2021
Last Full Survey Date
2/8/2024
Last On-Site Survey Date
2/8/2024
Gold Seal
Hospital
Accreditation Decision
Effective Date
3/13/2021
Last Full Survey Date
2/9/2024
Last On-Site Survey Date
3/19/2024

Advanced Certification Programs

View Certification History
Gold Seal
Primary Stroke Center
Certification Decision
Effective Date
2/22/2024
Last Full Survey Date
2/21/2024
Last On-Site Survey Date
2/21/2024

Sites

Adventist Midwest Health
DBA: AdventHealth Hinsdale OP Behavioral Health Services/ New Day

Westmont, IL, 60559

Available Services

  • Addiction Services
  • Addiction Services (Non-detox - Adult )
  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Chemical Dependency (Day Programs - Adult )
  • Chemical Dependency (Partial Hospitalization - Adult )
  • Chemical Dependency (Non-detox - Adult )
  • Peer Support (Non 24 Hour Care )

Adventist Midwest Health
DBA: UChicago Medicine|AdventHealth Hinsdale
120 North Oak Street
Hinsdale, IL, 60521

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • CT Scanner (Imaging/Diagnostic Services )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Peer Support (Non 24 Hour Care )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Radiation Oncology (Imaging/Diagnostic Services )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Primary Stroke Center

Adventist Midwest Health
DBA: AdventHealth Imaging & Radiation Oncology Salt Creek
One Salt Creek
Hinsdale, IL, 60521

Available Services

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

Adventist Midwest Health
DBA: Adventist Hinsdale OP Peds Rehab
5101 Willow Springs Rd BLDG 4
La Grange, IL, 60525-2600

Available Services

  • Outpatient Clinics (Outpatient )

Adventist Midwest Health
DBA: AdventHealth Hinsdale Behavioral Health Services OPTIONS ado
760 Pasquinellui Dr. Suite 334
Westmont, IL, 60559

Available Services

  • Behavioral Health (Day Programs - Child/Youth )
  • Behavioral Health (Partial Hospitalization - Child/Youth )
  • Peer Support (Non 24 Hour Care )

Adventist Midwest Health
DBA: Adventist Hinsdale Health Care at Home
5101 S. Willow Springs Road
La Grange, IL, 60525

Available Services

  • Home Health Aides
  • Home Health, Non-Hospice Services
  • Medical Social Services
  • Occupational Therapy
  • Physical Therapy
  • Skilled Nursing Services
  • Speech Language Pathology

Adventist Midwest Health
DBA: AdventHealth Imaging Woodridge
2363 63rd. St.
Woodridge, IL, 60517

Available Services

  • Outpatient Clinics (Outpatient )

Adventist Midwest Health
DBA: AdventHealth Imaging Willowbrook
545 Plainfield Road
Willowbrook, IL, 60527

Available Services

  • Outpatient Clinics (Outpatient )

Adventist Midwest Health
DBA: AdventHealth Hinsdale Imaging Westmont
6311 Cass Avenue
Westmont, IL, 60559

Available Services

  • Outpatient Clinics (Outpatient )

Adventist Midwest Health
DBA: AdventHealth Cardiovascular Imaging
908 Elm Str. Suite 402
Hinsdale, IL, 60521

Available Services

  • Outpatient Clinics (Outpatient )

Adventist Midwest Health St. Thomas Hospice
DBA: AdventHealth St. Thomas Hospice
119 East Ogden Avenue, Suite 111
Hinsdale, IL, 60521

Available Services

  • Hospice Care

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 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Behavioral Health Care and Human Services 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Home Care 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

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