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Carle BroMenn Medical Center

Our Achievements in Quality Care.
Providing the highest quality healthcare is the cornerstone of all we do. Quality data reporting allows us to share with the communities we serve how we are doing on key quality measures. Quality measures allow us to show how we compare to national standards.
As a patient, this data may help you make decisions regarding your healthcare and will help you be a more informed partner along with your healthcare team.

Overall Score

Carle is continually working to provide the best care possible. Team members actively review outcome data and work collaboratively with key stakeholders to identify areas of improvement in workflows, reducing gaps in care, and ensuring consistency in care with the focus of providing the highest quality and safest level of care to our patients.

Vizient Q&A Scorecard


Brain and Stroke

Carle BroMenn Medical Center has been designated as a Primary Stroke Center since 2007, demonstrating an ongoing commitment to ensuring fast treatment and improving outcomes for patients having a stroke. We strive to intervene as early as possible for patients with stroke symptoms, and we continue to provide quality care to patients after a stroke with the goal of optimizing recovery.

In addition to designation as a Primary Stroke Center, Carle BroMenn has achieved the Stroke Gold Plus Quality Achievement Award from the American Heart Association (AHA) and American Stroke Association (ASA) for 12 years in a row.

How Carle BroMenn Medical Center is Performing in Neurological Care
How Carle BroMenn Medical Center is Performing in Stroke Care



Accreditation Matters

The DNV Primary Stroke Center Certification is based on standards set forth by the Brain Attack Coalition 
and the American Stroke Association, and affirms that the medical center addresses the full spectrum of stroke care – diagnosis, treatment, rehabilitation and education – and establishes clear metrics to evaluate outcomes.

  • Certified Primary Stroke Center
  • 2022 Get with the Guidelines Gold Plus

“Time is brain when it comes to strokes and our designations really demonstrate our commitment to delivering advanced stroke treatments to patients quickly and safety. The standards set forth by DNV for our Primary Stroke Center certification speak to high standards of care for those suffering from an acute stroke.”

Ibrahim Mustafa, DO, medical director, inpatient stroke care,
Carle BroMenn Medical Center

Cancer Care

Our team of experts specializes in the treatment of numerous types of cancer, following the latest evidence-based treatment protocols. Through our multidisciplinary approach, we bring cancer treatment more swiftly and conveniently to patients while raising the quality of care. From access to state-of-the-art technology to on-site spiritual care services, we support all aspects of your journey.

Achieving accreditation by the Commission on Cancer® (CoC) means patients receive comprehensive, patient-centered care through a multidisciplinary team approach, access to information on clinical and new treatment options, ongoing monitoring of care, and lifelong patient follow-up, psychosocial support and survivorship care.

How Carle BroMenn Medical Center is Performing in Colon Cancer Care
How Carle BroMenn Medical Center is Performing in Prostate Cancer Care

Accreditation Matters

Recognized among the nation’s top hospitals, Carle provides excellent healthcare while continuously improving to meet the needs of our patients.
  • Radiation Oncology Accredited Facility
  • Commission on Cancer

“A streamlined cancer care with standards that must be followed is what we get from our CoC accreditation. This leads to better cancer care and benefits our patients and their families.”

Sinisa Stanic, MD, medical director,
Carle Cancer Institute

Cardiac Care

Carle BroMenn Medical Center has the experienced staff and clinical expertise to treat your cardiac and vascular conditions. Listed in the 2023 U.S. News and World Report “Best Hospitals” guidebook, as reported by the American College of Cardiology, our team is dedicated to keeping your heart healthy.

Heart-care quality measures focus on all nonsurgical care of the heart. Measures look at how we compare to national standards for caring for heart-related disorders. Treatments range from medications to more invasive procedures.






Heart attack

Rate of readmission for heart attack patients

14.3%

No different than national rate

National result: 14%
Number of included patients: 80

Hospital return days for heart attack patients

5.3 days

Average days per 100 discharges

National result: Not applicable
Number of included patients: 79

Heart failure

Rate of readmission for heart failure patients

19.7%

No different than national rate

National result: 20.2%
Number of included patients: 231

Hospital return days for heart failure patients

-17.6 days

Average days per 100 discharges

National result: Not applicable
Number of included patients: 186

Accreditation Matters

Recognized among the nation’s top hospitals, Carle provides excellent healthcare while continuously improving to meet the needs of our patients.

  • Accredited Chest Pain Center
  • Chest Pain - MI Registry

“Program certification lets the communities we serve know we have the resources and commitment to provide the best possible care for the patients we serve. Achieving and maintaining certifications validate all the effort we have put into this program to ensure the health and safety of our patients.“


Napoleon Knight, MD, MBA, executive vice president and chief medical officer,
Carle Health

Emergency Care

When emergencies happen, you need timely, effective treatment. Our board certified physicians and advanced practice providers are available to quickly diagnose and treat your condition. Carle BroMenn Medical Center is a Level II Trauma Center, a designated Emergency Department Approved for Pediatrics (EDAP), and offers specialized care for patients with psychiatric needs and victims of sexual assault. In 2020, Carle BroMenn became only the third hospital in Illinois to achieve Geriatric Emergency Department Accreditation from the American College of Emergency Physicians.

Additionally, the Emergency staff provides care that supports the hospital’s accreditations as a Chest Pain Center and Primary Stroke Center, ensuring patients suffering cardiac and neurologic emergencies receive evidence-based, high-quality care.

Percentage of patients who received appropriate care for severe sepsis and/or septic shock

 Higher percentages are better.

65%

of 150 patients

National average: 60%
Illinois average: 58%

Percentage of patients who left the emergency department before being seen

 Lower percentages are better.

3%

of 30344 patients

National average: 3%
Illinois average: 5%

Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival

 Higher percentages are better.

91%

of 11 patients

National average: 69%
Illinois average: 73%

Emergency department volume

Medium

20,000 - 39,999 patients annually

Average (median) time patients spent in the emergency department before leaving from the visit

 A lower number of minutes is better.

210 minutes

Other Medium volume hospitals:

Nation: 170 minutes
Illinois: 188 minutes
Number of included patients: 371

Information updated 04/01/24

Accreditation Matters

Recognized among the nation’s top hospitals, Carle provides excellent healthcare while continuously improving to meet the needs of our patients.

  • Accredited Geriatric Emergency Department

“Our community is counting on us, so we continually look for ways to improve the care we deliver. Achieving a variety of designations and accreditations demonstrates that we will be ready to treat everyone who comes in our doors with a very high level of care.”

Steve Delis, MD, CPE, associate medical director, Emergency Medicine and EMS Services,
Carle BroMenn Medical Center

Home Care

With close monitoring and patient and family education, many treatments that once kept patients in the hospital now happen safely at home. Carle Home Care serves 31 counties in central, east and southeast central Illinois with a staff dedicated to achieving the best outcomes for patients.

Carle Home Health Services, including Carle Home Care, Carle Hospice and Carle Infusion, are each fully accredited by the Accreditation Commission for Health Care (ACHC). This is your assurance that we adhere to the highest standards of quality in the industry.

How Carle Home Care is Performing



Hospice Care

Remaining at home through illness can bring great comfort but can also require professional care and support for the patient and their family. Our Hospice team partners with the patient and their loved ones to help maximize quality of life.

Carle Home Health Services, including Carle Home Care, Carle Hospice and Carle Infusion, are each fully accredited by the Accreditation Commission for Health Care (ACHC). This is your assurance that we adhere to the highest standards of quality in the industry.

How Carle Hospice Care is Performing



Infection Prevention

Patients can be at risk for infection while receiving medical care. Our teams follow strict guidelines for keeping our patients safe from infection using standard precautions – such as handwashing, wearing gloves and cleaning surfaces – as well as special precautions required for higher-risk illnesses and procedures.

Find out why these measures are important

Central line-associated bloodstream infections (CLABSi) in ICUs and select wards

 Lower numbers are better.

1.013

No different than national benchmark

National benchmark: 1.000

Catheter-associated urinary tract infections (CAUTi) in ICUs and select wards

 Lower numbers are better.

0.699

No different than national benchmark

National benchmark: 1.000

Surgical site infections (SSI) from colon surgery

 Lower numbers are better.

1.217

No different than national benchmark

National benchmark: 1.000

Methicillin-resistant Staphylococcus Aureus (MRSA) blood infections

 Lower numbers are better.

0.000

No different than national benchmark

National benchmark: 1.000

Clostridium difficile (C.diff.) intestinal infections

 Lower numbers are better.

0.365

Better than national benchmark

National benchmark: 1.000

Data collection 01/22-12/22

Last updated 11/23

Inpatient Rehabilitation

After a hospital stay or a major health event, patients may need additional care getting back to their daily lives. Our inpatient rehabilitation team, led by a physician specially trained in physical medicine and rehabilitation, works to help patients maximize motor and cognitive function.

How Carle BroMenn Medical Center is Performing in Inpatient Rehabilitation



“In Acute Rehab, we utilize the expertise of our team to form a comprehensive plan to help the patient reach their goals and get back to doing what they love as fast as possible.”

Kendall Held, MD, medical director, Acute Rehabilitation Unit
Carle BroMenn Medical Center

Medical and Critical Care

Research shows that outcomes of care are improved when patients receive appropriate screening and treatment in a timely manner, along with appropriate utilization of resources. Time to treatment, appropriate intervention and follow-up, and survival rates are all important ways to measure quality care.

Percentage of patients who received appropriate care for severe sepsis and/or septic shock

 Higher percentages are better.

65%

of 150 patients

National average: 60%
Illinois average: 58%

Rate of readmission after discharge from hospital (hospital-wide)

15.4%

No different than the national rate

National average: 14.6%
Number of included patients: 1659

Rate of readmission for heart attack patients

14.3%

No different than the national rate

National average: 14%
Number of included patients: 80

Rate of readmission for chronic obstructive pulmonary disease (COPD) patients

18.8%

No different than the national rate

National average: 19.3%
Number of included patients: 96

Rate of readmission for pneumonia patients

15.9%

No different than the national rate

National average: 16.9%
Number of included patients: 237

Rate of readmission for heart failure patients

19.7%

No different than the national rate

National average: 20.2%
Number of included patients: 231

Updated 04/24

Orthopedics and Spine

Carle Orthopedics offers comprehensive care through the collaboration of our experienced physicians, nursing staff, therapists and advanced practice providers. We perform the most joint replacements in the area, using state-of-the-art techniques that are minimally invasive, improve pain control and reduce recovery times. Our dedicated neurosurgeons provide advanced care, use the latest techniques and train the next generation of surgeons.

Carle BroMenn Medical Center is proud to have been named a Blue Distinction Center+ for Knee and Hip Replacement as part of the Blue Distinction Specialty Care program. Blue Distinction Centers® are nationally designated healthcare facilities that show a commitment to delivering high-quality patient safety and better health outcomes, based on objective measures that were developed with input from the medical community and leading accreditation and quality organizations.

How Carle BroMenn Medical Center is Performing in Orthopedics and Spine



Patient Experience

Our mission is to be your trusted partner in all healthcare decisions, and we strive to make sure you feel well cared for while receiving our services. The Centers for Medicare & Medicaid Services collects data through a national, standardized survey. This survey is provided to a random sample of our patients recently discharged from the hospital. We use patient feedback through these and other surveys to make improvements to our processes and communication to serve you better.

See how Carle BroMenn Medical Center performs on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures via Medicare’s Care Compare website

Pregnancy and Newborn Care

The safety of mother and baby is our first priority. Your family can trust that we are equipped to handle any situation. Our experienced staff is committed to quality patient care and education as evidenced by our Gold Certified Safe Sleep Leader designation from the National Safe Sleep Hospital Certification Program and our participation in the Illinois Perinatal Quality Collaborative’s initiatives for improving patient outcomes.

Carle BroMenn Medical Center is proud to have been named a Blue Distinction Center+ for Maternity Care as part of the Blue Distinction Specialty Care program. Blue Distinction Centers® are nationally designated healthcare facilities that show a commitment to delivering high-quality patient safety and better health outcomes, based on objective measures that were developed with input from the medical community and leading accreditation and quality organizations.

Percentage of mothers whose deliveries were scheduled too early (1-2 weeks early), when a scheduled delivery wasn’t medically necessary

 Lower percentages are better.

1%

of 118 patients

National average: 2%
Illinois average: 2%

Whether a hospital participated in a state or national program aimed at improving maternal and child health

Yes

Updated 04/24

Accreditation Matters

Carle provides excellent healthcare while continuously improving to meet the needs of our patients.
  • BlueCross BlueSheild of Illinois Blue Distinction Center + Maternity
  • Cribs for Kids Safe Sleep Hospital Certified

“Our designations display the dedication of the entire team to providing the best start to life for our tiniest patients as well as high-quality care and education for their families.”

Nona Fulk, MD, department chair, Obstetrics,
Carle BroMenn Medical Center