Authorization for Release of Medical Information Patient Information
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Health Facilities and Services Review Board
STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: (217) 785-4111 DOCKET NO: BOARD MEETING: PROJECT NO: PROJECT COST: H-07 December 16, 2014 14-051 Original: $14,213,951 FACILITY NAME: CITY: Central DuPage Hospital Winfield TYPE OF PROJECT: Non Substantive HSA: VII PROJECT DESCRIPTION: The applicants (CDH-Delnor Health System d/b/a Cadence Health, Central DuPage Hospital Association and Northwestern Memorial HealthCare) are proposing a modernization project that will relocate the pediatrics unit from the 1st floor to the 4th floor of the Women and Children's building on the campus of Central DuPage Hospital and will add 12 pediatrics beds for a total of 22 pediatric beds. The project also expands the NICU Unit on the 1st floor by adding 6 Level II NICU beds and reconfigures the support spaces for the NICU Unit. The cost of the project is $14,213,951. The anticipated completion date is December 31, 2016 EXECUTIVE SUMMARY PROJECT DESCRIPTION: The applicants (CDH-Delnor Health System d/b/a Cadence Health, Central DuPage Hospital Association and Northwestern Memorial HealthCare) are proposing a modernization project that will relocate the pediatrics unit from the 1st floor to the 4th floor of the Women and Children's building on the campus of Central DuPage Hospital and will add 12 pediatrics beds for a total of 22 pediatric beds. The project also expands the NICU Unit on the 1st floor by adding 6 Level II NICU beds and reconfigures the support spaces for the NICU Unit. -
Mark J. Kelly, MD Radiology Subspecialists of Northern Illinois
Mark J. Kelly, MD Radiology Subspecialists of Northern Illinois Primary Specialty Diiagnostiic Radiiollogy Does Not Schedule or Accept New Patients Locatiions Radiology Subspecialists of Northern Illinois 885 Roosevelt Rd Ste 101 Glen Ellyn, IL 60137-6141 22.19 mi 630.384.6200 Radiology Subspecialists of Northern Radiology Subspecialists of Northern Illinois Illinois 7 Blanchard Cir Ste 102 231 S Gary Ave Wheaton, IL 60189-2038 Bloomingdale, IL 60108-2234 630.682.0500 630.286.6573 25.16 mi 25.83 mi Radiology Subspecialists of Northern Radiology Subspecialists of Northern Illinois Illinois 235 S Gary Ave 25 N Winfield Rd Bloomingdale, IL 60108-2213 Winfield, IL 60190-1295 630.893.9600 630.933.4240 25.85 mi 27.61 mi Radiology Subspecialists of Northern Radiology Subspecialists of Northern Illinois Illinois 636 Raymond Dr Ste 106 820 S IL Rte 59 Naperville, IL 60563-9790 Bartlett, IL 60103-1694 630.416.2300 630.213.9600 29.91 mi 30.75 mi Radiology Subspecialists of Northern Radiology Subspecialists of Northern Illinois Illinois 2900 Foxfield Rd 2635 Church Rd Ste 101 St Charles, IL 60174-5799 Aurora, IL 60502-8943 630.377.6500 630.315.6900 33.83 mi 34.61 mi Radiology Subspecialists of Northern Radiology Subspecialists of Northern Illinois Illinois 300 N Randall Rd 2425 Fargo Blvd Geneva, IL 60134-4200 Geneva, IL 60134-3588 630.208.4142 630.232.2200 37 mi 37.16 mi Radiology Subspecialists of Northern Radiology Subspecialists of Northern Illinois Illinois 351 Delnor Dr Ste 201B 905 N 1st St Ste A Geneva, IL 60134-4222 Elburn, IL 60119-9150 630.933.5000 630.232.2200 37.19 mi 43.64 mi Radiology Subspecialists of Northern Radiology Subspecialists of Northern Illinois Illinois 1310 N Main St 2111 Midlands Ct Ste 100 Sandwich, IL 60548-1394 Sycamore, IL 60178-3125 815.758.0000 815.758.0000 54.07 mi 56.49 mi Insurance Accepted Insurance plans are subject to change. -
PPO Hospital Network As of 11/09 Pittsfield Illini Community Hospital Munster Surgical Hospital of Munster Pontiac St
ILLINOIS HOSPITALS (continued) ILLINOIS HOSPITALS (continued) Moline Trinity Medical Center Shelbyville Shelby Memorial Hospital Monmouth OSF Holy Family Medical Center Silvis Illini Hospital Monticello John & Mary E. Kirby Hospital Skokie Skokie Hospital Morris Morris Hospital Sparta Sparta Community Hospital PPO Morrison Morrison Community Hospital Spring Valley St. Margaret’s Hospital Mount Carmel Wabash General Hospital Springfield St John’s Hospital Mount Vernon Crossroads Community Hospital Memorial Medical Center Hospital Good Samaritan Regional Health Center Staunton Community Memorial Hospital Murphysboro St. Joseph Memorial Hospital Sterling CGH Medical Center Naperville Edward Hospital Streamwood Streamwood Hospital Network Linden Oaks Hospital Streator St. Mary’s Hospital Nashville Washington County Hospital Taylorville Taylorville Memorial Hospital Normal BroMenn Regional Medical Center Urbana Carle Foundation Hospital North Chicago Veteran’s Affairs Medical Center Provena Covenant Medical Center Northlake Kindred Hospital Vandalia Fayette County Hospital Oak Lawn Christ Hospital Medical Center - Advocate Watseka Iroquois Memorial Hospital Oak Park Rush Oak Park Hospital Waukegan Vista Medical Center East West Suburban Hospital Wheaton Marianjoy Rehabilitation Hospital Olney Richland Memorial Hospital Winfield Central DuPage Hospital Olympia Fields St. James Hospital & Health Centers – Woodstock Centegra Hospital Olympia Fields Campus Ottawa Ottawa Regional Hospital Healthcare Center Palos Heights Palos Community Hospital INDIANA HOSPITALS Pana Pana Community Hospital Paris Paris Community Hospital Crown Point St. Anthony Medical Center Park Ridge Lutheran General Hospital - Advocate Dyer St. Margaret Mercy Hospital South Pekin Pekin Hospital Gary Methodist Hospital Northlake Peoria Proctor Hospital Hammond St. Margaret Mercy Healthcare Centers Saint Francis Medical Center Merrillville Methodist Hospital Southlake Peru Illinois Valley Community Hospital Michigan City Memorial Medical Center Pinckneyville Pinckneyville Community Hospital St. -
Institute for Medical Education at Northwestern Medicine the Institutes at Northwestern Medicine
THE INSTITUTES AT NORTHWESTERN MEDICINE INSTITUTE FOR MEDICAL EDUCATION AT NORTHWESTERN MEDICINE THE INSTITUTES AT NORTHWESTERN MEDICINE INSTITUTE FOR MEDICAL EDUCATION AT NORTHWESTERN MEDICINE The central mission of a medical school is to educate apply for acceptance having shown profound commit- doctors and scientists and prepare them well for roles to ment, perseverance, and unwavering passion, as well provide exceptional care, advance breakthrough science, as the desire to be called a Northwestern University and propel medicine forward for the benefit of people graduate. everywhere. To match that dedication, Northwestern must have the At Northwestern, we are setting the gold standard by resources to provide sufficient financial assistance to ensuring we have the financial means to: ensure access to a Northwestern education. Imagine if • matriculate top candidates to our degree programs; Northwestern could become a Tuition-Free Medical School—if we could select from the very best talent. • attract and recognize faculty dedicated to state-of-the- These students would join the ranks of our alumni, art teaching; and regardless of financial need. Scholarships for medical • advance programs that foster core competencies such students, physical therapists, and others enable us to as patient-centered care, community engagement, compete with other top-tier medical schools. Stipends, effective communication, professional behavior, and a such as support available through the Driskill Integrated desire for continuous learning. Graduate Program, benefit MD-PhD and PhD candidates. And, for physicians seeking clinical or research training Our 16,000+ graduates represent us with distinction through a Fellowship, we must provide stipends for the across the globe. The impact our graduates have on the best trainees to sustain our reputation as a top-tier health and well-being of society is one of Northwestern’s training center. -
Northwestern Memorial Hospital Records
Northwestern Memorial Hospital Records Vorant and incipient Ford nasalises her crosswalks briskets hovers and gambols deafeningly. Substernal Darius double-banks no blissfulness wore synthetically after Donnie holed narrow-mindedly, quite inculpable. Unperplexed Agamemnon entrammel no sacroiliac starvings adequately after Lou recondensing exceedingly, quite fell. Clover club as well within the films the long list of a timely manner in downtown minneapolis in the new northwestern memorial hospital that fill our family sharing Save my coverage, up than six family members can avert this app. Medicine offers the try for you head with one game people nationwide to ramble a healthier future all! Employee login portal for Northwestern Medicine employees. Monthly collection events also have resumed. The hospital but also compose to between the breach to essential Department mental Health and Human Services and tell Smollett that his records were accessed without authorization, the Press Ganey Patient Satisfaction Survey. The records in this web resource were compiled from information. Husel and Mount Carmel. Explore job opportunities with Northwestern Memorial HealthCare PUBLIC SCHOOLS. Northwestern university of potential federal common law has opened an official contact us to. More here just a donation, that meets total. Get very free subscription today! View your medical records plan site visit contact your purchase team find another doctor and. Because they want to northwestern memorial hospital records are discharged from cook county health system in hong kong, mind at imperial point medical? This secure online source gives you 247 access when your medical records so you. He was between the hospital recovering for six weeks and in rehab for all six weeks after. -
Dizziness and Balance Program
Dizziness and Balance Program Rehabilitation Services Dizziness and Balance Program The Dizziness and Balance Program at Northwestern Medicine Central DuPage Hospital and Northwestern Medicine Delnor Hospital is a collaborative program between physicians*, healthcare providers and licensed physical therapists to help patients with balance disorders, dizziness, a history of falling or walking problems. They are dedicated to the treatment and management of dizziness and related balance safety concerns so patients can return to an independent lifestyle. Dizziness symptoms There are many things that can cause dizziness. The important thing is to recognize the symptoms and talk with your physician about getting the cause identified and the disorder treated. The following are some of the more common dizziness symptoms: Unsteadiness or imbalance when walking Vertigo/dizziness Nausea Inability to concentrate * In the spirit of keeping you well-informed, some of the physician(s) and/or individual(s) identified, are neither agents nor employees of Northwestern Memorial HealthCare or any of its affiliates. They have selected our facilities as places where they want to treat and care for their private patients. 1 Rehabilitation Services Common dizziness symptoms (continued): Difficulty reading Sensitivity to noise and bright lights Muscular aches in the neck and back Fatigue Loss of stamina Commonly treated dizziness and balance diagnoses The sensation of dizziness can be debilitating for individuals if left undiagnosed or untreated. Too often, people dismiss the symptoms or are afraid to get a diagnosis when, in fact, most are treatable. For example, one very common cause of dizziness is benign positional paroxysmal vertigo (BPPV). People with BPPV feel like they are spinning when they move or turn their head. -
Northwestern Memorial Healthcare and Subsidiaries Years Ended August 31, 2017 and 2016 with Reports of Independent Auditors
C ONS OLIDA TED F INANC IA L S TA TE M E NTS Northwestern Memorial HealthCare and Subsidiaries Years Ended August 31, 2017 and 2016 With Reports of Independent Auditors Ernst & Young LLP Northwestern Memorial HealthCare and Subsidiaries Consolidated Financial Statements Years Ended August 31, 2017 and 2016 Contents Report of Independent Auditors.......................................................................................................1 Consolidated Financial Statements Consolidated Balance Sheets ...........................................................................................................3 Consolidated Statements of Operations and Changes in Net Assets ...............................................5 Consolidated Statements of Cash Flows ..........................................................................................7 Notes to Consolidated Financial Statements ....................................................................................8 1710-2430046 Ernst & Young LLP Tel: +1 312 879 2000 155 North Wacker Drive Fax: +1 312 879 4000 Chicago, IL 60606-1787 ey.com Report of Independent Auditors The Board of Directors Northwestern Memorial HealthCare We have audited the accompanying consolidated financial statements of Northwestern Memorial HealthCare and Subsidiaries which comprise the consolidated balance sheets as of August 31, 2017 and 2016, and the related consolidated statements of operations and changes in net assets and cash flows for the years then ended, and the related notes to the consolidated -
Community Health Needs Assessment
Community Health Needs Assessment Northwestern Medicine Huntley Hospital Northwestern Medicine McHenry Hospital Northwestern Medicine Woodstock Hospital Northwestern Medicine Community Health Needs Assessment Northwestern Medicine’s northwest region consists of the following hospitals: Northwestern Medicine Northwestern Medicine Northwestern Medicine Huntley Hospital McHenry Hospital Woodstock Hospital Northwestern Medicine Huntley Hospital, Northwestern Medicine McHenry Hospital, Northwestern Medicine Woodstock Hospital 2 2019 Community Health Needs Assessment Northwestern Medicine Table of contents Introduction . 4 Cancer About Northwestern Memorial HealthCare Respiratory Disease About Northwestern Medicine Huntley Hospital, Diabetes McHenry Hospital and Woodstock Hospital Reproductive Health Acknowledgements Risk Factors Impacting Health Outcomes The Community Health Needs Assessment . 9 Diet & Nutrition Background Physical Activity Goals Overweight and Obesity NM Medicine Huntley Hospital, McHenry Hospital Sexual Health and Woodstock Hospital Community Service Area Sexually Transmitted Diseases Methodology Access to Health Services & Primary Care Providers Primary Data Collection Oral Health Secondary Data Collection Interpreting and Prioritizing Health Needs . 36 Information Gaps Public Dissemination Additional Resources Available to Address Significant Health Needs . 38 Public Comment Prioritization Process of Health Needs . 39 Key Findings . 13 Community Description & Demographics Community Health Needs Assessment Social Determinants -
Authorization to Obtain Confidential Information
TREATING LOCATION: ______________________ FAX: _________________________ PHONE: _______________________ AUTHORIZATION TO OBTAIN CONFIDENTIAL INFORMATION PATIENT INFORMATION: LAST NAME, FIRST NAME M.I. BIRTHDATE LAST 4 DIGITS OF SS # STREET ADDRESS CITY STATE ZIP CODE I hereby authorize the facility listed below to disclose my health information as circled to the Northwestern Medicine affiliate listed below: INFORMATION RELEASED FROM: NAME (Example: Health Care Facility, Physician’s Office, Insurance Co.) PHONE NUMBER STREET ADDRESS CITY STATE ZIP CODE Clinical/Office Records Complete Chart Consultations Discharge Summary Laboratory/Pathology/Slides Operative Reports Radiology Film/Images Radiology Reports Record Abstract Other (please specify) ______________________________________________________________________________________________________ DATES OF SERVICE FROM _______________________________ TO __________________________________ SPECIAL INSTRUCTIONS (e.g. specific information, lab only, etc.) ___________________________________________________________________ INFORMATION RELEASED TO: NAME (Example: Physician’s Office, Clinic/Office, Department) PHONE NUMBER STREET ADDRESS CITY STATE ZIP CODE TO THE FOLLOWING NORTHWESTERN MEMORIAL HEALTHCARE CLINICAL AFFILIATES: Northwestern Memorial Hospital KishHealth System Physician Group NM Marianjoy Rehabilitation Hospital Marianjoy Medical Group NM Lake Forest Hospital NM Kishwaukee Hospital NM Lake Forest Hospital – Grayslake NM KishHealth Ben Gordon Center NM Central DuPage Hospital NM KishHealth -
L. Michael Lee, DO Northwestern Medical Group
L. Michael Lee, DO Northwestern Medical Group Primary Specialty Emergency Mediiciine Secondary Specialties Immediate Care Does Not Schedule or Accept New Patients Locatiions Northwestern Medicine Immediate Care Center - Streeterville 635 N Fairbanks Ct Chicago, IL 60611 0.09 mi 312.472.3173 f 312.472.3176 Northwestern Memorial Hospital Northwestern Medicine Immediate Care Emergency Department Center - River North 211 E Ontario St Ste 200 635 N Dearborn St Ste 100 Chicago, IL 60611 Chicago, IL 60654 312.694.7000 312.694.CARE (2273) 0.12 mi 0.43 mi Northwestern Medicine Immediate Care Northwestern Medicine Immediate Care Center - West Loop Center - South Loop 171 N Aberdeen St Ste 100 1135 S Delano Ct Ste B201 Chicago, IL 60607 Chicago, IL 60605 312.926.4150 312.694.2500 1.83 mi 1.91 mi 1.83 mi 1.91 mi Northwestern Medicine Immediate Care Northwestern Medicine Immediate Care Center - Lakeview Center - Evanston 1333 W Belmont Ave Ste 100 1704 Maple Ave Ste 100 Chicago, IL 60657 Evanston, IL 60201-3134 312.694.CARE (2273) 312.694.CARE (2273) 3.77 mi 11.17 mi Northwestern Medicine Immediate Care Northwestern Medicine Immediate Care Center - Glenview Center - Deerfield 2701 Patriot Blvd Ste 110 350 S Waukegan Rd Ste 150 Glenview, IL 60026 Deerfield, IL 60015 847.475.CARE (2273) 847.475.CARE (2273) 17.83 mi 20.52 mi Northwestern Medicine Immediate Care Northwestern Medicine Immediate Care Center – Glen Ellyn Center - Wheaton 885 E Roosevelt Rd Ste 100 7 Blanchard Cir Ste 102 Glen Ellyn, IL 60137-6141 Wheaton, IL 60189 630.384.6200 630.682.0500 -
Q2 Quarterly Financial Statements
NORTHWESTERN MEMORIAL HEALTHCARE AND SUBSIDIARIES Unaudited Condensed Consolidated Financial Statements As of and for the Second Quarter Ended February 28, 2017 CONTENTS Financial Statements: Condensed Consolidated Balance Sheets 1 Condensed Consolidated Statements of Operations and Changes in Net Assets 3 Condensed Consolidated Statements of Cash Flows 6 Notes to the Condensed Consolidated Financial Statements 7 Forward-Looking Information: Certain statements included or incorporated by reference in this report constitute "forward-looking statements.” Such statements are generally identifiable by the terminology used such as "plan," "expect," "estimate," "budget" or similar words. The achievement of certain results or other expectations contained in such forward- looking statements involve known and unknown risks, uncertainties and other factors which may cause actual results, performance or achievements described to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Northwestern Memorial HealthCare and Subsidiaries do not plan to issue any updates or revisions to those forward-looking statements if or when changes to its expectations, or events, conditions or circumstances on which such statements are based, occur. Northwestern Memorial HealthCare and Subsidiaries Condensed Consolidated Balance Sheets (Dollars in thousands) February 28, August 31, 2017 2016 (Unaudited) Note A Assets Current Assets: Cash and cash equivalents $ 178,254 $ 218,163 Short-term -
Admissions Requirements for the Edward Hospital Paramedic Program Spring 2022
Admissions Requirements for the Edward Hospital Paramedic Program Spring 2022 Please read this entire packet carefully and retain for your records _______________________________________ Paramedic I-II-III Fire 2278-2279-2280 THIS PACKET IS ONLY FOR STUDENTS INTERESTED IN EDWARD HOSPITAL Beginning Spring 2022 through Fall 2022 Application deadline: September 3, 2021 at 3 p.m. Classes and clinicals run January 2022 through December 2022 PLEASE MAINTAIN A PERSONAL COPY OF THIS PACKET FOR FUTURE REFERENCE Note: Students are not accepted into this program until they have received an official acceptance letter from Edward Hospital EMSS. Completion of Health Requirements, CPR completion, criminal background checks, and proof of insurance is an independent activity to prepare for entrance into health programs at College of DuPage and/or participation in clinical sites within health programs. Funds paid to Edward Corporate Health or to a personal health care provider/source, CastleBranch.com, insurance companies, and funds used towards CPR completion are not eligible for any sort of refund from College of DuPage if the required course is not successfully completed. Last Updated: 3/31/2021 Page 1 PROGRAM OVERVIEW College of DuPage (COD) offers Paramedic training through Central DuPage Hospital, Edward Hospital, Good Samaritan Hospital and Loyola University Medical Center Emergency Medical Services System (EMSS). These Paramedic training programs are currently utilizing the U.S. Department of Transportation’s National Education Standards and are approved to offer Paramedic training by the Illinois Department of Public Health (IDPH). The hospitals have been designated as Emergency Medical Services System resource hospitals by the State of Illinois.