Gottlieb Memorial Hospital


About the Facility

CMS Certification Number (CCN)
14T008
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
701 W North Ave
Phone Number
(708) 538-4219

Facility Medical Condition Statistics

All other conditions
59
Brain disease or condition (non-traumatic)
16
Brain injury (traumatic)
12
Hip or femur fracture
31
Hip or knee replacement, amputation or other bone or joint condition
40
Nervous system disorder (excluding stroke)
16
Spinal cord disease or condition (non-traumatic)
11
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
62

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Catheter days
266
Predicted number of infections (B)
0.437
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
244
Denominator
244
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.0
Denominator
215
Average observed change score
10.6
Change in patients ability to move around
Average risk-adjusted change score
21.4
Denominator
215
Average observed change score
24.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
97
Denominator
215
Facility rate
45.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
49
Denominator
215
Facility rate
22.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
244
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.021
SIR 95% confidence interval - upper limit
2.037
Comparative performance category
No Different than the National Benchmark
Patient days
4,361
Predicted number of infections (B)
2.422
Number of infections reported (A)
1
SIR (A/B)
0.413
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
564
Number of health care workers
1,118
Rate of flu vaccination
50.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
37
Number of eligible stays
288
Unadjusted potentially preventable readmission rate
12.85
Risk-standardized potentially preventable readmission rate (RSRR)
10.32
Lower limit of the 95% confidence interval on the RSRR
8.28
Upper limit of the 95% confidence interval on the RSRR
12.51
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
11
Number of eligible stays
313
Unadjusted potentially preventable readmission rate
3.51
Risk-standardized potentially preventable readmission rate (RSRR)
4.39
Lower limit of the 95% confidence interval on the RSRR
3.12
Upper limit of the 95% confidence interval on the RSRR
6.41
Comparative performance category
No Different than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
165
Number of eligible stays
244
Observed discharge to community rate
67.62
Risk-standardized discharge to community rate
66.05
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.30
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.64
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.88
Number of eligible episodes
291
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
236
Denominator
244
Facility rate
96.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
242
Facility observed rate
0.8
Facility risk-adjusted rate
1.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
1,221
Number of health care workers
1,502
Rate of COVID-19 vaccination
81.3