Herrin Hospital


About the Facility

CMS Certification Number (CCN)
14T011
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
Herrin Hospital
Phone Number
(618) 942-2171

Facility Medical Condition Statistics

All other conditions
83
Brain disease or condition (non-traumatic)
15
Brain injury (traumatic)
19
Hip or femur fracture
62
Hip or knee replacement, amputation or other bone or joint condition
61
Nervous system disorder (excluding stroke)
28
Spinal cord disease or condition (non-traumatic)
11
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
72

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.047
SIR 95% confidence interval - upper limit
4.618
Comparative performance category
No Different than the National Benchmark
Catheter days
447
Predicted number of infections (B)
1.068
Number of infections reported (A)
1
SIR (A/B)
0.936
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
340
Denominator
340
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.0
Denominator
307
Average observed change score
11.7
Change in patients ability to move around
Average risk-adjusted change score
23.7
Denominator
307
Average observed change score
25.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
118
Denominator
307
Facility rate
38.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
115
Denominator
307
Facility rate
37.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
340
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.030
SIR 95% confidence interval - upper limit
2.931
Comparative performance category
No Different than the National Benchmark
Patient days
5,801
Predicted number of infections (B)
1.682
Number of infections reported (A)
1
SIR (A/B)
0.594
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
26
Number of health care workers
26
Rate of flu vaccination
100.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
30
Number of eligible stays
416
Unadjusted potentially preventable readmission rate
7.21
Risk-standardized potentially preventable readmission rate (RSRR)
8.31
Lower limit of the 95% confidence interval on the RSRR
6.74
Upper limit of the 95% confidence interval on the RSRR
10.30
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
18
Number of eligible stays
447
Unadjusted potentially preventable readmission rate
4.03
Risk-standardized potentially preventable readmission rate (RSRR)
4.62
Lower limit of the 95% confidence interval on the RSRR
3.03
Upper limit of the 95% confidence interval on the RSRR
6.17
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)
240
Number of eligible stays
366
Observed discharge to community rate
65.57
Risk-standardized discharge to community rate
64.62
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.21
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.47
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
388
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
336
Denominator
340
Facility rate
98.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
340
Facility observed rate
0.3
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
23
Number of health care workers
23
Rate of COVID-19 vaccination
100.0