Ssm Health Good Samaritan Hosp


About the Facility

CMS Certification Number (CCN)
14T046
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1 Good Samaritan Way
Phone Number
(618) 899-3197

Facility Medical Condition Statistics

All other conditions
32
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
19
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
-
Stroke
55

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
125
Predicted number of infections (B)
0.236
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
131
Denominator
131
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.8
Denominator
112
Average observed change score
9.7
Change in patients ability to move around
Average risk-adjusted change score
29.2
Denominator
112
Average observed change score
29.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
43
Denominator
112
Facility rate
38.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
53
Denominator
112
Facility rate
47.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
131
Facility rate
0.8
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Patient days
2,230
Predicted number of infections (B)
0.975
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
12
Number of health care workers
13
Rate of flu vaccination
92.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
15
Number of eligible stays
173
Unadjusted potentially preventable readmission rate
8.67
Risk-standardized potentially preventable readmission rate (RSRR)
8.78
Lower limit of the 95% confidence interval on the RSRR
6.81
Upper limit of the 95% confidence interval on the RSRR
11.01
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
5
Number of eligible stays
188
Unadjusted potentially preventable readmission rate
2.66
Risk-standardized potentially preventable readmission rate (RSRR)
4.21
Lower limit of the 95% confidence interval on the RSRR
2.83
Upper limit of the 95% confidence interval on the RSRR
6.33
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)
110
Number of eligible stays
158
Observed discharge to community rate
69.62
Risk-standardized discharge to community rate
69.57
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.41
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.35
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.06
Number of eligible episodes
159
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
131
Denominator
131
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
131
Facility observed rate
1.5
Facility risk-adjusted rate
2.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
2
Number of health care workers
2
Rate of COVID-19 vaccination
100.0