Macneal Hospital


About the Facility

CMS Certification Number (CCN)
14T054
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
3249 S. Oak Park Ave
Phone Number
(708) 783-9100

Facility Medical Condition Statistics

All other conditions
31
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
25
Hip or knee replacement, amputation or other bone or joint condition
24
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
28

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
308
Predicted number of infections (B)
0.653
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
124
Denominator
125
Facility rate
99.2
Change in patients ability to care for themselves
Average risk-adjusted change score
9.7
Denominator
111
Average observed change score
10.8
Change in patients ability to move around
Average risk-adjusted change score
20.9
Denominator
111
Average observed change score
24.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
38
Denominator
111
Facility rate
34.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
28
Denominator
111
Facility rate
25.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
125
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.594
SIR 95% confidence interval - upper limit
6.357
Comparative performance category
No Different than the National Benchmark
Patient days
2,792
Predicted number of infections (B)
1.284
Number of infections reported (A)
3
SIR (A/B)
2.336
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
1,164
Number of health care workers
2,120
Rate of flu vaccination
54.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
17
Number of eligible stays
175
Unadjusted potentially preventable readmission rate
9.71
Risk-standardized potentially preventable readmission rate (RSRR)
9.42
Lower limit of the 95% confidence interval on the RSRR
7.37
Upper limit of the 95% confidence interval on the RSRR
12.16
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
184
Unadjusted potentially preventable readmission rate
2.72
Risk-standardized potentially preventable readmission rate (RSRR)
4.44
Lower limit of the 95% confidence interval on the RSRR
2.79
Upper limit of the 95% confidence interval on the RSRR
6.72
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)
103
Number of eligible stays
146
Observed discharge to community rate
70.55
Risk-standardized discharge to community rate
66.17
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.34
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.40
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.86
Number of eligible episodes
163
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
115
Denominator
125
Facility rate
92.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
125
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
2,136
Number of health care workers
2,350
Rate of COVID-19 vaccination
90.9