Osf Heart of Mary Medical Ctr


About the Facility

CMS Certification Number (CCN)
14T113
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1400 West Park St.
Phone Number
(502) 596-6346

Facility Medical Condition Statistics

All other conditions
70
Brain disease or condition (non-traumatic)
14
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
22
Hip or knee replacement, amputation or other bone or joint condition
15
Nervous system disorder (excluding stroke)
17
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
67

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
265
Predicted number of infections (B)
0.504
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
211
Denominator
211
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.6
Denominator
188
Average observed change score
9.7
Change in patients ability to move around
Average risk-adjusted change score
24.5
Denominator
188
Average observed change score
25.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
64
Denominator
188
Facility rate
34.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
74
Denominator
188
Facility rate
39.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
211
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.622
Comparative performance category
No Different than the National Benchmark
Patient days
4,224
Predicted number of infections (B)
1.847
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
27
Number of health care workers
36
Rate of flu vaccination
75.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
24
Number of eligible stays
219
Unadjusted potentially preventable readmission rate
10.96
Risk-standardized potentially preventable readmission rate (RSRR)
9.05
Lower limit of the 95% confidence interval on the RSRR
7.21
Upper limit of the 95% confidence interval on the RSRR
11.26
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
12
Number of eligible stays
245
Unadjusted potentially preventable readmission rate
4.90
Risk-standardized potentially preventable readmission rate (RSRR)
4.97
Lower limit of the 95% confidence interval on the RSRR
3.58
Upper limit of the 95% confidence interval on the RSRR
6.71
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)
111
Number of eligible stays
194
Observed discharge to community rate
57.22
Risk-standardized discharge to community rate
59.59
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
53.57
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.99
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
213
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
186
Denominator
211
Facility rate
88.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
210
Facility observed rate
0.5
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
107
Number of health care workers
114
Rate of COVID-19 vaccination
93.9