About the Facility
- CMS Certification Number (CCN)
- 14T114
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
Swedish Covenant Hospital
- Phone Number
- (773) 989-6248
Facility Medical Condition Statistics
- All other conditions
- 84
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- 22
- Hip or knee replacement, amputation or other bone or joint condition
- 22
- Nervous system disorder (excluding stroke)
- 37
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 98
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
- 356
- Predicted number of infections (B)
- 0.969
- 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
- 333
- Denominator
- 335
- Facility rate
- 99.4
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.5
- Denominator
- 298
- Average observed change score
- 10.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.8
- Denominator
- 298
- Average observed change score
- 26.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 135
- Denominator
- 298
- Facility rate
- 45.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 121
- Denominator
- 298
- Facility rate
- 40.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 335
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.091
- SIR 95% confidence interval - upper limit
- 1.789
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,156
- Predicted number of infections (B)
- 3.693
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.542
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 151
- Number of health care workers
- 163
- Rate of flu vaccination
- 92.6
- 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
- 206
- Unadjusted potentially preventable readmission rate
- 7.28
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.49
- Lower limit of the 95% confidence interval on the RSRR
- 6.69
- Upper limit of the 95% confidence interval on the RSRR
- 10.71
- 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
- 225
- Unadjusted potentially preventable readmission rate
- 4.89
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.04
- Lower limit of the 95% confidence interval on the RSRR
- 3.77
- Upper limit of the 95% confidence interval on the RSRR
- 7.57
- 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)
- 122
- Number of eligible stays
- 196
- Observed discharge to community rate
- 62.24
- Risk-standardized discharge to community rate
- 62.96
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.52
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.44
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 203
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 328
- Denominator
- 335
- Facility rate
- 97.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 334
- 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
- 100
- Number of health care workers
- 119
- Rate of COVID-19 vaccination
- 84.0