Bromenn Regional Medical Center


About the Facility

CMS Certification Number (CCN)
14T127
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
Bromenn Regional Medical Cente
Phone Number
(309) 268-1400

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
17
Hip or knee replacement, amputation or other bone or joint condition
18
Nervous system disorder (excluding stroke)
27
Spinal cord disease or condition (non-traumatic)
21
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
43

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
201
Predicted number of infections (B)
0.547
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
167
Denominator
168
Facility rate
99.4
Change in patients ability to care for themselves
Average risk-adjusted change score
9.8
Denominator
143
Average observed change score
11.0
Change in patients ability to move around
Average risk-adjusted change score
29.2
Denominator
143
Average observed change score
31.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
67
Denominator
143
Facility rate
46.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
81
Denominator
143
Facility rate
56.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
168
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
2.733
Comparative performance category
No Different than the National Benchmark
Patient days
2,845
Predicted number of infections (B)
1.096
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
17
Number of health care workers
17
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
13
Number of eligible stays
182
Unadjusted potentially preventable readmission rate
7.14
Risk-standardized potentially preventable readmission rate (RSRR)
8.60
Lower limit of the 95% confidence interval on the RSRR
6.61
Upper limit of the 95% confidence interval on the RSRR
10.85
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
201
Unadjusted potentially preventable readmission rate
3.48
Risk-standardized potentially preventable readmission rate (RSRR)
4.60
Lower limit of the 95% confidence interval on the RSRR
3.00
Upper limit of the 95% confidence interval on the RSRR
7.02
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)
101
Number of eligible stays
158
Observed discharge to community rate
63.92
Risk-standardized discharge to community rate
63.99
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.86
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.97
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
181
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
163
Denominator
168
Facility rate
97.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
168
Facility observed rate
1.8
Facility risk-adjusted rate
1.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
15
Number of health care workers
16
Rate of COVID-19 vaccination
93.8