St Marys Hospital


About the Facility

CMS Certification Number (CCN)
14T166
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1800 E Lake Shore Dr
Phone Number
(217) 464-5195

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
-
Hip or femur fracture
12
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
-
Stroke
25

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
78
Predicted number of infections (B)
0.138
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
63
Denominator
63
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.0
Denominator
57
Average observed change score
12.9
Change in patients ability to move around
Average risk-adjusted change score
28.4
Denominator
57
Average observed change score
29.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
30
Denominator
57
Facility rate
52.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
29
Denominator
57
Facility rate
50.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
63
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
Not Available
Comparative performance category
Not Available
Patient days
1,835
Predicted number of infections (B)
0.703
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
4
Number of health care workers
7
Rate of flu vaccination
57.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
8
Number of eligible stays
171
Unadjusted potentially preventable readmission rate
4.68
Risk-standardized potentially preventable readmission rate (RSRR)
7.90
Lower limit of the 95% confidence interval on the RSRR
6.07
Upper limit of the 95% confidence interval on the RSRR
10.10
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
6
Number of eligible stays
184
Unadjusted potentially preventable readmission rate
3.26
Risk-standardized potentially preventable readmission rate (RSRR)
4.68
Lower limit of the 95% confidence interval on the RSRR
3.08
Upper limit of the 95% confidence interval on the RSRR
6.16
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)
106
Number of eligible stays
163
Observed discharge to community rate
65.03
Risk-standardized discharge to community rate
63.01
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.43
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.59
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
182
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
62
Denominator
63
Facility rate
98.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
63
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
Not Available
Number of health care workers
Not Available
Rate of COVID-19 vaccination
Not Available