St. James Hospital


About the Facility

CMS Certification Number (CCN)
14T172
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
20201 S. Crawford
Phone Number
(708) 747-4000

Facility Medical Condition Statistics

All other conditions
42
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
33
Hip or knee replacement, amputation or other bone or joint condition
27
Nervous system disorder (excluding stroke)
20
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
-
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
113
Predicted number of infections (B)
0.216
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
162
Denominator
162
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.8
Denominator
146
Average observed change score
15.3
Change in patients ability to move around
Average risk-adjusted change score
33.5
Denominator
146
Average observed change score
36.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
105
Denominator
146
Facility rate
71.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
107
Denominator
146
Facility rate
73.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
162
Facility rate
0.6
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
2,419
Predicted number of infections (B)
0.865
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
1,884
Number of health care workers
2,472
Rate of flu vaccination
76.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
22
Number of eligible stays
210
Unadjusted potentially preventable readmission rate
10.48
Risk-standardized potentially preventable readmission rate (RSRR)
9.29
Lower limit of the 95% confidence interval on the RSRR
7.39
Upper limit of the 95% confidence interval on the RSRR
11.75
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
232
Unadjusted potentially preventable readmission rate
3.45
Risk-standardized potentially preventable readmission rate (RSRR)
4.56
Lower limit of the 95% confidence interval on the RSRR
3.28
Upper limit of the 95% confidence interval on the RSRR
6.21
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)
127
Number of eligible stays
200
Observed discharge to community rate
63.50
Risk-standardized discharge to community rate
64.04
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.10
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.25
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
215
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
160
Denominator
162
Facility rate
98.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
162
Facility observed rate
1.9
Facility risk-adjusted rate
1.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
23
Number of health care workers
24
Rate of COVID-19 vaccination
95.8