Amita Health Saints Mary and St Elizabeth Med Ctr


About the Facility

CMS Certification Number (CCN)
14T180
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
2233 West Division Street
Phone Number
(312) 770-2268

Facility Medical Condition Statistics

All other conditions
19
Brain disease or condition (non-traumatic)
28
Brain injury (traumatic)
12
Hip or femur fracture
15
Hip or knee replacement, amputation or other bone or joint condition
21
Nervous system disorder (excluding stroke)
18
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
62

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
227
Predicted number of infections (B)
0.617
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
175
Denominator
175
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.7
Denominator
149
Average observed change score
11.3
Change in patients ability to move around
Average risk-adjusted change score
27.1
Denominator
149
Average observed change score
27.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
84
Denominator
149
Facility rate
56.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
59
Denominator
149
Facility rate
39.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
175
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.040
SIR 95% confidence interval - upper limit
3.914
Comparative performance category
No Different than the National Benchmark
Patient days
3,270
Predicted number of infections (B)
1.260
Number of infections reported (A)
1
SIR (A/B)
0.794
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
20
Rate of flu vaccination
85.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
18
Number of eligible stays
154
Unadjusted potentially preventable readmission rate
11.69
Risk-standardized potentially preventable readmission rate (RSRR)
9.07
Lower limit of the 95% confidence interval on the RSRR
6.98
Upper limit of the 95% confidence interval on the RSRR
11.20
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
5
Number of eligible stays
166
Unadjusted potentially preventable readmission rate
3.01
Risk-standardized potentially preventable readmission rate (RSRR)
4.29
Lower limit of the 95% confidence interval on the RSRR
2.71
Upper limit of the 95% confidence interval on the RSRR
6.09
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)
87
Number of eligible stays
129
Observed discharge to community rate
67.44
Risk-standardized discharge to community rate
69.68
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.84
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.90
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
154
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
170
Denominator
175
Facility rate
97.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
174
Facility observed rate
0.6
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
8
Number of health care workers
8
Rate of COVID-19 vaccination
100.0