Advocate Illinois Masonic Medical Center


About the Facility

CMS Certification Number (CCN)
14T182
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
836 W. Wellington Street
Phone Number
(773) 293-7523

Facility Medical Condition Statistics

All other conditions
23
Brain disease or condition (non-traumatic)
25
Brain injury (traumatic)
22
Hip or femur fracture
32
Hip or knee replacement, amputation or other bone or joint condition
27
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
16
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
71

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
296
Predicted number of infections (B)
0.792
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
213
Denominator
214
Facility rate
99.5
Change in patients ability to care for themselves
Average risk-adjusted change score
12.7
Denominator
171
Average observed change score
12.5
Change in patients ability to move around
Average risk-adjusted change score
28.8
Denominator
171
Average observed change score
28.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
114
Denominator
171
Facility rate
66.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
85
Denominator
171
Facility rate
49.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
214
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.202
SIR 95% confidence interval - upper limit
3.985
Comparative performance category
No Different than the National Benchmark
Patient days
4,499
Predicted number of infections (B)
1.658
Number of infections reported (A)
2
SIR (A/B)
1.206
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
16
Number of health care workers
23
Rate of flu vaccination
69.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
12
Number of eligible stays
213
Unadjusted potentially preventable readmission rate
5.63
Risk-standardized potentially preventable readmission rate (RSRR)
8.13
Lower limit of the 95% confidence interval on the RSRR
6.31
Upper limit of the 95% confidence interval on the RSRR
10.54
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
15
Number of eligible stays
234
Unadjusted potentially preventable readmission rate
6.41
Risk-standardized potentially preventable readmission rate (RSRR)
5.69
Lower limit of the 95% confidence interval on the RSRR
4.05
Upper limit of the 95% confidence interval on the RSRR
8.18
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)
129
Number of eligible stays
191
Observed discharge to community rate
67.54
Risk-standardized discharge to community rate
66.48
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.17
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.72
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
184
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
204
Denominator
214
Facility rate
95.3
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
213
Facility observed rate
1.4
Facility risk-adjusted rate
1.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
26
Number of health care workers
27
Rate of COVID-19 vaccination
96.3