Unitypoint Health Methodist/proctor


About the Facility

CMS Certification Number (CCN)
14T209
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
221 Ne Glen Oak Ave
Phone Number
(309) 671-8263

Facility Medical Condition Statistics

All other conditions
146
Brain disease or condition (non-traumatic)
36
Brain injury (traumatic)
15
Hip or femur fracture
52
Hip or knee replacement, amputation or other bone or joint condition
46
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
13
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
40

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
189
Predicted number of infections (B)
0.390
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
358
Denominator
358
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.9
Denominator
320
Average observed change score
10.7
Change in patients ability to move around
Average risk-adjusted change score
25.0
Denominator
320
Average observed change score
29.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
120
Denominator
320
Facility rate
37.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
118
Denominator
320
Facility rate
36.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
358
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
1.248
Comparative performance category
No Different than the National Benchmark
Patient days
5,117
Predicted number of infections (B)
2.400
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
60
Number of health care workers
65
Rate of flu vaccination
92.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
25
Number of eligible stays
340
Unadjusted potentially preventable readmission rate
7.35
Risk-standardized potentially preventable readmission rate (RSRR)
7.90
Lower limit of the 95% confidence interval on the RSRR
6.33
Upper limit of the 95% confidence interval on the RSRR
9.79
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
14
Number of eligible stays
368
Unadjusted potentially preventable readmission rate
3.80
Risk-standardized potentially preventable readmission rate (RSRR)
4.24
Lower limit of the 95% confidence interval on the RSRR
2.84
Upper limit of the 95% confidence interval on the RSRR
5.62
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)
194
Number of eligible stays
298
Observed discharge to community rate
65.10
Risk-standardized discharge to community rate
66.06
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.03
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.81
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
354
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
358
Denominator
358
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
358
Facility observed rate
0.6
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
212
Number of health care workers
214
Rate of COVID-19 vaccination
99.1