Silver Cross Hospital


About the Facility

CMS Certification Number (CCN)
14T213
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1900 Silver Cross Blvd.
Phone Number
(815) 300-1100

Facility Medical Condition Statistics

All other conditions
140
Brain disease or condition (non-traumatic)
45
Brain injury (traumatic)
28
Hip or femur fracture
71
Hip or knee replacement, amputation or other bone or joint condition
51
Nervous system disorder (excluding stroke)
28
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
145

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.238
SIR 95% confidence interval - upper limit
4.683
Comparative performance category
No Different than the National Benchmark
Catheter days
676
Predicted number of infections (B)
1.411
Number of infections reported (A)
2
SIR (A/B)
1.417
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
517
Denominator
517
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.0
Denominator
463
Average observed change score
15.3
Change in patients ability to move around
Average risk-adjusted change score
27.2
Denominator
463
Average observed change score
29.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
281
Denominator
463
Facility rate
60.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
197
Denominator
463
Facility rate
42.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
517
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.709
Comparative performance category
Better than the National Benchmark
Patient days
8,809
Predicted number of infections (B)
4.228
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
Not Available
Number of health care workers
Not Available
Rate of flu vaccination
Not Available
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
74
Number of eligible stays
752
Unadjusted potentially preventable readmission rate
9.84
Risk-standardized potentially preventable readmission rate (RSRR)
9.12
Lower limit of the 95% confidence interval on the RSRR
7.67
Upper limit of the 95% confidence interval on the RSRR
10.83
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
30
Number of eligible stays
809
Unadjusted potentially preventable readmission rate
3.71
Risk-standardized potentially preventable readmission rate (RSRR)
3.90
Lower limit of the 95% confidence interval on the RSRR
3.05
Upper limit of the 95% confidence interval on the RSRR
5.22
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)
494
Number of eligible stays
661
Observed discharge to community rate
74.74
Risk-standardized discharge to community rate
78.89
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.53
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
82.17
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
685
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
516
Denominator
517
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
517
Facility observed rate
1.4
Facility risk-adjusted rate
1.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
64
Number of health care workers
67
Rate of COVID-19 vaccination
95.5