Presence St Joseph - Elgin


About the Facility

CMS Certification Number (CCN)
14T217
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
77 N. Airlite Street
Phone Number
(502) 596-6346

Facility Medical Condition Statistics

All other conditions
124
Brain disease or condition (non-traumatic)
31
Brain injury (traumatic)
37
Hip or femur fracture
22
Hip or knee replacement, amputation or other bone or joint condition
37
Nervous system disorder (excluding stroke)
38
Spinal cord disease or condition (non-traumatic)
15
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
77

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
392
Predicted number of infections (B)
0.567
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
380
Denominator
381
Facility rate
99.7
Change in patients ability to care for themselves
Average risk-adjusted change score
13.2
Denominator
334
Average observed change score
15.9
Change in patients ability to move around
Average risk-adjusted change score
38.9
Denominator
334
Average observed change score
39.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
194
Denominator
334
Facility rate
58.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
261
Denominator
334
Facility rate
78.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
381
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.096
SIR 95% confidence interval - upper limit
1.893
Comparative performance category
No Different than the National Benchmark
Patient days
6,558
Predicted number of infections (B)
3.490
Number of infections reported (A)
2
SIR (A/B)
0.573
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
99
Number of health care workers
108
Rate of flu vaccination
91.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
67
Number of eligible stays
576
Unadjusted potentially preventable readmission rate
11.63
Risk-standardized potentially preventable readmission rate (RSRR)
9.17
Lower limit of the 95% confidence interval on the RSRR
7.69
Upper limit of the 95% confidence interval on the RSRR
10.82
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
31
Number of eligible stays
638
Unadjusted potentially preventable readmission rate
4.86
Risk-standardized potentially preventable readmission rate (RSRR)
4.15
Lower limit of the 95% confidence interval on the RSRR
3.06
Upper limit of the 95% confidence interval on the RSRR
5.18
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)
326
Number of eligible stays
517
Observed discharge to community rate
63.06
Risk-standardized discharge to community rate
70.65
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.79
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.88
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.16
Number of eligible episodes
570
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
381
Denominator
381
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
380
Facility observed rate
1.1
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
80
Number of health care workers
85
Rate of COVID-19 vaccination
94.1