Alexian Brothers Medical Center


About the Facility

CMS Certification Number (CCN)
14T258
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
800 W Biesterfield Rd
Phone Number
(847) 437-5500

Facility Medical Condition Statistics

All other conditions
318
Brain disease or condition (non-traumatic)
127
Brain injury (traumatic)
65
Hip or femur fracture
84
Hip or knee replacement, amputation or other bone or joint condition
87
Nervous system disorder (excluding stroke)
84
Spinal cord disease or condition (non-traumatic)
27
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
205

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.210
SIR 95% confidence interval - upper limit
4.130
Comparative performance category
No Different than the National Benchmark
Catheter days
1,109
Predicted number of infections (B)
1.600
Number of infections reported (A)
2
SIR (A/B)
1.250
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
978
Denominator
978
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.0
Denominator
831
Average observed change score
16.1
Change in patients ability to move around
Average risk-adjusted change score
38.3
Denominator
831
Average observed change score
39.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
547
Denominator
831
Facility rate
65.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
617
Denominator
831
Facility rate
74.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
978
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.317
Comparative performance category
Better than the National Benchmark
Patient days
17,754
Predicted number of infections (B)
9.448
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
236
Number of health care workers
258
Rate of flu vaccination
91.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
125
Number of eligible stays
1,179
Unadjusted potentially preventable readmission rate
10.60
Risk-standardized potentially preventable readmission rate (RSRR)
8.63
Lower limit of the 95% confidence interval on the RSRR
7.53
Upper limit of the 95% confidence interval on the RSRR
9.86
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
91
Number of eligible stays
1,340
Unadjusted potentially preventable readmission rate
6.79
Risk-standardized potentially preventable readmission rate (RSRR)
4.95
Lower limit of the 95% confidence interval on the RSRR
3.99
Upper limit of the 95% confidence interval on the RSRR
5.68
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)
699
Number of eligible stays
1,080
Observed discharge to community rate
64.72
Risk-standardized discharge to community rate
73.67
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.54
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.85
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.19
Number of eligible episodes
1,137
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
977
Denominator
978
Facility rate
99.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
976
Facility observed rate
0.5
Facility risk-adjusted rate
0.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
181
Number of health care workers
187
Rate of COVID-19 vaccination
96.8