Methodist Northlake


About the Facility

CMS Certification Number (CCN)
15T002
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
600 Grant St
Gary, Indiana 46402
Phone Number
(219) 886-4633

Facility Medical Condition Statistics

All other conditions
49
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
20
Spinal cord disease or condition (non-traumatic)
20
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
74

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.049
SIR 95% confidence interval - upper limit
4.835
Comparative performance category
No Different than the National Benchmark
Catheter days
374
Predicted number of infections (B)
1.020
Number of infections reported (A)
1
SIR (A/B)
0.980
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
185
Denominator
185
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.6
Denominator
168
Average observed change score
9.3
Change in patients ability to move around
Average risk-adjusted change score
29.4
Denominator
168
Average observed change score
30.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
63
Denominator
168
Facility rate
37.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
95
Denominator
168
Facility rate
56.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
185
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
1.679
Comparative performance category
No Different than the National Benchmark
Patient days
3,458
Predicted number of infections (B)
1.784
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
5,416
Number of health care workers
6,208
Rate of flu vaccination
87.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
15
Number of eligible stays
210
Unadjusted potentially preventable readmission rate
7.14
Risk-standardized potentially preventable readmission rate (RSRR)
8.01
Lower limit of the 95% confidence interval on the RSRR
6.22
Upper limit of the 95% confidence interval on the RSRR
10.12
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
9
Number of eligible stays
231
Unadjusted potentially preventable readmission rate
3.90
Risk-standardized potentially preventable readmission rate (RSRR)
4.39
Lower limit of the 95% confidence interval on the RSRR
3.11
Upper limit of the 95% confidence interval on the RSRR
6.75
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)
118
Number of eligible stays
179
Observed discharge to community rate
65.92
Risk-standardized discharge to community rate
69.10
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.08
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.94
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
196
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
184
Denominator
185
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
184
Facility observed rate
0.5
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
137
Number of health care workers
143
Rate of COVID-19 vaccination
95.8