Terre Haute Regional Hospital


About the Facility

CMS Certification Number (CCN)
15T046
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
3901 South 7th Street
Phone Number
(812) 230-1547

Facility Medical Condition Statistics

All other conditions
56
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
23
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
24

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
374
Predicted number of infections (B)
0.752
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
121
Denominator
122
Facility rate
99.2
Change in patients ability to care for themselves
Average risk-adjusted change score
14.0
Denominator
104
Average observed change score
14.6
Change in patients ability to move around
Average risk-adjusted change score
37.3
Denominator
104
Average observed change score
39.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
84
Denominator
104
Facility rate
80.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
86
Denominator
104
Facility rate
82.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
122
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
Not Available
Comparative performance category
Not Available
Patient days
1,953
Predicted number of infections (B)
0.597
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
13
Number of health care workers
15
Rate of flu vaccination
86.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
6
Number of eligible stays
116
Unadjusted potentially preventable readmission rate
5.17
Risk-standardized potentially preventable readmission rate (RSRR)
8.13
Lower limit of the 95% confidence interval on the RSRR
6.22
Upper limit of the 95% confidence interval on the RSRR
10.50
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
5
Number of eligible stays
125
Unadjusted potentially preventable readmission rate
4.00
Risk-standardized potentially preventable readmission rate (RSRR)
4.75
Lower limit of the 95% confidence interval on the RSRR
3.29
Upper limit of the 95% confidence interval on the RSRR
7.04
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)
70
Number of eligible stays
108
Observed discharge to community rate
64.81
Risk-standardized discharge to community rate
63.74
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.77
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.02
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.10
Number of eligible episodes
114
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
120
Denominator
122
Facility rate
98.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
122
Facility observed rate
2.5
Facility risk-adjusted rate
2.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
14
Number of health care workers
17
Rate of COVID-19 vaccination
82.4