Franciscan Health Dyer/hammond


About the Facility

CMS Certification Number (CCN)
15T090
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
5454 Hohman Ave
Phone Number
(219) 932-2300

Facility Medical Condition Statistics

All other conditions
104
Brain disease or condition (non-traumatic)
78
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
37
Hip or knee replacement, amputation or other bone or joint condition
22
Nervous system disorder (excluding stroke)
39
Spinal cord disease or condition (non-traumatic)
20
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
82

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.191
SIR 95% confidence interval - upper limit
3.763
Comparative performance category
No Different than the National Benchmark
Catheter days
867
Predicted number of infections (B)
1.756
Number of infections reported (A)
2
SIR (A/B)
1.139
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
388
Denominator
388
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.1
Denominator
338
Average observed change score
14.3
Change in patients ability to move around
Average risk-adjusted change score
34.7
Denominator
338
Average observed change score
36.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
232
Denominator
338
Facility rate
68.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
236
Denominator
338
Facility rate
69.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
388
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.013
SIR 95% confidence interval - upper limit
1.287
Comparative performance category
No Different than the National Benchmark
Patient days
6,866
Predicted number of infections (B)
3.832
Number of infections reported (A)
1
SIR (A/B)
0.261
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
1,410
Number of health care workers
1,413
Rate of flu vaccination
99.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
68
Number of eligible stays
675
Unadjusted potentially preventable readmission rate
10.07
Risk-standardized potentially preventable readmission rate (RSRR)
8.36
Lower limit of the 95% confidence interval on the RSRR
6.96
Upper limit of the 95% confidence interval on the RSRR
9.92
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
32
Number of eligible stays
742
Unadjusted potentially preventable readmission rate
4.31
Risk-standardized potentially preventable readmission rate (RSRR)
4.17
Lower limit of the 95% confidence interval on the RSRR
3.42
Upper limit of the 95% confidence interval on the RSRR
5.26
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)
396
Number of eligible stays
639
Observed discharge to community rate
61.97
Risk-standardized discharge to community rate
64.67
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.33
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.13
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.04
Number of eligible episodes
647
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
385
Denominator
388
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
388
Facility observed rate
1.3
Facility risk-adjusted rate
1.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
460
Number of health care workers
493
Rate of COVID-19 vaccination
93.3