Dmc Sinai-Grace Hospital


About the Facility

CMS Certification Number (CCN)
23T024
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
6071 West Outer Drive
Phone Number
(313) 966-3350

Facility Medical Condition Statistics

All other conditions
21
Brain disease or condition (non-traumatic)
22
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
14
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)
Data not available for this reporting period.
Stroke
80

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
110
Predicted number of infections (B)
0.210
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
137
Denominator
137
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.5
Denominator
103
Average observed change score
12.1
Change in patients ability to move around
Average risk-adjusted change score
26.6
Denominator
106
Average observed change score
25.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
77
Denominator
106
Facility rate
72.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
42
Denominator
106
Facility rate
39.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
137
Facility rate
0.7
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
2,539
Predicted number of infections (B)
0.873
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
14
Number of health care workers
14
Rate of flu vaccination
100.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
5
Number of eligible stays
92
Unadjusted potentially preventable readmission rate
5.43
Risk-standardized potentially preventable readmission rate (RSRR)
8.29
Lower limit of the 95% confidence interval on the RSRR
6.39
Upper limit of the 95% confidence interval on the RSRR
10.75
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
114
Unadjusted potentially preventable readmission rate
7.02
Risk-standardized potentially preventable readmission rate (RSRR)
5.66
Lower limit of the 95% confidence interval on the RSRR
3.40
Upper limit of the 95% confidence interval on the RSRR
7.59
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)
45
Number of eligible stays
85
Observed discharge to community rate
52.94
Risk-standardized discharge to community rate
60.02
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
51.60
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.26
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.05
Number of eligible episodes
82
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
135
Denominator
137
Facility rate
98.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
136
Facility observed rate
4.4
Facility risk-adjusted rate
4.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
12
Number of health care workers
13
Rate of COVID-19 vaccination
92.3