Midmichigan Medical Center-Alpena


About the Facility

CMS Certification Number (CCN)
23T036
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
1501 W Chisholm St
Phone Number
(812) 207-7213

Facility Medical Condition Statistics

All other conditions
48
Brain disease or condition (non-traumatic)
12
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
31
Hip or knee replacement, amputation or other bone or joint condition
33
Nervous system disorder (excluding stroke)
24
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
40

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
267
Predicted number of infections (B)
0.507
Number of infections reported (A)
3
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
196
Denominator
196
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.2
Denominator
173
Average observed change score
14.0
Change in patients ability to move around
Average risk-adjusted change score
38.4
Denominator
173
Average observed change score
39.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
134
Denominator
173
Facility rate
77.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
142
Denominator
173
Facility rate
82.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
196
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
2,215
Predicted number of infections (B)
0.752
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
12
Number of health care workers
19
Rate of flu vaccination
63.2
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
152
Unadjusted potentially preventable readmission rate
3.29
Risk-standardized potentially preventable readmission rate (RSRR)
7.55
Lower limit of the 95% confidence interval on the RSRR
5.96
Upper limit of the 95% confidence interval on the RSRR
9.77
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
159
Unadjusted potentially preventable readmission rate
3.14
Risk-standardized potentially preventable readmission rate (RSRR)
4.59
Lower limit of the 95% confidence interval on the RSRR
3.38
Upper limit of the 95% confidence interval on the RSRR
7.00
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)
114
Number of eligible stays
135
Observed discharge to community rate
84.44
Risk-standardized discharge to community rate
74.49
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.42
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
79.04
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
164
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
196
Denominator
196
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
196
Facility observed rate
1.5
Facility risk-adjusted rate
1.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
12
Number of health care workers
17
Rate of COVID-19 vaccination
70.6