University of Michigan Hospital


About the Facility

CMS Certification Number (CCN)
23T046
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1500 E. Medical Center Dr.
Phone Number
(734) 936-7114

Facility Medical Condition Statistics

All other conditions
34
Brain disease or condition (non-traumatic)
16
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
15
Nervous system disorder (excluding stroke)
21
Spinal cord disease or condition (non-traumatic)
42
Spinal cord injury (traumatic)
13
Stroke
23

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
141
Predicted number of infections (B)
0.292
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
169
Denominator
169
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
8.8
Denominator
115
Average observed change score
9.8
Change in patients ability to move around
Average risk-adjusted change score
23.9
Denominator
115
Average observed change score
25.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
30
Denominator
115
Facility rate
26.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
42
Denominator
115
Facility rate
36.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
169
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
1.298
Comparative performance category
No Different than the National Benchmark
Patient days
4,922
Predicted number of infections (B)
2.308
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
52
Number of health care workers
61
Rate of flu vaccination
85.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
13
Number of eligible stays
118
Unadjusted potentially preventable readmission rate
11.02
Risk-standardized potentially preventable readmission rate (RSRR)
8.58
Lower limit of the 95% confidence interval on the RSRR
6.68
Upper limit of the 95% confidence interval on the RSRR
10.67
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
133
Unadjusted potentially preventable readmission rate
5.26
Risk-standardized potentially preventable readmission rate (RSRR)
4.49
Lower limit of the 95% confidence interval on the RSRR
3.13
Upper limit of the 95% confidence interval on the RSRR
6.48
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)
64
Number of eligible stays
104
Observed discharge to community rate
61.54
Risk-standardized discharge to community rate
68.41
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.50
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.07
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
113
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
165
Denominator
169
Facility rate
97.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
169
Facility observed rate
1.2
Facility risk-adjusted rate
1.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
50
Number of health care workers
53
Rate of COVID-19 vaccination
94.3