Henry Ford Macomb Hospital


About the Facility

CMS Certification Number (CCN)
23T047
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
15855 Nineteen Mile Road
Phone Number
(586) 263-2489

Facility Medical Condition Statistics

All other conditions
139
Brain disease or condition (non-traumatic)
118
Brain injury (traumatic)
30
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
36
Nervous system disorder (excluding stroke)
98
Spinal cord disease or condition (non-traumatic)
26
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
118

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
1.599
Comparative performance category
No Different than the National Benchmark
Catheter days
1,065
Predicted number of infections (B)
1.873
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
568
Denominator
568
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.9
Denominator
455
Average observed change score
12.1
Change in patients ability to move around
Average risk-adjusted change score
27.8
Denominator
455
Average observed change score
29.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
246
Denominator
455
Facility rate
54.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
215
Denominator
455
Facility rate
47.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
568
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.053
SIR 95% confidence interval - upper limit
1.052
Comparative performance category
No Different than the National Benchmark
Patient days
10,847
Predicted number of infections (B)
6.280
Number of infections reported (A)
2
SIR (A/B)
0.318
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
133
Number of health care workers
151
Rate of flu vaccination
88.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
52
Number of eligible stays
425
Unadjusted potentially preventable readmission rate
12.24
Risk-standardized potentially preventable readmission rate (RSRR)
8.97
Lower limit of the 95% confidence interval on the RSRR
7.49
Upper limit of the 95% confidence interval on the RSRR
10.70
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
40
Number of eligible stays
497
Unadjusted potentially preventable readmission rate
8.05
Risk-standardized potentially preventable readmission rate (RSRR)
5.84
Lower limit of the 95% confidence interval on the RSRR
4.64
Upper limit of the 95% confidence interval on the RSRR
7.39
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)
242
Number of eligible stays
388
Observed discharge to community rate
62.37
Risk-standardized discharge to community rate
68.13
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.44
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.56
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
410
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
568
Denominator
568
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
565
Facility observed rate
0.7
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
103
Number of health care workers
112
Rate of COVID-19 vaccination
92.0