Botsford Hospital


About the Facility

CMS Certification Number (CCN)
23T151
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
28050 Grand River Ave
Phone Number
(248) 471-8769

Facility Medical Condition Statistics

All other conditions
33
Brain disease or condition (non-traumatic)
28
Brain injury (traumatic)
28
Hip or femur fracture
28
Hip or knee replacement, amputation or other bone or joint condition
22
Nervous system disorder (excluding stroke)
36
Spinal cord disease or condition (non-traumatic)
14
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
60

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
237
Predicted number of infections (B)
0.607
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
245
Denominator
246
Facility rate
99.6
Change in patients ability to care for themselves
Average risk-adjusted change score
13.3
Denominator
204
Average observed change score
14.6
Change in patients ability to move around
Average risk-adjusted change score
30.5
Denominator
204
Average observed change score
34.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
139
Denominator
204
Facility rate
68.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
119
Denominator
204
Facility rate
58.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
246
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
1.927
Comparative performance category
No Different than the National Benchmark
Patient days
3,826
Predicted number of infections (B)
1.554
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
49
Number of health care workers
49
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
13
Number of eligible stays
252
Unadjusted potentially preventable readmission rate
5.16
Risk-standardized potentially preventable readmission rate (RSRR)
7.63
Lower limit of the 95% confidence interval on the RSRR
5.95
Upper limit of the 95% confidence interval on the RSRR
9.67
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
280
Unadjusted potentially preventable readmission rate
2.86
Risk-standardized potentially preventable readmission rate (RSRR)
4.17
Lower limit of the 95% confidence interval on the RSRR
2.92
Upper limit of the 95% confidence interval on the RSRR
5.85
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)
181
Number of eligible stays
241
Observed discharge to community rate
75.10
Risk-standardized discharge to community rate
73.73
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.43
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
78.28
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
241
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
246
Denominator
246
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
246
Facility observed rate
1.6
Facility risk-adjusted rate
1.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
25
Number of health care workers
29
Rate of COVID-19 vaccination
86.2