Mary Free Bed at Sparrow


About the Facility

CMS Certification Number (CCN)
23T230
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1215 E. Michigan Avenue
Phone Number
(517) 364-2092

Facility Medical Condition Statistics

All other conditions
119
Brain disease or condition (non-traumatic)
79
Brain injury (traumatic)
52
Hip or femur fracture
34
Hip or knee replacement, amputation or other bone or joint condition
78
Nervous system disorder (excluding stroke)
70
Spinal cord disease or condition (non-traumatic)
34
Spinal cord injury (traumatic)
11
Stroke
151

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.120
SIR 95% confidence interval - upper limit
2.366
Comparative performance category
No Different than the National Benchmark
Catheter days
1,025
Predicted number of infections (B)
2.793
Number of infections reported (A)
2
SIR (A/B)
0.716
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
623
Denominator
625
Facility rate
99.7
Change in patients ability to care for themselves
Average risk-adjusted change score
10.3
Denominator
548
Average observed change score
11.0
Change in patients ability to move around
Average risk-adjusted change score
27.5
Denominator
548
Average observed change score
28.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
234
Denominator
548
Facility rate
42.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
265
Denominator
548
Facility rate
48.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
625
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.117
SIR 95% confidence interval - upper limit
1.253
Comparative performance category
No Different than the National Benchmark
Patient days
12,633
Predicted number of infections (B)
6.519
Number of infections reported (A)
3
SIR (A/B)
0.460
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
998
Number of health care workers
1,596
Rate of flu vaccination
62.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
27
Number of eligible stays
413
Unadjusted potentially preventable readmission rate
6.54
Risk-standardized potentially preventable readmission rate (RSRR)
7.84
Lower limit of the 95% confidence interval on the RSRR
6.33
Upper limit of the 95% confidence interval on the RSRR
9.54
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
28
Number of eligible stays
462
Unadjusted potentially preventable readmission rate
6.06
Risk-standardized potentially preventable readmission rate (RSRR)
5.81
Lower limit of the 95% confidence interval on the RSRR
4.48
Upper limit of the 95% confidence interval on the RSRR
7.49
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)
257
Number of eligible stays
360
Observed discharge to community rate
71.39
Risk-standardized discharge to community rate
69.53
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.10
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.24
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
400
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
615
Denominator
625
Facility rate
98.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
9
Denominator
625
Facility observed rate
1.4
Facility risk-adjusted rate
1.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
586
Number of health care workers
784
Rate of COVID-19 vaccination
74.7