Ascension Crittenton Hospital


About the Facility

CMS Certification Number (CCN)
23T254
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1101 West University Drive
Phone Number
(502) 596-6346

Facility Medical Condition Statistics

All other conditions
92
Brain disease or condition (non-traumatic)
34
Brain injury (traumatic)
62
Hip or femur fracture
48
Hip or knee replacement, amputation or other bone or joint condition
85
Nervous system disorder (excluding stroke)
138
Spinal cord disease or condition (non-traumatic)
20
Spinal cord injury (traumatic)
-
Stroke
84

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.735
SIR 95% confidence interval - upper limit
4.449
Comparative performance category
No Different than the National Benchmark
Catheter days
1,204
Predicted number of infections (B)
2.491
Number of infections reported (A)
5
SIR (A/B)
2.007
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
512
Denominator
513
Facility rate
99.8
Change in patients ability to care for themselves
Average risk-adjusted change score
12.7
Denominator
455
Average observed change score
13.4
Change in patients ability to move around
Average risk-adjusted change score
27.2
Denominator
455
Average observed change score
29.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
388
Denominator
455
Facility rate
85.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
296
Denominator
455
Facility rate
65.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
512
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.122
SIR 95% confidence interval - upper limit
2.403
Comparative performance category
No Different than the National Benchmark
Patient days
6,075
Predicted number of infections (B)
2.750
Number of infections reported (A)
2
SIR (A/B)
0.727
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
103
Number of health care workers
114
Rate of flu vaccination
90.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
43
Number of eligible stays
568
Unadjusted potentially preventable readmission rate
7.57
Risk-standardized potentially preventable readmission rate (RSRR)
8.39
Lower limit of the 95% confidence interval on the RSRR
6.91
Upper limit of the 95% confidence interval on the RSRR
10.17
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
19
Number of eligible stays
599
Unadjusted potentially preventable readmission rate
3.17
Risk-standardized potentially preventable readmission rate (RSRR)
4.21
Lower limit of the 95% confidence interval on the RSRR
3.19
Upper limit of the 95% confidence interval on the RSRR
5.97
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)
339
Number of eligible stays
490
Observed discharge to community rate
69.18
Risk-standardized discharge to community rate
66.64
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.83
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.98
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
532
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
496
Denominator
513
Facility rate
96.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
512
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
105
Number of health care workers
106
Rate of COVID-19 vaccination
99.1