Beaumont Health Systems


About the Facility

CMS Certification Number (CCN)
23T269
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
44201 Dequindre Rd
Troy, Michigan 48085
Phone Number
(248) 964-7996

Facility Medical Condition Statistics

All other conditions
60
Brain disease or condition (non-traumatic)
73
Brain injury (traumatic)
36
Hip or femur fracture
13
Hip or knee replacement, amputation or other bone or joint condition
53
Nervous system disorder (excluding stroke)
237
Spinal cord disease or condition (non-traumatic)
41
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
128

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.600
SIR 95% confidence interval - upper limit
6.424
Comparative performance category
No Different than the National Benchmark
Catheter days
614
Predicted number of infections (B)
1.271
Number of infections reported (A)
3
SIR (A/B)
2.360
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
590
Denominator
592
Facility rate
99.7
Change in patients ability to care for themselves
Average risk-adjusted change score
12.0
Denominator
475
Average observed change score
13.3
Change in patients ability to move around
Average risk-adjusted change score
30.3
Denominator
475
Average observed change score
31.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
266
Denominator
475
Facility rate
56.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
256
Denominator
475
Facility rate
53.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
592
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.352
SIR 95% confidence interval - upper limit
2.669
Comparative performance category
No Different than the National Benchmark
Patient days
7,709
Predicted number of infections (B)
3.615
Number of infections reported (A)
4
SIR (A/B)
1.106
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
79
Number of health care workers
86
Rate of flu vaccination
91.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
41
Number of eligible stays
409
Unadjusted potentially preventable readmission rate
10.02
Risk-standardized potentially preventable readmission rate (RSRR)
8.48
Lower limit of the 95% confidence interval on the RSRR
7.01
Upper limit of the 95% confidence interval on the RSRR
10.18
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
30
Number of eligible stays
477
Unadjusted potentially preventable readmission rate
6.29
Risk-standardized potentially preventable readmission rate (RSRR)
4.91
Lower limit of the 95% confidence interval on the RSRR
3.76
Upper limit of the 95% confidence interval on the RSRR
6.66
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)
266
Number of eligible stays
386
Observed discharge to community rate
68.91
Risk-standardized discharge to community rate
73.91
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.75
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
77.84
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
411
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
592
Denominator
592
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
591
Facility observed rate
0.3
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
45
Number of health care workers
59
Rate of COVID-19 vaccination
76.3