North Memorial Medical Center


About the Facility

CMS Certification Number (CCN)
24T001
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
3300 Oakdale Avenue North
3300 Oakdale Ave N
Phone Number
(763) 584-3445

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
11
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
61

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
341
Predicted number of infections (B)
0.929
Number of infections reported (A)
3
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
106
Denominator
107
Facility rate
99.1
Change in patients ability to care for themselves
Average risk-adjusted change score
11.7
Denominator
100
Average observed change score
12.0
Change in patients ability to move around
Average risk-adjusted change score
30.3
Denominator
100
Average observed change score
29.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
55
Denominator
100
Facility rate
55.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
63
Denominator
100
Facility rate
63.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
107
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
2.389
Comparative performance category
No Different than the National Benchmark
Patient days
3,255
Predicted number of infections (B)
1.254
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
43
Number of health care workers
47
Rate of flu vaccination
91.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
2
Number of eligible stays
73
Unadjusted potentially preventable readmission rate
2.74
Risk-standardized potentially preventable readmission rate (RSRR)
8.34
Lower limit of the 95% confidence interval on the RSRR
6.19
Upper limit of the 95% confidence interval on the RSRR
11.24
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
1
Number of eligible stays
80
Unadjusted potentially preventable readmission rate
1.25
Risk-standardized potentially preventable readmission rate (RSRR)
4.52
Lower limit of the 95% confidence interval on the RSRR
2.79
Upper limit of the 95% confidence interval on the RSRR
7.04
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)
47
Number of eligible stays
60
Observed discharge to community rate
78.33
Risk-standardized discharge to community rate
69.10
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.08
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.74
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.80
Number of eligible episodes
64
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
107
Denominator
107
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
107
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
25
Number of health care workers
27
Rate of COVID-19 vaccination
92.6