St Lukes Hospital


About the Facility

CMS Certification Number (CCN)
24T047
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
915 East First St
Phone Number
(218) 249-5410

Facility Medical Condition Statistics

All other conditions
36
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
15
Hip or femur fracture
20
Hip or knee replacement, amputation or other bone or joint condition
16
Nervous system disorder (excluding stroke)
15
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
52

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
184
Predicted number of infections (B)
0.501
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
165
Denominator
165
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.0
Denominator
159
Average observed change score
11.3
Change in patients ability to move around
Average risk-adjusted change score
24.8
Denominator
160
Average observed change score
24.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
102
Denominator
160
Facility rate
63.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
52
Denominator
160
Facility rate
32.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
165
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
1.945
Comparative performance category
No Different than the National Benchmark
Patient days
3,180
Predicted number of infections (B)
1.540
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
23
Number of health care workers
24
Rate of flu vaccination
95.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
11
Number of eligible stays
143
Unadjusted potentially preventable readmission rate
7.69
Risk-standardized potentially preventable readmission rate (RSRR)
8.80
Lower limit of the 95% confidence interval on the RSRR
6.73
Upper limit of the 95% confidence interval on the RSRR
11.34
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
6
Number of eligible stays
162
Unadjusted potentially preventable readmission rate
3.70
Risk-standardized potentially preventable readmission rate (RSRR)
4.91
Lower limit of the 95% confidence interval on the RSRR
3.10
Upper limit of the 95% confidence interval on the RSRR
6.87
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)
80
Number of eligible stays
127
Observed discharge to community rate
62.99
Risk-standardized discharge to community rate
61.49
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
55.41
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.87
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.84
Number of eligible episodes
142
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
165
Denominator
165
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
165
Facility observed rate
1.2
Facility risk-adjusted rate
1.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
23
Number of health care workers
46
Rate of COVID-19 vaccination
50.0