Regions Hospital Rehab Institute


About the Facility

CMS Certification Number (CCN)
24T106
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
640 Jackson St.
Mailstop 11102d
Phone Number
(651) 254-2060

Facility Medical Condition Statistics

All other conditions
12
Brain disease or condition (non-traumatic)
27
Brain injury (traumatic)
28
Hip or femur fracture
-
Hip or knee replacement, amputation or other bone or joint condition
18
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
121

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.245
SIR 95% confidence interval - upper limit
4.837
Comparative performance category
No Different than the National Benchmark
Catheter days
502
Predicted number of infections (B)
1.366
Number of infections reported (A)
2
SIR (A/B)
1.464
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
212
Denominator
212
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.5
Denominator
185
Average observed change score
12.2
Change in patients ability to move around
Average risk-adjusted change score
28.0
Denominator
185
Average observed change score
26.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
104
Denominator
185
Facility rate
56.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
84
Denominator
185
Facility rate
45.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
212
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
0.812
Comparative performance category
Better than the National Benchmark
Patient days
7,149
Predicted number of infections (B)
3.689
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
393
Number of health care workers
623
Rate of flu vaccination
63.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
5
Number of eligible stays
156
Unadjusted potentially preventable readmission rate
3.21
Risk-standardized potentially preventable readmission rate (RSRR)
7.76
Lower limit of the 95% confidence interval on the RSRR
5.98
Upper limit of the 95% confidence interval on the RSRR
9.92
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
171
Unadjusted potentially preventable readmission rate
4.09
Risk-standardized potentially preventable readmission rate (RSRR)
4.70
Lower limit of the 95% confidence interval on the RSRR
3.22
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)
74
Number of eligible stays
131
Observed discharge to community rate
56.49
Risk-standardized discharge to community rate
61.36
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
53.61
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.52
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.07
Number of eligible episodes
123
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
211
Denominator
212
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
212
Facility observed rate
0.5
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
169
Number of health care workers
181
Rate of COVID-19 vaccination
93.4