University Hospitals Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
363036
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
23333 Harvard Road
Phone Number
(216) 593-2200

Facility Medical Condition Statistics

All other conditions
187
Brain disease or condition (non-traumatic)
50
Brain injury (traumatic)
30
Hip or femur fracture
67
Hip or knee replacement, amputation or other bone or joint condition
126
Nervous system disorder (excluding stroke)
40
Spinal cord disease or condition (non-traumatic)
35
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
172

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.024
SIR 95% confidence interval - upper limit
2.334
Comparative performance category
No Different than the National Benchmark
Catheter days
1,036
Predicted number of infections (B)
2.113
Number of infections reported (A)
1
SIR (A/B)
0.473
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
688
Denominator
688
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
16.3
Denominator
599
Average observed change score
17.9
Change in patients ability to move around
Average risk-adjusted change score
41.7
Denominator
599
Average observed change score
42.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
513
Denominator
599
Facility rate
85.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
534
Denominator
599
Facility rate
89.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
688
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.078
SIR 95% confidence interval - upper limit
1.541
Comparative performance category
No Different than the National Benchmark
Patient days
10,340
Predicted number of infections (B)
4.287
Number of infections reported (A)
2
SIR (A/B)
0.467
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
163
Number of health care workers
218
Rate of flu vaccination
74.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
59
Number of eligible stays
616
Unadjusted potentially preventable readmission rate
9.58
Risk-standardized potentially preventable readmission rate (RSRR)
9.55
Lower limit of the 95% confidence interval on the RSRR
7.93
Upper limit of the 95% confidence interval on the RSRR
11.51
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
33
Number of eligible stays
676
Unadjusted potentially preventable readmission rate
4.88
Risk-standardized potentially preventable readmission rate (RSRR)
5.16
Lower limit of the 95% confidence interval on the RSRR
3.91
Upper limit of the 95% confidence interval on the RSRR
7.21
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)
364
Number of eligible stays
543
Observed discharge to community rate
67.03
Risk-standardized discharge to community rate
67.44
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.53
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.92
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.00
Number of eligible episodes
608
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
686
Denominator
688
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
688
Facility observed rate
1.0
Facility risk-adjusted rate
1.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
147
Number of health care workers
157
Rate of COVID-19 vaccination
93.6