Mount Carmel Rehabilitation Hospital, an Affiliate


About the Facility

CMS Certification Number (CCN)
363042
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
597 Executive Campus Dr
Phone Number
(614) 392-3400

Facility Medical Condition Statistics

All other conditions
187
Brain disease or condition (non-traumatic)
68
Brain injury (traumatic)
60
Hip or femur fracture
34
Hip or knee replacement, amputation or other bone or joint condition
112
Nervous system disorder (excluding stroke)
33
Spinal cord disease or condition (non-traumatic)
51
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
301

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.029
SIR 95% confidence interval - upper limit
2.894
Comparative performance category
No Different than the National Benchmark
Catheter days
836
Predicted number of infections (B)
1.704
Number of infections reported (A)
1
SIR (A/B)
0.587
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
825
Denominator
825
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.7
Denominator
706
Average observed change score
14.0
Change in patients ability to move around
Average risk-adjusted change score
33.6
Denominator
706
Average observed change score
34.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
547
Denominator
706
Facility rate
77.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
504
Denominator
706
Facility rate
71.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
825
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.055
SIR 95% confidence interval - upper limit
1.076
Comparative performance category
No Different than the National Benchmark
Patient days
16,903
Predicted number of infections (B)
6.142
Number of infections reported (A)
2
SIR (A/B)
0.326
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
262
Number of health care workers
333
Rate of flu vaccination
78.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
61
Number of eligible stays
693
Unadjusted potentially preventable readmission rate
8.80
Risk-standardized potentially preventable readmission rate (RSRR)
9.45
Lower limit of the 95% confidence interval on the RSRR
7.78
Upper limit of the 95% confidence interval on the RSRR
11.32
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
32
Number of eligible stays
768
Unadjusted potentially preventable readmission rate
4.17
Risk-standardized potentially preventable readmission rate (RSRR)
4.61
Lower limit of the 95% confidence interval on the RSRR
3.50
Upper limit of the 95% confidence interval on the RSRR
6.07
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)
415
Number of eligible stays
625
Observed discharge to community rate
66.40
Risk-standardized discharge to community rate
66.28
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.82
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.80
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
638
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
818
Denominator
825
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
825
Facility observed rate
0.1
Facility risk-adjusted rate
0.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
262
Number of health care workers
295
Rate of COVID-19 vaccination
88.8