Joint Township District Memorial Hospital


About the Facility

CMS Certification Number (CCN)
36T032
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
200 St. Clair Ave
Phone Number
(419) 394-3335

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
Brain disease or condition (non-traumatic)
-
Brain injury (traumatic)
Data not available for this reporting period.
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)
-
Spinal cord injury (traumatic)
-
Stroke
Data not available for this reporting period.

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
30
Predicted number of infections (B)
0.057
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
22
Denominator
22
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
7.5
Denominator
22
Average observed change score
8.2
Change in patients ability to move around
Average risk-adjusted change score
16.1
Denominator
22
Average observed change score
18.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
1
Denominator
22
Facility rate
4.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
2
Denominator
22
Facility rate
9.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
22
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
Not Available
Comparative performance category
Not Available
Patient days
338
Predicted number of infections (B)
0.121
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
305
Number of health care workers
383
Rate of flu vaccination
79.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
0
Number of eligible stays
30
Unadjusted potentially preventable readmission rate
0.00
Risk-standardized potentially preventable readmission rate (RSRR)
8.38
Lower limit of the 95% confidence interval on the RSRR
6.07
Upper limit of the 95% confidence interval on the RSRR
11.35
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
32
Unadjusted potentially preventable readmission rate
3.13
Risk-standardized potentially preventable readmission rate (RSRR)
4.94
Lower limit of the 95% confidence interval on the RSRR
2.65
Upper limit of the 95% confidence interval on the RSRR
7.46
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)
16
Number of eligible stays
25
Observed discharge to community rate
64.00
Risk-standardized discharge to community rate
64.57
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.47
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.52
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.09
Number of eligible episodes
30
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
22
Denominator
22
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
22
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
264
Number of health care workers
380
Rate of COVID-19 vaccination
69.5