Metrohealth Medical Center


About the Facility

CMS Certification Number (CCN)
36T059
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
2500 Metrohealth Drive
Phone Number
(216) 957-3336

Facility Medical Condition Statistics

All other conditions
20
Brain disease or condition (non-traumatic)
33
Brain injury (traumatic)
50
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
39
Nervous system disorder (excluding stroke)
19
Spinal cord disease or condition (non-traumatic)
30
Spinal cord injury (traumatic)
28
Stroke
91

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
385
Predicted number of infections (B)
0.841
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
309
Denominator
311
Facility rate
99.4
Change in patients ability to care for themselves
Average risk-adjusted change score
10.7
Denominator
236
Average observed change score
11.7
Change in patients ability to move around
Average risk-adjusted change score
26.4
Denominator
236
Average observed change score
27.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
98
Denominator
236
Facility rate
41.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
100
Denominator
236
Facility rate
42.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
311
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.009
SIR 95% confidence interval - upper limit
0.910
Comparative performance category
Better than the National Benchmark
Patient days
13,303
Predicted number of infections (B)
5.419
Number of infections reported (A)
1
SIR (A/B)
0.185
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
625
Number of health care workers
644
Rate of flu vaccination
97.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
23
Number of eligible stays
249
Unadjusted potentially preventable readmission rate
9.24
Risk-standardized potentially preventable readmission rate (RSRR)
9.10
Lower limit of the 95% confidence interval on the RSRR
7.20
Upper limit of the 95% confidence interval on the RSRR
11.42
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
11
Number of eligible stays
272
Unadjusted potentially preventable readmission rate
4.04
Risk-standardized potentially preventable readmission rate (RSRR)
4.32
Lower limit of the 95% confidence interval on the RSRR
3.17
Upper limit of the 95% confidence interval on the RSRR
5.65
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)
116
Number of eligible stays
211
Observed discharge to community rate
54.98
Risk-standardized discharge to community rate
61.17
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
54.23
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.39
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.06
Number of eligible episodes
215
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
299
Denominator
311
Facility rate
96.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
310
Facility observed rate
2.3
Facility risk-adjusted rate
1.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
385
Number of health care workers
411
Rate of COVID-19 vaccination
93.7