Sacred Heart Hospital


About the Facility

CMS Certification Number (CCN)
52T013
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
900 W Clairemont Ave
Phone Number
(715) 717-1407

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
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
12
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)
-
Stroke
26

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
116
Predicted number of infections (B)
0.222
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
66
Denominator
66
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.1
Denominator
57
Average observed change score
10.6
Change in patients ability to move around
Average risk-adjusted change score
32.7
Denominator
57
Average observed change score
34.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
38
Denominator
57
Facility rate
66.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
42
Denominator
57
Facility rate
73.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
66
Facility rate
1.5
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
1,808
Predicted number of infections (B)
0.790
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
6
Number of health care workers
6
Rate of flu vaccination
100.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
16
Number of eligible stays
181
Unadjusted potentially preventable readmission rate
8.84
Risk-standardized potentially preventable readmission rate (RSRR)
8.35
Lower limit of the 95% confidence interval on the RSRR
6.57
Upper limit of the 95% confidence interval on the RSRR
10.60
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
202
Unadjusted potentially preventable readmission rate
5.45
Risk-standardized potentially preventable readmission rate (RSRR)
5.02
Lower limit of the 95% confidence interval on the RSRR
3.53
Upper limit of the 95% confidence interval on the RSRR
7.14
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)
99
Number of eligible stays
163
Observed discharge to community rate
60.74
Risk-standardized discharge to community rate
61.73
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
55.38
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.27
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.88
Number of eligible episodes
190
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
61
Denominator
66
Facility rate
92.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
66
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
Not Available
Number of health care workers
Not Available
Rate of COVID-19 vaccination
Not Available