Bellin Memorial Hospital


About the Facility

CMS Certification Number (CCN)
52T049
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
744 S Webster Ave
Phone Number
(920) 433-3655

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
Brain disease or condition (non-traumatic)
11
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
15
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
22
Spinal cord injury (traumatic)
-
Stroke
79

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.044
SIR 95% confidence interval - upper limit
4.289
Comparative performance category
No Different than the National Benchmark
Catheter days
422
Predicted number of infections (B)
1.150
Number of infections reported (A)
1
SIR (A/B)
0.870
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
154
Denominator
154
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.9
Denominator
142
Average observed change score
9.8
Change in patients ability to move around
Average risk-adjusted change score
26.0
Denominator
142
Average observed change score
27.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
60
Denominator
142
Facility rate
42.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
62
Denominator
142
Facility rate
43.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
154
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
3,075
Predicted number of infections (B)
0.952
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
28
Number of health care workers
28
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
6
Number of eligible stays
136
Unadjusted potentially preventable readmission rate
4.41
Risk-standardized potentially preventable readmission rate (RSRR)
8.24
Lower limit of the 95% confidence interval on the RSRR
6.36
Upper limit of the 95% confidence interval on the RSRR
10.72
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
5
Number of eligible stays
145
Unadjusted potentially preventable readmission rate
3.45
Risk-standardized potentially preventable readmission rate (RSRR)
4.78
Lower limit of the 95% confidence interval on the RSRR
2.70
Upper limit of the 95% confidence interval on the RSRR
6.60
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)
82
Number of eligible stays
114
Observed discharge to community rate
71.93
Risk-standardized discharge to community rate
67.78
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.46
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.62
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.83
Number of eligible episodes
142
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
152
Denominator
154
Facility rate
98.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
154
Facility observed rate
0.6
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
35
Number of health care workers
38
Rate of COVID-19 vaccination
92.1