AULTMAN WOODLAWN

CMS Certification Number

36T084

Ownership Type

Non-profit

Catheter-associated urinary tract infections (CAUTI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit

1.195

-

Other Measure

7.229

-

Catheter-associated urinary tract infections (CAUTI) - Comparative performance category

Worse than the National Benchmark

-

Catheter-associated urinary tract infections (CAUTI) - Catheter days

592

-

Catheter-associated urinary tract infections (CAUTI) - Predicted number of infections (B)

1.533

-

Catheter-associated urinary tract infections (CAUTI) - Number of infections reported (A)

5

-

Catheter-associated urinary tract infections (CAUTI)

3.262

-

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Denominator

663

-

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Numerator

662

-

Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan

99.8

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay - Denominator

663

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay - Numerator

3

-

Percentage of IRF patients who experience one or more falls with major injury during their IRF stay

0.5

-

Change in patients' ability to care for themselves

11.7

-

Change in patients' ability to care for themselves - Denominator

574

-

Change in patients' ability to care for themselves - Average observed change score

11.4

-

Change in patients' ability to move around

31.9

-

Change in patients' ability to move around - Denominator

573

-

Change in patients' ability to move around - Average observed change score

30.6

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator

574

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator

306

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge

53.3

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator

574

-

Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator

350

-

Percentage of patients who are at or above an expected ability to move around at discharge

61.0

-

Clostridium difficile Infection (CDI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit

Not Available

6

Clostridium difficile Infection (CDI) - SIR 95% confidence interval - upper limit

0.889

-

Clostridium difficile Infection (CDI) - Comparative performance category

Better than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

9,121

-

Clostridium difficile Infection (CDI) - Predicted number of infections (B)

3.368

-

Clostridium difficile Infection (CDI) - Number of infections reported (A)

0

-

Clostridium difficile Infection (CDI)

0.000

-

Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers

146

-

Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers vaccinated

40

-

Percentage of healthcare personnel who got a flu shot for the current season

27.4

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Comparative performance category

No Different than the National Rate

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Unadjusted potentially preventable readmission rate

8.80

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of potentially preventable readmissions following discharge

25

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF

8.98

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Lower limit of the 95% confidence interval on the RSRR

7.06

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Upper limit of the 95% confidence interval on the RSRR

11.29

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of eligible stays

284

-

Rate of potentially preventable hospital readmissions during the IRF stay - Comparative performance category

No Different than the National Rate

-

Rate of potentially preventable hospital readmissions during the IRF stay - Unadjusted potentially preventable readmission rate

4.46

-

Rate of potentially preventable hospital readmissions during the IRF stay - Number of potentially preventable readmissions

14

-

Rate of potentially preventable hospital readmissions during the IRF stay

4.81

-

Rate of potentially preventable hospital readmissions during the IRF stay - Lower limit of the 95% confidence interval on the RSRR

3.20

-

Rate of potentially preventable hospital readmissions during the IRF stay - Upper limit of the 95% confidence interval on the RSRR

7.07

-

Rate of potentially preventable hospital readmissions during the IRF stay - Number of eligible stays

314

-

Rate of successful return to home or community from an IRF - Comparative performance category

Worse than the National Rate

-

Rate of successful return to home or community from an IRF - Observed number of discharges to community (DTC)

150

-

Rate of successful return to home or community from an IRF - Observed discharge to community rate

59.06

-

Rate of successful return to home or community from an IRF

59.88

-

Rate of successful return to home or community from an IRF - Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate

54.90

-

Rate of successful return to home or community from an IRF - Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate

64.88

-

Rate of successful return to home or community from an IRF - Number of eligible stays

254

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs - Number of eligible episodes

282

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

1.01

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Denominator

663

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Numerator

629

-

Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified

94.9

-

Other Measure

1.9

-

Other Measure

663

-

Other Measure

13

-

Percentage of patients with pressure ulcers/pressure injuries that are new or worsened

2.0

-

Other Measure

201

-

Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series - Number of health care workers vaccinated

157

-

Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series

78.1

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