UT HEALTH EAST TEXAS REHABILITATION HOSPITAL

CMS Certification Number

453072

Ownership Type

For profit

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

Not Available

6

Other Measure

2.923

-

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

No Different than the National Benchmark

-

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

601

-

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

1.025

-

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

0

-

Catheter-associated urinary tract infections (CAUTI)

0.000

-

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

577

-

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

577

-

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

100.0

-

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

577

-

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

0

-

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

0.0

-

Change in patients' ability to care for themselves

11.3

-

Change in patients' ability to care for themselves - Denominator

509

-

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

12.3

-

Change in patients' ability to move around

24.5

-

Change in patients' ability to move around - Denominator

509

-

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

26.6

-

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

509

-

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

251

-

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

49.3

-

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

509

-

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

179

-

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

35.2

-

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

0.020

-

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

1.944

-

Clostridium difficile Infection (CDI) - Comparative performance category

No Different than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

9,854

-

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

2.537

-

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

1

-

Clostridium difficile Infection (CDI)

0.394

-

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

271

-

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

224

-

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

82.7

-

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

8.81

-

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

49

-

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

7.30

-

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

10.79

-

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

556

-

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

Worse than the National Rate

-

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

7.50

-

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

47

-

Rate of potentially preventable hospital readmissions during the IRF stay

6.85

-

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

5.40

-

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

9.21

-

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

627

-

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)

268

-

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

59.03

-

Rate of successful return to home or community from an IRF

61.13

-

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

56.94

-

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

65.15

-

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

454

-

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

541

-

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

577

-

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

562

-

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

97.4

-

Other Measure

1.1

-

Other Measure

577

-

Other Measure

7

-

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

1.2

-

Other Measure

262

-

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

196

-

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

74.8

-