ST VINCENT HOSPITAL

CMS Certification Number

52T075

Ownership Type

Non-profit

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

0.190

-

Other Measure

3.735

-

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

No Different than the National Benchmark

-

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

650

-

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

1.769

-

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

2

-

Catheter-associated urinary tract infections (CAUTI)

1.131

-

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

204

-

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

204

-

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

204

-

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

9.6

-

Change in patients' ability to care for themselves - Denominator

185

-

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

9.0

-

Change in patients' ability to move around

22.4

-

Change in patients' ability to move around - Denominator

185

-

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

21.5

-

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

185

-

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

62

-

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

33.5

-

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

185

-

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

51

-

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

27.6

-

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

1.674

-

Clostridium difficile Infection (CDI) - Comparative performance category

No Different than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

4,645

-

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

1.790

-

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

31

-

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

26

-

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

83.9

-

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

4.79

-

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

9

-

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

8.08

-

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

5.98

-

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

10.22

-

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

188

-

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

3.40

-

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

7

-

Rate of potentially preventable hospital readmissions during the IRF stay

4.67

-

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

2.77

-

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

6.77

-

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

206

-

Rate of successful return to home or community from an IRF - 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)

120

-

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

70.18

-

Rate of successful return to home or community from an IRF

66.75

-

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

61.01

-

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

72.11

-

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

171

-

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

187

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

0.89

-

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

204

-

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

204

-

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

100.0

-

Other Measure

0.5

-

Other Measure

203

-

Other Measure

1

-

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

0.5

-

Other Measure

34

-

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

28

-

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

82.4

-