NORTH SHORE REHABILITATION HOSPITAL

CMS Certification Number

713025

Ownership Type

For profit

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

Not Available

6,7

Other Measure

Not Available

6,7

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

Not Available

6,7

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

143

-

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

0.298

-

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

0

-

Catheter-associated urinary tract infections (CAUTI)

Not Available

6,7

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

408

-

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

408

-

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

408

-

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

1

-

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

0.2

-

Change in patients' ability to care for themselves

11.7

-

Change in patients' ability to care for themselves - Denominator

368

-

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

13.0

-

Change in patients' ability to move around

28.7

-

Change in patients' ability to move around - Denominator

368

-

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

31.2

-

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

368

-

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

178

-

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

48.4

-

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

368

-

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

189

-

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

51.4

-

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

0.343

-

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

3.675

-

Clostridium difficile Infection (CDI) - Comparative performance category

No Different than the National Benchmark

-

Clostridium difficile Infection (CDI) - Patient days

7,718

-

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

2.222

-

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

3

-

Clostridium difficile Infection (CDI)

1.350

-

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

144

-

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

115

-

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

79.9

-

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

9.31

-

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

31

-

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

9.21

-

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

7.38

-

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

11.34

-

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

333

-

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

2.79

-

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

10

-

Rate of potentially preventable hospital readmissions during the IRF stay

3.93

-

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

2.71

-

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

5.63

-

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

358

-

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

Better than the National Rate

-

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

218

-

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

75.96

-

Rate of successful return to home or community from an IRF

74.51

-

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

69.54

-

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

78.68

-

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

287

-

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

325

-

Medicare Spending Per Beneficiary (MSPB) for patients in IRFs

0.95

-

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

408

-

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

405

-

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

99.3

-

Other Measure

0.8

-

Other Measure

407

-

Other Measure

3

-

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

0.7

-

Other Measure

156

-

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

129

-

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

82.7

-