BARLOW RESPIRATORY HOSPITAL

CMS Certification Number

052031

Ownership Type

Non-profit

Total Number of Beds

99

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

0.100

-

Catheter-associated urinary tract infections (CAUTI) - SIR 95% confidence interval - upper limit

1.075

-

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

No Different than the National Benchmark

-

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

3,473

-

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

7.598

-

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

3

-

Catheter-associated urinary tract infections (CAUTI) - SIR (A/B)

0.395

-

Central line-associated bloodstream infections (CLABSI) - SIR 95% confidence interval - lower limit

0.465

-

Central line-associated bloodstream infections (CLABSI) - SIR 95% confidence interval - upper limit

1.537

-

Central line-associated bloodstream infections (CLABSI) - Comparative performance category

No Different than the National Benchmark

-

Central line-associated bloodstream infections (CLABSI) - Central line days

7,149

-

Central line-associated bloodstream infections (CLABSI) - Predicted number of infections (B)

12.439

-

Central line-associated bloodstream infections (CLABSI) - Number of infections reported (A)

11

-

Central line-associated bloodstream infections (CLABSI) - Standardized infection ratio (SIR) (A/B)

0.884

-

Percentage of patients whose activities of daily living and thinking skills were assessed and related goals were included in their treatment plan - Denominator

713

-

Percentage of patients whose activities of daily living and thinking skills were assessed and related goals were included in their treatment plan - Numerator

713

-

Percentage of patients whose activities of daily living and thinking skills were assessed and related goals were included in their treatment plan - Facility rate

100.0

-

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

713

-

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

713

-

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

100.0

-

Change in ability to move around for patients admitted on a ventilator - Adjusted change in mobility score

7.1

-

Change in ability to move around for patients admitted on a ventilator - Denominator

245

-

Change in ability to move around for patients admitted on a ventilator - Observed change in mobility score

6.0

-

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

713

-

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

0

-

Percentage of LTCH patients who experience one or more falls with major injury during their LTCH stay - Facility rate

0.0

-

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

0.193

-

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

0.607

-

Clostridium difficile infection (CDI) - Comparative performance category

Better than the National Benchmark

-

Clostridium difficile infection (CDI) - Patient days

24,372

-

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

33.614

-

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

12

-

Clostridium difficile infection (CDI) - SIR (A/B)

0.357

-

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

556

-

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

264

-

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

47.5

-

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

No Different than the National Rate

-

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

26.26

-

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

135

-

Rate of potentially preventable hospital readmissions 30 days after discharge from an LTCH - Risk-standardized potentially preventable readmission rate (RSRR)

21.46

-

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

18.76

-

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

24.63

-

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

514

-

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

No Different than the National Rate

-

Rate of successful return to home or community from an LTCH - Observed number of discharges to community

40

-

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

9.37

-

Rate of successful return to home or community from an LTCH - Risk-standardized discharge to community rate

16.12

-

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

12.24

-

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

21.31

-

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

427

-

Medicare Spending Per Beneficiary (MSPB) for patients in LTCHs - Number of Eligible Episodes

459

-

Medicare Spending Per Beneficiary (MSPB) for patients in LTCHs - MSPB Score

1.07

-

Percentage of patients with pressure ulcers/pressure injuries that are new or worsened - Facility adjusted rate

0.3

-

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

622

-

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

2

-

Percentage of patients with pressure ulcers/pressure injuries that are new or worsened - Facility observed rate

0.3

-

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

713

-

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

692

-

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

97.1

-

Spontaneous Breathing Trials - Percentage of patients on ventilators assessed for readiness to begin breathing trials without a ventilator within the first 2 days of their LTCH stay (component 1) - Denominator-component 1

173

-

Spontaneous Breathing Trials - Percentage of patients on ventilators assessed for readiness to begin breathing trials without a ventilator within the first 2 days of their LTCH stay (component 1) - Numerator-component 1

170

-

Spontaneous Breathing Trials - Percentage of patients on ventilators assessed for readiness to begin breathing trials without a ventilator within the first 2 days of their LTCH stay (component 1) - Facility observed rate-component 1

98.3

-

Spontaneous Breathing Trials - Percentage of patients on ventilators who appropriately received breathing trials within the first 2 days of their LTCH stay (component 2) - Denominator-component 2

142

-

Spontaneous Breathing Trials - Percentage of patients on ventilators who appropriately received breathing trials within the first 2 days of their LTCH stay (component 2) - Numerator-component 2

141

-

Spontaneous Breathing Trials - Percentage of patients on ventilators who appropriately received breathing trials within the first 2 days of their LTCH stay (component 2) - Facility observed rate-component 2

99.3

-

Percentage of patients that were successfully weaned from the ventilator during their LTCH stay - Facility adjusted rate

68.8

-

Percentage of patients that were successfully weaned from the ventilator during their LTCH stay - Denominator

173

-

Percentage of patients that were successfully weaned from the ventilator during their LTCH stay - Numerator

97

-

Percentage of patients that were successfully weaned from the ventilator during their LTCH stay - Facility observed rate

56.1

-

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

622

-

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

618

-

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

99.4

-