Thomas Hospital


About the Facility

CMS Certification Number (CCN)
01T100
Ownership Type
Non-profit
CMS Region
Atlanta
Certification Date
Address
750 Morphy Avenue
Phone Number
(251) 435-3417

Facility Medical Condition Statistics

All other conditions
110
Brain disease or condition (non-traumatic)
13
Brain injury (traumatic)
13
Hip or femur fracture
37
Hip or knee replacement, amputation or other bone or joint condition
53
Nervous system disorder (excluding stroke)
13
Spinal cord disease or condition (non-traumatic)
12
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
54

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Catheter days
340
Predicted number of infections (B)
0.684
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
303
Denominator
303
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
7.6
Denominator
268
Average observed change score
8.2
Change in patients ability to move around
Average risk-adjusted change score
24.9
Denominator
269
Average observed change score
26.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
52
Denominator
269
Facility rate
19.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
108
Denominator
269
Facility rate
40.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
303
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.028
SIR 95% confidence interval - upper limit
2.723
Comparative performance category
No Different than the National Benchmark
Patient days
4,883
Predicted number of infections (B)
1.811
Number of infections reported (A)
1
SIR (A/B)
0.552
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
110
Number of health care workers
149
Rate of flu vaccination
73.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
23
Number of eligible stays
177
Unadjusted potentially preventable readmission rate
12.99
Risk-standardized potentially preventable readmission rate (RSRR)
9.95
Lower limit of the 95% confidence interval on the RSRR
7.73
Upper limit of the 95% confidence interval on the RSRR
12.79
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
13
Number of eligible stays
202
Unadjusted potentially preventable readmission rate
6.44
Risk-standardized potentially preventable readmission rate (RSRR)
5.21
Lower limit of the 95% confidence interval on the RSRR
3.65
Upper limit of the 95% confidence interval on the RSRR
7.65
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)
91
Number of eligible stays
151
Observed discharge to community rate
60.26
Risk-standardized discharge to community rate
63.80
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.91
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.50
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.09
Number of eligible episodes
164
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
302
Denominator
303
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
8
Denominator
301
Facility observed rate
2.7
Facility risk-adjusted rate
2.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
579
Number of health care workers
615
Rate of COVID-19 vaccination
94.1