St Elias Specialty Hospital


About the Facility

CMS Certification Number (CCN)
02TA01
Ownership Type
Non-profit
CMS Region
Seattle
Certification Date
Address
4800 Cordova Street
Phone Number
(907) 561-3333

Facility Medical Condition Statistics

All other conditions
50
Brain disease or condition (non-traumatic)
21
Brain injury (traumatic)
12
Hip or femur fracture
35
Hip or knee replacement, amputation or other bone or joint condition
57
Nervous system disorder (excluding stroke)
14
Spinal cord disease or condition (non-traumatic)
22
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
72

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.292
SIR 95% confidence interval - upper limit
5.746
Comparative performance category
No Different than the National Benchmark
Catheter days
423
Predicted number of infections (B)
1.150
Number of infections reported (A)
2
SIR (A/B)
1.739
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
288
Denominator
288
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.6
Denominator
251
Average observed change score
12.2
Change in patients ability to move around
Average risk-adjusted change score
28.2
Denominator
251
Average observed change score
27.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
157
Denominator
251
Facility rate
62.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
135
Denominator
251
Facility rate
53.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
288
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.002
Comparative performance category
No Different than the National Benchmark
Patient days
7,761
Predicted number of infections (B)
2.990
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
32
Number of health care workers
36
Rate of flu vaccination
88.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
6
Number of eligible stays
201
Unadjusted potentially preventable readmission rate
2.99
Risk-standardized potentially preventable readmission rate (RSRR)
7.76
Lower limit of the 95% confidence interval on the RSRR
5.99
Upper limit of the 95% confidence interval on the RSRR
9.95
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
3
Number of eligible stays
216
Unadjusted potentially preventable readmission rate
1.39
Risk-standardized potentially preventable readmission rate (RSRR)
3.95
Lower limit of the 95% confidence interval on the RSRR
2.64
Upper limit of the 95% confidence interval on the RSRR
5.93
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)
158
Number of eligible stays
191
Observed discharge to community rate
82.72
Risk-standardized discharge to community rate
75.16
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.23
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
79.33
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.06
Number of eligible episodes
174
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
288
Denominator
288
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
287
Facility observed rate
0.3
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
29
Number of health care workers
31
Rate of COVID-19 vaccination
93.5