Alta Bates Summit Medical Center


About the Facility

CMS Certification Number (CCN)
05T043
Ownership Type
Non-profit
CMS Region
San Francisco
Certification Date
Address
350 Hawthorne Avenue
2nd Floor
Phone Number
(510) 869-6329

Facility Medical Condition Statistics

All other conditions
66
Brain disease or condition (non-traumatic)
30
Brain injury (traumatic)
20
Hip or femur fracture
23
Hip or knee replacement, amputation or other bone or joint condition
85
Nervous system disorder (excluding stroke)
29
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
165

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.045
SIR 95% confidence interval - upper limit
4.403
Comparative performance category
No Different than the National Benchmark
Catheter days
589
Predicted number of infections (B)
1.120
Number of infections reported (A)
1
SIR (A/B)
0.893
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
423
Denominator
424
Facility rate
99.8
Change in patients ability to care for themselves
Average risk-adjusted change score
12.9
Denominator
386
Average observed change score
14.5
Change in patients ability to move around
Average risk-adjusted change score
30.9
Denominator
386
Average observed change score
33.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
240
Denominator
386
Facility rate
62.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
226
Denominator
386
Facility rate
58.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
424
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
0.747
Comparative performance category
Better than the National Benchmark
Patient days
12,286
Predicted number of infections (B)
4.011
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
349
Number of health care workers
396
Rate of flu vaccination
88.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
37
Number of eligible stays
624
Unadjusted potentially preventable readmission rate
5.93
Risk-standardized potentially preventable readmission rate (RSRR)
8.40
Lower limit of the 95% confidence interval on the RSRR
6.75
Upper limit of the 95% confidence interval on the RSRR
10.33
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
17
Number of eligible stays
672
Unadjusted potentially preventable readmission rate
2.53
Risk-standardized potentially preventable readmission rate (RSRR)
3.93
Lower limit of the 95% confidence interval on the RSRR
2.84
Upper limit of the 95% confidence interval on the RSRR
5.36
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)
443
Number of eligible stays
547
Observed discharge to community rate
80.99
Risk-standardized discharge to community rate
76.98
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.92
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
79.75
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
584
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
424
Denominator
424
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
424
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
4,851
Number of health care workers
4,960
Rate of COVID-19 vaccination
97.8