Methodist Hosp S California


About the Facility

CMS Certification Number (CCN)
05T238
Ownership Type
Non-profit
CMS Region
San Francisco
Certification Date
Address
300 W Huntington Dr
Phone Number
(412) 209-8936

Facility Medical Condition Statistics

All other conditions
141
Brain disease or condition (non-traumatic)
76
Brain injury (traumatic)
19
Hip or femur fracture
58
Hip or knee replacement, amputation or other bone or joint condition
63
Nervous system disorder (excluding stroke)
70
Spinal cord disease or condition (non-traumatic)
25
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
84

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
2.111
Comparative performance category
No Different than the National Benchmark
Catheter days
686
Predicted number of infections (B)
1.419
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
529
Denominator
529
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.9
Denominator
494
Average observed change score
14.6
Change in patients ability to move around
Average risk-adjusted change score
37.1
Denominator
494
Average observed change score
38.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
343
Denominator
494
Facility rate
69.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
373
Denominator
494
Facility rate
75.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
529
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.083
SIR 95% confidence interval - upper limit
1.640
Comparative performance category
No Different than the National Benchmark
Patient days
7,305
Predicted number of infections (B)
4.030
Number of infections reported (A)
2
SIR (A/B)
0.496
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
45
Number of health care workers
46
Rate of flu vaccination
97.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
76
Number of eligible stays
922
Unadjusted potentially preventable readmission rate
8.24
Risk-standardized potentially preventable readmission rate (RSRR)
8.07
Lower limit of the 95% confidence interval on the RSRR
6.81
Upper limit of the 95% confidence interval on the RSRR
9.49
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
19
Number of eligible stays
959
Unadjusted potentially preventable readmission rate
1.98
Risk-standardized potentially preventable readmission rate (RSRR)
2.92
Lower limit of the 95% confidence interval on the RSRR
2.23
Upper limit of the 95% confidence interval on the RSRR
3.78
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)
571
Number of eligible stays
771
Observed discharge to community rate
74.06
Risk-standardized discharge to community rate
74.61
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.34
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
77.37
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
890
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
529
Denominator
529
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
528
Facility observed rate
0.2
Facility risk-adjusted rate
0.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
38
Number of health care workers
39
Rate of COVID-19 vaccination
97.4