Bayhealth Hospital Sussex


About the Facility

CMS Certification Number (CCN)
08T009
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
100 Wellness Way
Phone Number
(502) 596-6346

Facility Medical Condition Statistics

All other conditions
295
Brain disease or condition (non-traumatic)
83
Brain injury (traumatic)
17
Hip or femur fracture
79
Hip or knee replacement, amputation or other bone or joint condition
205
Nervous system disorder (excluding stroke)
79
Spinal cord disease or condition (non-traumatic)
20
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
147

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
681
Predicted number of infections (B)
0.982
Number of infections reported (A)
3
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
929
Denominator
929
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.6
Denominator
812
Average observed change score
15.8
Change in patients ability to move around
Average risk-adjusted change score
28.1
Denominator
812
Average observed change score
30.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
588
Denominator
812
Facility rate
72.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
387
Denominator
812
Facility rate
47.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
929
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.012
SIR 95% confidence interval - upper limit
1.145
Comparative performance category
No Different than the National Benchmark
Patient days
11,924
Predicted number of infections (B)
4.308
Number of infections reported (A)
1
SIR (A/B)
0.232
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
480
Number of health care workers
483
Rate of flu vaccination
99.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
75
Number of eligible stays
886
Unadjusted potentially preventable readmission rate
8.47
Risk-standardized potentially preventable readmission rate (RSRR)
8.67
Lower limit of the 95% confidence interval on the RSRR
7.31
Upper limit of the 95% confidence interval on the RSRR
10.27
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
21
Number of eligible stays
959
Unadjusted potentially preventable readmission rate
2.19
Risk-standardized potentially preventable readmission rate (RSRR)
3.20
Lower limit of the 95% confidence interval on the RSRR
2.31
Upper limit of the 95% confidence interval on the RSRR
4.17
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)
561
Number of eligible stays
789
Observed discharge to community rate
71.10
Risk-standardized discharge to community rate
70.01
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.00
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.71
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
1,066
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
926
Denominator
929
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
12
Denominator
926
Facility observed rate
1.3
Facility risk-adjusted rate
1.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
50
Number of health care workers
50
Rate of COVID-19 vaccination
100.0