Medstar National Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
093025
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
102 Irving Street Nw
Phone Number
(202) 877-1737

Facility Medical Condition Statistics

All other conditions
179
Brain disease or condition (non-traumatic)
59
Brain injury (traumatic)
36
Hip or femur fracture
52
Hip or knee replacement, amputation or other bone or joint condition
197
Nervous system disorder (excluding stroke)
39
Spinal cord disease or condition (non-traumatic)
61
Spinal cord injury (traumatic)
30
Stroke
315

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.120
SIR 95% confidence interval - upper limit
2.358
Comparative performance category
No Different than the National Benchmark
Catheter days
1,374
Predicted number of infections (B)
2.802
Number of infections reported (A)
2
SIR (A/B)
0.714
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
947
Denominator
948
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
10.6
Denominator
804
Average observed change score
10.8
Change in patients ability to move around
Average risk-adjusted change score
28.0
Denominator
803
Average observed change score
28.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
344
Denominator
804
Facility rate
42.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
382
Denominator
804
Facility rate
47.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
946
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.293
SIR 95% confidence interval - upper limit
1.198
Comparative performance category
No Different than the National Benchmark
Patient days
33,733
Predicted number of infections (B)
12.678
Number of infections reported (A)
8
SIR (A/B)
0.631
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
905
Number of health care workers
957
Rate of flu vaccination
94.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
99
Number of eligible stays
1,179
Unadjusted potentially preventable readmission rate
8.40
Risk-standardized potentially preventable readmission rate (RSRR)
9.34
Lower limit of the 95% confidence interval on the RSRR
7.89
Upper limit of the 95% confidence interval on the RSRR
11.03
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
67
Number of eligible stays
1,326
Unadjusted potentially preventable readmission rate
5.05
Risk-standardized potentially preventable readmission rate (RSRR)
5.04
Lower limit of the 95% confidence interval on the RSRR
4.14
Upper limit of the 95% confidence interval on the RSRR
6.05
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)
630
Number of eligible stays
1,090
Observed discharge to community rate
57.80
Risk-standardized discharge to community rate
59.95
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.26
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.47
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
1,110
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
940
Denominator
948
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
10
Denominator
945
Facility observed rate
1.1
Facility risk-adjusted rate
1.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
810
Number of health care workers
812
Rate of COVID-19 vaccination
99.8