Lawrence Memorial Hospital


About the Facility

CMS Certification Number (CCN)
17T137
Ownership Type
Government
CMS Region
Kansas City
Certification Date
Address
325 Maine Street
Phone Number
(785) 505-5000

Facility Medical Condition Statistics

All other conditions
31
Brain disease or condition (non-traumatic)
24
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
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
51

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
62
Predicted number of infections (B)
0.120
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
139
Denominator
139
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.1
Denominator
117
Average observed change score
8.4
Change in patients ability to move around
Average risk-adjusted change score
16.6
Denominator
118
Average observed change score
18.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
48
Denominator
118
Facility rate
40.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
11
Denominator
118
Facility rate
9.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
139
Facility rate
0.7
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Patient days
2,089
Predicted number of infections (B)
0.774
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
198
Number of health care workers
209
Rate of flu vaccination
94.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
7
Number of eligible stays
126
Unadjusted potentially preventable readmission rate
5.56
Risk-standardized potentially preventable readmission rate (RSRR)
8.21
Lower limit of the 95% confidence interval on the RSRR
6.34
Upper limit of the 95% confidence interval on the RSRR
10.55
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
143
Unadjusted potentially preventable readmission rate
5.59
Risk-standardized potentially preventable readmission rate (RSRR)
5.62
Lower limit of the 95% confidence interval on the RSRR
3.63
Upper limit of the 95% confidence interval on the RSRR
8.53
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)
93
Number of eligible stays
126
Observed discharge to community rate
73.81
Risk-standardized discharge to community rate
67.26
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.52
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.48
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.86
Number of eligible episodes
127
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
134
Denominator
139
Facility rate
96.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
138
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
205
Number of health care workers
214
Rate of COVID-19 vaccination
95.8