Via Christi Hosp Manhattan


About the Facility

CMS Certification Number (CCN)
17T142
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
1823 College Ave
Phone Number
(502) 596-6346

Facility Medical Condition Statistics

All other conditions
30
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
28
Hip or knee replacement, amputation or other bone or joint condition
25
Nervous system disorder (excluding stroke)
12
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
17

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
21
Predicted number of infections (B)
0.030
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
115
Denominator
115
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.4
Denominator
105
Average observed change score
12.8
Change in patients ability to move around
Average risk-adjusted change score
32.7
Denominator
105
Average observed change score
33.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
72
Denominator
105
Facility rate
68.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
80
Denominator
105
Facility rate
76.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
115
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
Not Available
Comparative performance category
Not Available
Patient days
1,805
Predicted number of infections (B)
0.637
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
15
Number of health care workers
15
Rate of flu vaccination
100.0
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
123
Unadjusted potentially preventable readmission rate
5.69
Risk-standardized potentially preventable readmission rate (RSRR)
8.25
Lower limit of the 95% confidence interval on the RSRR
6.44
Upper limit of the 95% confidence interval on the RSRR
10.77
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
1
Number of eligible stays
127
Unadjusted potentially preventable readmission rate
0.79
Risk-standardized potentially preventable readmission rate (RSRR)
4.08
Lower limit of the 95% confidence interval on the RSRR
2.67
Upper limit of the 95% confidence interval on the RSRR
5.81
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)
78
Number of eligible stays
109
Observed discharge to community rate
71.56
Risk-standardized discharge to community rate
64.99
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.45
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.31
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
119
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
115
Denominator
115
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
115
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
13
Number of health care workers
13
Rate of COVID-19 vaccination
100.0