Hannibal Regional Healthcare System


About the Facility

CMS Certification Number (CCN)
26T025
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
6000 Hospital Drive
Phone Number
(502) 596-6346

Facility Medical Condition Statistics

All other conditions
101
Brain disease or condition (non-traumatic)
28
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
60
Hip or knee replacement, amputation or other bone or joint condition
23
Nervous system disorder (excluding stroke)
46
Spinal cord disease or condition (non-traumatic)
13
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
43

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
210
Predicted number of infections (B)
0.383
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
316
Denominator
316
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.7
Denominator
285
Average observed change score
14.2
Change in patients ability to move around
Average risk-adjusted change score
33.4
Denominator
285
Average observed change score
36.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
191
Denominator
285
Facility rate
67.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
208
Denominator
285
Facility rate
73.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
316
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.887
SIR 95% confidence interval - upper limit
6.731
Comparative performance category
No Different than the National Benchmark
Patient days
3,254
Predicted number of infections (B)
1.433
Number of infections reported (A)
4
SIR (A/B)
2.790
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
25
Number of health care workers
26
Rate of flu vaccination
96.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
38
Number of eligible stays
345
Unadjusted potentially preventable readmission rate
11.01
Risk-standardized potentially preventable readmission rate (RSRR)
9.60
Lower limit of the 95% confidence interval on the RSRR
7.76
Upper limit of the 95% confidence interval on the RSRR
11.70
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
24
Number of eligible stays
379
Unadjusted potentially preventable readmission rate
6.33
Risk-standardized potentially preventable readmission rate (RSRR)
6.35
Lower limit of the 95% confidence interval on the RSRR
4.46
Upper limit of the 95% confidence interval on the RSRR
8.83
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)
195
Number of eligible stays
305
Observed discharge to community rate
63.93
Risk-standardized discharge to community rate
60.98
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.31
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.26
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
353
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
308
Denominator
316
Facility rate
97.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
10
Denominator
316
Facility observed rate
3.2
Facility risk-adjusted rate
3.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
19
Number of health care workers
25
Rate of COVID-19 vaccination
76.0