Southeast Hospital


About the Facility

CMS Certification Number (CCN)
26T110
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
1701 Lacey Street
Phone Number
(573) 331-6575

Facility Medical Condition Statistics

All other conditions
54
Brain disease or condition (non-traumatic)
27
Brain injury (traumatic)
13
Hip or femur fracture
26
Hip or knee replacement, amputation or other bone or joint condition
41
Nervous system disorder (excluding stroke)
43
Spinal cord disease or condition (non-traumatic)
11
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
41

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
91
Predicted number of infections (B)
0.178
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
253
Denominator
253
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.7
Denominator
227
Average observed change score
13.5
Change in patients ability to move around
Average risk-adjusted change score
31.9
Denominator
227
Average observed change score
28.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
164
Denominator
227
Facility rate
72.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
160
Denominator
227
Facility rate
70.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
253
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.184
SIR 95% confidence interval - upper limit
3.631
Comparative performance category
No Different than the National Benchmark
Patient days
3,470
Predicted number of infections (B)
1.820
Number of infections reported (A)
2
SIR (A/B)
1.099
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
12
Number of health care workers
12
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
27
Number of eligible stays
319
Unadjusted potentially preventable readmission rate
8.46
Risk-standardized potentially preventable readmission rate (RSRR)
9.14
Lower limit of the 95% confidence interval on the RSRR
7.34
Upper limit of the 95% confidence interval on the RSRR
11.18
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
5
Number of eligible stays
332
Unadjusted potentially preventable readmission rate
1.51
Risk-standardized potentially preventable readmission rate (RSRR)
3.83
Lower limit of the 95% confidence interval on the RSRR
2.58
Upper limit of the 95% confidence interval on the RSRR
5.48
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)
194
Number of eligible stays
274
Observed discharge to community rate
70.80
Risk-standardized discharge to community rate
64.44
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.20
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.41
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.90
Number of eligible episodes
328
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
239
Denominator
253
Facility rate
94.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
252
Facility observed rate
0.8
Facility risk-adjusted rate
1.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
8
Number of health care workers
9
Rate of COVID-19 vaccination
88.9