Freeman Health Systems


About the Facility

CMS Certification Number (CCN)
26T137
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
1102 W 32nd St
Phone Number
(417) 347-4525

Facility Medical Condition Statistics

All other conditions
66
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
42
Hip or knee replacement, amputation or other bone or joint condition
22
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
22
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
69

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
289
Predicted number of infections (B)
0.599
Number of infections reported (A)
3
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
246
Denominator
247
Facility rate
99.6
Change in patients ability to care for themselves
Average risk-adjusted change score
12.3
Denominator
218
Average observed change score
12.9
Change in patients ability to move around
Average risk-adjusted change score
29.1
Denominator
218
Average observed change score
29.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
138
Denominator
218
Facility rate
63.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
120
Denominator
218
Facility rate
55.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
247
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.786
Comparative performance category
No Different than the National Benchmark
Patient days
3,931
Predicted number of infections (B)
1.677
Number of infections reported (A)
0
SIR (A/B)
0.000
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
29
Rate of flu vaccination
41.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
19
Number of eligible stays
314
Unadjusted potentially preventable readmission rate
6.05
Risk-standardized potentially preventable readmission rate (RSRR)
8.61
Lower limit of the 95% confidence interval on the RSRR
6.73
Upper limit of the 95% confidence interval on the RSRR
10.87
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
4
Number of eligible stays
335
Unadjusted potentially preventable readmission rate
1.19
Risk-standardized potentially preventable readmission rate (RSRR)
3.66
Lower limit of the 95% confidence interval on the RSRR
2.42
Upper limit of the 95% confidence interval on the RSRR
5.13
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)
204
Number of eligible stays
274
Observed discharge to community rate
74.45
Risk-standardized discharge to community rate
67.53
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.33
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.20
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.82
Number of eligible episodes
317
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
236
Denominator
247
Facility rate
95.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
247
Facility observed rate
1.2
Facility risk-adjusted rate
1.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
15
Number of health care workers
27
Rate of COVID-19 vaccination
55.6