Christian Hospital/bjc Healthcare


About the Facility

CMS Certification Number (CCN)
26T180
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
11133 Dunn Road
Phone Number
(314) 653-5307

Facility Medical Condition Statistics

All other conditions
79
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
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
13
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
81

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
153
Predicted number of infections (B)
0.245
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
200
Denominator
200
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
8.1
Denominator
182
Average observed change score
7.9
Change in patients ability to move around
Average risk-adjusted change score
21.2
Denominator
182
Average observed change score
23.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
51
Denominator
182
Facility rate
28.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
53
Denominator
182
Facility rate
29.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
200
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.198
SIR 95% confidence interval - upper limit
3.909
Comparative performance category
No Different than the National Benchmark
Patient days
3,689
Predicted number of infections (B)
1.690
Number of infections reported (A)
2
SIR (A/B)
1.183
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
1,285
Number of health care workers
1,343
Rate of flu vaccination
95.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
33
Number of eligible stays
223
Unadjusted potentially preventable readmission rate
14.80
Risk-standardized potentially preventable readmission rate (RSRR)
9.87
Lower limit of the 95% confidence interval on the RSRR
7.96
Upper limit of the 95% confidence interval on the RSRR
11.92
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
10
Number of eligible stays
249
Unadjusted potentially preventable readmission rate
4.02
Risk-standardized potentially preventable readmission rate (RSRR)
4.26
Lower limit of the 95% confidence interval on the RSRR
3.01
Upper limit of the 95% confidence interval on the RSRR
6.29
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)
135
Number of eligible stays
209
Observed discharge to community rate
64.59
Risk-standardized discharge to community rate
66.91
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.22
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.29
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
209
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
200
Denominator
200
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
199
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
70
Number of health care workers
72
Rate of COVID-19 vaccination
97.2