St Francis Healthcare System


About the Facility

CMS Certification Number (CCN)
26T183
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
211 Saint Francis Dr
Phone Number
(573) 331-5368

Facility Medical Condition Statistics

All other conditions
37
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
19
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
13
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
51

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
108
Predicted number of infections (B)
0.295
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
148
Denominator
148
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
15.0
Denominator
137
Average observed change score
17.7
Change in patients ability to move around
Average risk-adjusted change score
33.3
Denominator
137
Average observed change score
36.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
108
Denominator
137
Facility rate
78.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
101
Denominator
137
Facility rate
73.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
148
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
2.414
Comparative performance category
No Different than the National Benchmark
Patient days
3,221
Predicted number of infections (B)
1.241
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
67
Number of health care workers
69
Rate of flu vaccination
97.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
11
Number of eligible stays
193
Unadjusted potentially preventable readmission rate
5.70
Risk-standardized potentially preventable readmission rate (RSRR)
7.96
Lower limit of the 95% confidence interval on the RSRR
6.14
Upper limit of the 95% confidence interval on the RSRR
10.15
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
208
Unadjusted potentially preventable readmission rate
3.85
Risk-standardized potentially preventable readmission rate (RSRR)
4.64
Lower limit of the 95% confidence interval on the RSRR
3.04
Upper limit of the 95% confidence interval on the RSRR
6.76
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)
120
Number of eligible stays
157
Observed discharge to community rate
76.43
Risk-standardized discharge to community rate
72.64
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.95
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
77.57
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
193
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
148
Denominator
148
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
147
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
62
Number of health care workers
74
Rate of COVID-19 vaccination
83.8