Benefis Health System


About the Facility

CMS Certification Number (CCN)
27T012
Ownership Type
Non-profit
CMS Region
Denver
Certification Date
Address
500 15th Ave So.
Phone Number
(406) 455-5000

Facility Medical Condition Statistics

All other conditions
36
Brain disease or condition (non-traumatic)
14
Brain injury (traumatic)
25
Hip or femur fracture
78
Hip or knee replacement, amputation or other bone or joint condition
29
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
75

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
69
Predicted number of infections (B)
0.172
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
272
Denominator
272
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.3
Denominator
222
Average observed change score
13.6
Change in patients ability to move around
Average risk-adjusted change score
29.3
Denominator
222
Average observed change score
32.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
127
Denominator
222
Facility rate
57.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
118
Denominator
222
Facility rate
53.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
272
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
0.652
Comparative performance category
Better than the National Benchmark
Patient days
10,510
Predicted number of infections (B)
4.595
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
22
Number of health care workers
51
Rate of flu vaccination
43.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
18
Number of eligible stays
360
Unadjusted potentially preventable readmission rate
5.00
Risk-standardized potentially preventable readmission rate (RSRR)
8.16
Lower limit of the 95% confidence interval on the RSRR
6.39
Upper limit of the 95% confidence interval on the RSRR
10.40
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
13
Number of eligible stays
388
Unadjusted potentially preventable readmission rate
3.35
Risk-standardized potentially preventable readmission rate (RSRR)
4.69
Lower limit of the 95% confidence interval on the RSRR
3.35
Upper limit of the 95% confidence interval on the RSRR
6.74
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)
189
Number of eligible stays
306
Observed discharge to community rate
61.76
Risk-standardized discharge to community rate
60.18
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
55.87
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.61
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
330
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
272
Denominator
272
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
270
Facility observed rate
0.7
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
64
Number of health care workers
70
Rate of COVID-19 vaccination
91.4