St Joseph Hospital Ir Center


About the Facility

CMS Certification Number (CCN)
30T011
Ownership Type
Non-profit
CMS Region
Boston
Certification Date
Address
172 Kinsley St
Phone Number
(603) 882-3000

Facility Medical Condition Statistics

All other conditions
130
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
20
Hip or femur fracture
48
Hip or knee replacement, amputation or other bone or joint condition
37
Nervous system disorder (excluding stroke)
23
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
-
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
307
Predicted number of infections (B)
0.443
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
334
Denominator
335
Facility rate
99.7
Change in patients ability to care for themselves
Average risk-adjusted change score
10.6
Denominator
301
Average observed change score
10.4
Change in patients ability to move around
Average risk-adjusted change score
24.3
Denominator
301
Average observed change score
26.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
157
Denominator
301
Facility rate
52.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
105
Denominator
301
Facility rate
34.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
335
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
1.715
Comparative performance category
No Different than the National Benchmark
Patient days
4,969
Predicted number of infections (B)
1.747
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
101
Number of health care workers
106
Rate of flu vaccination
95.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
44
Number of eligible stays
464
Unadjusted potentially preventable readmission rate
9.48
Risk-standardized potentially preventable readmission rate (RSRR)
9.45
Lower limit of the 95% confidence interval on the RSRR
7.66
Upper limit of the 95% confidence interval on the RSRR
11.39
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
491
Unadjusted potentially preventable readmission rate
2.65
Risk-standardized potentially preventable readmission rate (RSRR)
4.08
Lower limit of the 95% confidence interval on the RSRR
2.85
Upper limit of the 95% confidence interval on the RSRR
5.61
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)
245
Number of eligible stays
397
Observed discharge to community rate
61.71
Risk-standardized discharge to community rate
60.50
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.63
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.52
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
454
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
267
Denominator
335
Facility rate
79.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
333
Facility observed rate
0.3
Facility risk-adjusted rate
0.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
88
Number of health care workers
90
Rate of COVID-19 vaccination
97.8