Mt Sinai Medical Center


About the Facility

CMS Certification Number (CCN)
33T024
Ownership Type
Non-profit
CMS Region
New York
Certification Date
Address
One Gustave L Levy Place
Phone Number
(212) 659-9373

Facility Medical Condition Statistics

All other conditions
73
Brain disease or condition (non-traumatic)
43
Brain injury (traumatic)
41
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
21
Nervous system disorder (excluding stroke)
20
Spinal cord disease or condition (non-traumatic)
67
Spinal cord injury (traumatic)
23
Stroke
113

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
1.211
SIR 95% confidence interval - upper limit
5.477
Comparative performance category
Worse than the National Benchmark
Catheter days
928
Predicted number of infections (B)
2.528
Number of infections reported (A)
7
SIR (A/B)
2.769
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
400
Denominator
400
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.7
Denominator
320
Average observed change score
11.1
Change in patients ability to move around
Average risk-adjusted change score
25.3
Denominator
320
Average observed change score
26.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
120
Denominator
320
Facility rate
37.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
124
Denominator
320
Facility rate
38.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
400
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.043
SIR 95% confidence interval - upper limit
0.849
Comparative performance category
Better than the National Benchmark
Patient days
15,085
Predicted number of infections (B)
7.784
Number of infections reported (A)
2
SIR (A/B)
0.257
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
164
Number of health care workers
239
Rate of flu vaccination
68.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
16
Number of eligible stays
258
Unadjusted potentially preventable readmission rate
6.20
Risk-standardized potentially preventable readmission rate (RSRR)
8.06
Lower limit of the 95% confidence interval on the RSRR
6.26
Upper limit of the 95% confidence interval on the RSRR
10.03
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
19
Number of eligible stays
304
Unadjusted potentially preventable readmission rate
6.25
Risk-standardized potentially preventable readmission rate (RSRR)
4.96
Lower limit of the 95% confidence interval on the RSRR
3.56
Upper limit of the 95% confidence interval on the RSRR
6.75
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)
147
Number of eligible stays
233
Observed discharge to community rate
63.09
Risk-standardized discharge to community rate
68.61
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.46
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.12
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
254
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
382
Denominator
400
Facility rate
95.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
399
Facility observed rate
1.3
Facility risk-adjusted rate
1.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
302
Number of health care workers
305
Rate of COVID-19 vaccination
99.0