Mt. Sinai - St. Lukes Hospital Center


About the Facility

CMS Certification Number (CCN)
33T046
Ownership Type
Non-profit
CMS Region
New York
Certification Date
Address
1111 Amsterdam Ave- Sty6 Rehab
Phone Number
(212) 523-3299

Facility Medical Condition Statistics

All other conditions
57
Brain disease or condition (non-traumatic)
28
Brain injury (traumatic)
12
Hip or femur fracture
93
Hip or knee replacement, amputation or other bone or joint condition
65
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
62
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
123

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
2.438
Comparative performance category
No Different than the National Benchmark
Catheter days
520
Predicted number of infections (B)
1.229
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
452
Denominator
452
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.1
Denominator
385
Average observed change score
12.7
Change in patients ability to move around
Average risk-adjusted change score
28.2
Denominator
385
Average observed change score
33.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
216
Denominator
385
Facility rate
56.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
213
Denominator
385
Facility rate
55.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
452
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.758
Comparative performance category
Better than the National Benchmark
Patient days
9,694
Predicted number of infections (B)
3.951
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
58
Number of health care workers
84
Rate of flu vaccination
69.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
13
Number of eligible stays
455
Unadjusted potentially preventable readmission rate
2.86
Risk-standardized potentially preventable readmission rate (RSRR)
7.26
Lower limit of the 95% confidence interval on the RSRR
5.71
Upper limit of the 95% confidence interval on the RSRR
9.37
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
18
Number of eligible stays
506
Unadjusted potentially preventable readmission rate
3.56
Risk-standardized potentially preventable readmission rate (RSRR)
5.24
Lower limit of the 95% confidence interval on the RSRR
3.81
Upper limit of the 95% confidence interval on the RSRR
7.01
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)
287
Number of eligible stays
416
Observed discharge to community rate
68.99
Risk-standardized discharge to community rate
64.00
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.20
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.36
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.13
Number of eligible episodes
428
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
414
Denominator
452
Facility rate
91.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
452
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
165
Number of health care workers
165
Rate of COVID-19 vaccination
100.0