St. Mary's Hospital at Amsterdam


About the Facility

CMS Certification Number (CCN)
33T047
Ownership Type
Non-profit
CMS Region
New York
Certification Date
Address
427 Guy Park Avenue
Phone Number
(518) 842-1900

Facility Medical Condition Statistics

All other conditions
57
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
21
Hip or knee replacement, amputation or other bone or joint condition
16
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)
-
Stroke
21

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
147
Predicted number of infections (B)
0.304
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
135
Denominator
135
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.9
Denominator
129
Average observed change score
15.0
Change in patients ability to move around
Average risk-adjusted change score
41.1
Denominator
129
Average observed change score
42.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
95
Denominator
129
Facility rate
73.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
103
Denominator
129
Facility rate
79.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
135
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
Not Available
Comparative performance category
Not Available
Patient days
1,961
Predicted number of infections (B)
0.752
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
68
Number of health care workers
79
Rate of flu vaccination
86.1
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
128
Unadjusted potentially preventable readmission rate
8.59
Risk-standardized potentially preventable readmission rate (RSRR)
8.87
Lower limit of the 95% confidence interval on the RSRR
6.79
Upper limit of the 95% confidence interval on the RSRR
11.63
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
3
Number of eligible stays
135
Unadjusted potentially preventable readmission rate
2.22
Risk-standardized potentially preventable readmission rate (RSRR)
4.41
Lower limit of the 95% confidence interval on the RSRR
2.61
Upper limit of the 95% confidence interval on the RSRR
6.37
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)
56
Number of eligible stays
107
Observed discharge to community rate
52.34
Risk-standardized discharge to community rate
55.92
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
48.52
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.43
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
135
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
131
Denominator
135
Facility rate
97.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
134
Facility observed rate
1.5
Facility risk-adjusted rate
1.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
48
Number of health care workers
48
Rate of COVID-19 vaccination
100.0