Montefiore Medical Center


About the Facility

CMS Certification Number (CCN)
33T059
Ownership Type
Non-profit
CMS Region
New York
Certification Date
Address
600 E 233 Street
Phone Number
(718) 920-9593

Facility Medical Condition Statistics

All other conditions
41
Brain disease or condition (non-traumatic)
13
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
15
Hip or knee replacement, amputation or other bone or joint condition
38
Nervous system disorder (excluding stroke)
12
Spinal cord disease or condition (non-traumatic)
12
Spinal cord injury (traumatic)
-
Stroke
94

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
68
Predicted number of infections (B)
0.187
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
235
Denominator
235
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.0
Denominator
214
Average observed change score
11.9
Change in patients ability to move around
Average risk-adjusted change score
31.1
Denominator
214
Average observed change score
32.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
122
Denominator
214
Facility rate
57.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
117
Denominator
214
Facility rate
54.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
235
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
1.033
Comparative performance category
No Different than the National Benchmark
Patient days
5,622
Predicted number of infections (B)
2.901
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
27
Number of health care workers
44
Rate of flu vaccination
61.4
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
7
Number of eligible stays
81
Unadjusted potentially preventable readmission rate
8.64
Risk-standardized potentially preventable readmission rate (RSRR)
8.75
Lower limit of the 95% confidence interval on the RSRR
6.65
Upper limit of the 95% confidence interval on the RSRR
11.34
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
91
Unadjusted potentially preventable readmission rate
3.30
Risk-standardized potentially preventable readmission rate (RSRR)
4.57
Lower limit of the 95% confidence interval on the RSRR
2.64
Upper limit of the 95% confidence interval on the RSRR
8.03
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)
45
Number of eligible stays
74
Observed discharge to community rate
60.81
Risk-standardized discharge to community rate
63.87
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.17
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.19
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.06
Number of eligible episodes
74
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
235
Denominator
235
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
234
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
47
Number of health care workers
47
Rate of COVID-19 vaccination
100.0