Staten Island University Hosp


About the Facility

CMS Certification Number (CCN)
33T160
Ownership Type
Non-profit
CMS Region
New York
Certification Date
Address
475 Seaview Avenue
Phone Number
(718) 226-8027

Facility Medical Condition Statistics

All other conditions
24
Brain disease or condition (non-traumatic)
28
Brain injury (traumatic)
28
Hip or femur fracture
89
Hip or knee replacement, amputation or other bone or joint condition
52
Nervous system disorder (excluding stroke)
27
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
117

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
102
Predicted number of infections (B)
0.193
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
359
Denominator
359
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.9
Denominator
310
Average observed change score
16.2
Change in patients ability to move around
Average risk-adjusted change score
33.6
Denominator
310
Average observed change score
37.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
188
Denominator
310
Facility rate
60.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
192
Denominator
310
Facility rate
61.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
359
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
1.065
Comparative performance category
No Different than the National Benchmark
Patient days
7,026
Predicted number of infections (B)
2.812
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
886
Number of health care workers
1,437
Rate of flu vaccination
61.7
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
268
Unadjusted potentially preventable readmission rate
4.10
Risk-standardized potentially preventable readmission rate (RSRR)
7.73
Lower limit of the 95% confidence interval on the RSRR
6.02
Upper limit of the 95% confidence interval on the RSRR
9.92
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
17
Number of eligible stays
318
Unadjusted potentially preventable readmission rate
5.35
Risk-standardized potentially preventable readmission rate (RSRR)
5.23
Lower limit of the 95% confidence interval on the RSRR
3.84
Upper limit of the 95% confidence interval on the RSRR
6.83
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)
156
Number of eligible stays
264
Observed discharge to community rate
59.09
Risk-standardized discharge to community rate
64.87
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.85
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.20
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
273
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
359
Denominator
359
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
358
Facility observed rate
1.1
Facility risk-adjusted rate
0.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
500
Number of health care workers
514
Rate of COVID-19 vaccination
97.3