Upstate Medical University


About the Facility

CMS Certification Number (CCN)
33T241
Ownership Type
Government
CMS Region
New York
Certification Date
Address
750 E Adams St.
Phone Number
(315) 466-3426

Facility Medical Condition Statistics

All other conditions
21
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
33
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
49
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
31
Spinal cord injury (traumatic)
12
Stroke
75

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.308
SIR 95% confidence interval - upper limit
6.062
Comparative performance category
No Different than the National Benchmark
Catheter days
400
Predicted number of infections (B)
1.090
Number of infections reported (A)
2
SIR (A/B)
1.835
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
236
Denominator
236
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.7
Denominator
203
Average observed change score
14.4
Change in patients ability to move around
Average risk-adjusted change score
32.9
Denominator
203
Average observed change score
34.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
142
Denominator
203
Facility rate
70.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
129
Denominator
203
Facility rate
63.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
236
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.252
SIR 95% confidence interval - upper limit
2.693
Comparative performance category
No Different than the National Benchmark
Patient days
7,869
Predicted number of infections (B)
3.032
Number of infections reported (A)
3
SIR (A/B)
0.989
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
157
Number of health care workers
279
Rate of flu vaccination
56.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
14
Number of eligible stays
360
Unadjusted potentially preventable readmission rate
3.89
Risk-standardized potentially preventable readmission rate (RSRR)
7.34
Lower limit of the 95% confidence interval on the RSRR
5.69
Upper limit of the 95% confidence interval on the RSRR
9.36
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
24
Number of eligible stays
404
Unadjusted potentially preventable readmission rate
5.94
Risk-standardized potentially preventable readmission rate (RSRR)
5.65
Lower limit of the 95% confidence interval on the RSRR
4.32
Upper limit of the 95% confidence interval on the RSRR
7.22
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)
216
Number of eligible stays
305
Observed discharge to community rate
70.82
Risk-standardized discharge to community rate
72.66
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.06
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
77.09
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.08
Number of eligible episodes
326
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
235
Denominator
236
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
236
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
242
Number of health care workers
243
Rate of COVID-19 vaccination
99.6