Suny Downstate Medical Center


About the Facility

CMS Certification Number (CCN)
33T350
Ownership Type
Government
CMS Region
New York
Certification Date
Address
450 Clarkson Aveue
Phone Number
(718) 270-8325

Facility Medical Condition Statistics

All other conditions
12
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
12
Hip or knee replacement, amputation or other bone or joint condition
45
Nervous system disorder (excluding stroke)
23
Spinal cord disease or condition (non-traumatic)
15
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
72

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
53
Predicted number of infections (B)
0.144
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
110
Denominator
110
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.3
Denominator
100
Average observed change score
10.8
Change in patients ability to move around
Average risk-adjusted change score
28.3
Denominator
100
Average observed change score
32.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
25
Denominator
100
Facility rate
25.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
49
Denominator
100
Facility rate
49.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
110
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.039
SIR 95% confidence interval - upper limit
3.816
Comparative performance category
No Different than the National Benchmark
Patient days
2,665
Predicted number of infections (B)
1.292
Number of infections reported (A)
1
SIR (A/B)
0.774
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
13
Number of health care workers
59
Rate of flu vaccination
22.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
4
Number of eligible stays
77
Unadjusted potentially preventable readmission rate
5.19
Risk-standardized potentially preventable readmission rate (RSRR)
8.52
Lower limit of the 95% confidence interval on the RSRR
6.54
Upper limit of the 95% confidence interval on the RSRR
11.29
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
5
Number of eligible stays
88
Unadjusted potentially preventable readmission rate
5.68
Risk-standardized potentially preventable readmission rate (RSRR)
5.46
Lower limit of the 95% confidence interval on the RSRR
3.38
Upper limit of the 95% confidence interval on the RSRR
8.75
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)
46
Number of eligible stays
71
Observed discharge to community rate
64.79
Risk-standardized discharge to community rate
64.36
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.40
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.96
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.22
Number of eligible episodes
76
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
105
Denominator
110
Facility rate
95.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
110
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
41
Number of health care workers
42
Rate of COVID-19 vaccination
97.6