Helen Hayes Hospital


About the Facility

CMS Certification Number (CCN)
33T405
Ownership Type
Government
CMS Region
New York
Certification Date
Address
51-55 N. Route 9w
Phone Number
(845) 786-4000

Facility Medical Condition Statistics

All other conditions
57
Brain disease or condition (non-traumatic)
74
Brain injury (traumatic)
39
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
34
Nervous system disorder (excluding stroke)
43
Spinal cord disease or condition (non-traumatic)
19
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
1.410
Comparative performance category
No Different than the National Benchmark
Catheter days
780
Predicted number of infections (B)
2.125
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
388
Denominator
391
Facility rate
99.2
Change in patients ability to care for themselves
Average risk-adjusted change score
9.9
Denominator
307
Average observed change score
9.6
Change in patients ability to move around
Average risk-adjusted change score
26.0
Denominator
307
Average observed change score
26.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
120
Denominator
307
Facility rate
39.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
123
Denominator
307
Facility rate
40.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
391
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.186
SIR 95% confidence interval - upper limit
1.410
Comparative performance category
No Different than the National Benchmark
Patient days
13,261
Predicted number of infections (B)
6.843
Number of infections reported (A)
4
SIR (A/B)
0.585
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
627
Number of health care workers
946
Rate of flu vaccination
66.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
30
Number of eligible stays
620
Unadjusted potentially preventable readmission rate
4.84
Risk-standardized potentially preventable readmission rate (RSRR)
6.98
Lower limit of the 95% confidence interval on the RSRR
5.68
Upper limit of the 95% confidence interval on the RSRR
8.64
Comparative performance category
Better than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
51
Number of eligible stays
723
Unadjusted potentially preventable readmission rate
7.05
Risk-standardized potentially preventable readmission rate (RSRR)
6.35
Lower limit of the 95% confidence interval on the RSRR
4.94
Upper limit of the 95% confidence interval on the RSRR
7.99
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
277
Number of eligible stays
572
Observed discharge to community rate
48.43
Risk-standardized discharge to community rate
50.16
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
46.73
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
53.90
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.14
Number of eligible episodes
551
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
389
Denominator
391
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
391
Facility observed rate
0.8
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
756
Number of health care workers
756
Rate of COVID-19 vaccination
100.0