Jane Phillips Memorial Medical Center


About the Facility

CMS Certification Number (CCN)
37T018
Ownership Type
Non-profit
CMS Region
Dallas
Certification Date
Address
3500 Frank Phillips Boulevard
Phone Number
(918) 333-7200

Facility Medical Condition Statistics

All other conditions
28
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
30
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
30

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
89
Predicted number of infections (B)
0.128
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
9.8
Denominator
97
Average observed change score
9.0
Change in patients ability to move around
Average risk-adjusted change score
23.8
Denominator
97
Average observed change score
23.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
37
Denominator
97
Facility rate
38.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
35
Denominator
97
Facility rate
36.1
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
Not Available
SIR 95% confidence interval - upper limit
2.663
Comparative performance category
No Different than the National Benchmark
Patient days
2,114
Predicted number of infections (B)
1.125
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
16
Number of health care workers
16
Rate of flu vaccination
100.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
13
Number of eligible stays
209
Unadjusted potentially preventable readmission rate
6.22
Risk-standardized potentially preventable readmission rate (RSRR)
8.20
Lower limit of the 95% confidence interval on the RSRR
6.47
Upper limit of the 95% confidence interval on the RSRR
10.38
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
225
Unadjusted potentially preventable readmission rate
3.11
Risk-standardized potentially preventable readmission rate (RSRR)
4.65
Lower limit of the 95% confidence interval on the RSRR
3.38
Upper limit of the 95% confidence interval on the RSRR
7.06
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)
137
Number of eligible stays
178
Observed discharge to community rate
76.97
Risk-standardized discharge to community rate
69.11
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.43
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.39
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.87
Number of eligible episodes
210
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
108
Denominator
110
Facility rate
98.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
110
Facility observed rate
0.9
Facility risk-adjusted rate
1.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
13
Number of health care workers
14
Rate of COVID-19 vaccination
92.9