Integris Southwest Medical Center


About the Facility

CMS Certification Number (CCN)
37T106
Ownership Type
Non-profit
CMS Region
Dallas
Certification Date
Address
4401 South Western Avenue
Phone Number
(405) 636-7000

Facility Medical Condition Statistics

All other conditions
220
Brain disease or condition (non-traumatic)
33
Brain injury (traumatic)
25
Hip or femur fracture
160
Hip or knee replacement, amputation or other bone or joint condition
120
Nervous system disorder (excluding stroke)
27
Spinal cord disease or condition (non-traumatic)
36
Spinal cord injury (traumatic)
13
Stroke
157

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
465
Predicted number of infections (B)
0.961
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
776
Denominator
777
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
11.8
Denominator
689
Average observed change score
12.8
Change in patients ability to move around
Average risk-adjusted change score
28.9
Denominator
689
Average observed change score
30.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
402
Denominator
689
Facility rate
58.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
370
Denominator
689
Facility rate
53.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
777
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.280
SIR 95% confidence interval - upper limit
1.437
Comparative performance category
No Different than the National Benchmark
Patient days
15,200
Predicted number of infections (B)
8.687
Number of infections reported (A)
6
SIR (A/B)
0.691
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
125
Number of health care workers
156
Rate of flu vaccination
80.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
92
Number of eligible stays
1,050
Unadjusted potentially preventable readmission rate
8.76
Risk-standardized potentially preventable readmission rate (RSRR)
9.68
Lower limit of the 95% confidence interval on the RSRR
8.23
Upper limit of the 95% confidence interval on the RSRR
11.33
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
47
Number of eligible stays
1,157
Unadjusted potentially preventable readmission rate
4.06
Risk-standardized potentially preventable readmission rate (RSRR)
4.80
Lower limit of the 95% confidence interval on the RSRR
3.72
Upper limit of the 95% confidence interval on the RSRR
6.16
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)
621
Number of eligible stays
922
Observed discharge to community rate
67.35
Risk-standardized discharge to community rate
65.58
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.74
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.19
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
1,019
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
766
Denominator
777
Facility rate
98.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
16
Denominator
776
Facility observed rate
2.1
Facility risk-adjusted rate
2.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
146
Number of health care workers
162
Rate of COVID-19 vaccination
90.1