Bryn Mawr Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
393025
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
414 Paoli Pike
Phone Number
(484) 596-5400

Facility Medical Condition Statistics

All other conditions
146
Brain disease or condition (non-traumatic)
116
Brain injury (traumatic)
87
Hip or femur fracture
247
Hip or knee replacement, amputation or other bone or joint condition
230
Nervous system disorder (excluding stroke)
85
Spinal cord disease or condition (non-traumatic)
185
Spinal cord injury (traumatic)
39
Stroke
427

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.437
SIR 95% confidence interval - upper limit
3.318
Comparative performance category
No Different than the National Benchmark
Catheter days
1,068
Predicted number of infections (B)
2.908
Number of infections reported (A)
4
SIR (A/B)
1.376
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,493
Denominator
1,493
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.0
Denominator
1,253
Average observed change score
12.4
Change in patients ability to move around
Average risk-adjusted change score
34.5
Denominator
1,253
Average observed change score
38.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
618
Denominator
1,253
Facility rate
49.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
823
Denominator
1,253
Facility rate
65.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,493
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.089
SIR 95% confidence interval - upper limit
0.679
Comparative performance category
Better than the National Benchmark
Patient days
34,276
Predicted number of infections (B)
14.211
Number of infections reported (A)
4
SIR (A/B)
0.281
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
373
Number of health care workers
374
Rate of flu vaccination
99.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
87
Number of eligible stays
1,384
Unadjusted potentially preventable readmission rate
6.29
Risk-standardized potentially preventable readmission rate (RSRR)
8.64
Lower limit of the 95% confidence interval on the RSRR
7.24
Upper limit of the 95% confidence interval on the RSRR
10.11
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
89
Number of eligible stays
1,556
Unadjusted potentially preventable readmission rate
5.72
Risk-standardized potentially preventable readmission rate (RSRR)
6.28
Lower limit of the 95% confidence interval on the RSRR
5.15
Upper limit of the 95% confidence interval on the RSRR
7.48
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)
822
Number of eligible stays
1,293
Observed discharge to community rate
63.57
Risk-standardized discharge to community rate
63.11
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.68
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.47
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.07
Number of eligible episodes
1,333
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,473
Denominator
1,493
Facility rate
98.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
15
Denominator
1,493
Facility observed rate
1.0
Facility risk-adjusted rate
1.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
796
Number of health care workers
807
Rate of COVID-19 vaccination
98.6