Upmc Jameson


About the Facility

CMS Certification Number (CCN)
39T016
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
1211 Wilmington Rd
Phone Number
(877) 287-3422

Facility Medical Condition Statistics

All other conditions
28
Brain disease or condition (non-traumatic)
16
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
23
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
76

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
232
Predicted number of infections (B)
0.442
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
173
Denominator
173
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.9
Denominator
156
Average observed change score
14.9
Change in patients ability to move around
Average risk-adjusted change score
40.7
Denominator
156
Average observed change score
41.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
115
Denominator
156
Facility rate
73.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
129
Denominator
156
Facility rate
82.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
173
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.246
SIR 95% confidence interval - upper limit
4.850
Comparative performance category
No Different than the National Benchmark
Patient days
3,116
Predicted number of infections (B)
1.362
Number of infections reported (A)
2
SIR (A/B)
1.468
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
50
Number of health care workers
58
Rate of flu vaccination
86.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
9
Number of eligible stays
118
Unadjusted potentially preventable readmission rate
7.63
Risk-standardized potentially preventable readmission rate (RSRR)
8.48
Lower limit of the 95% confidence interval on the RSRR
6.57
Upper limit of the 95% confidence interval on the RSRR
10.84
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
3
Number of eligible stays
128
Unadjusted potentially preventable readmission rate
2.34
Risk-standardized potentially preventable readmission rate (RSRR)
4.25
Lower limit of the 95% confidence interval on the RSRR
3.09
Upper limit of the 95% confidence interval on the RSRR
5.83
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)
60
Number of eligible stays
98
Observed discharge to community rate
61.22
Risk-standardized discharge to community rate
64.24
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.64
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.56
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
104
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
166
Denominator
173
Facility rate
96.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
172
Facility observed rate
0.6
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
41
Number of health care workers
55
Rate of COVID-19 vaccination
74.5