Lehigh Valley Hospital-Schuylkill


About the Facility

CMS Certification Number (CCN)
39T030
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
700 E Norwegian St
Phone Number
(610) 402-7062

Facility Medical Condition Statistics

All other conditions
34
Brain disease or condition (non-traumatic)
12
Brain injury (traumatic)
11
Hip or femur fracture
30
Hip or knee replacement, amputation or other bone or joint condition
28
Nervous system disorder (excluding stroke)
21
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
42

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
255
Predicted number of infections (B)
0.369
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
179
Denominator
180
Facility rate
99.4
Change in patients ability to care for themselves
Average risk-adjusted change score
12.4
Denominator
154
Average observed change score
14.0
Change in patients ability to move around
Average risk-adjusted change score
37.2
Denominator
154
Average observed change score
39.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
85
Denominator
154
Facility rate
55.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
111
Denominator
154
Facility rate
72.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
180
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
2.655
Comparative performance category
No Different than the National Benchmark
Patient days
3,145
Predicted number of infections (B)
1.128
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
30
Number of health care workers
35
Rate of flu vaccination
85.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
29
Number of eligible stays
278
Unadjusted potentially preventable readmission rate
10.43
Risk-standardized potentially preventable readmission rate (RSRR)
8.95
Lower limit of the 95% confidence interval on the RSRR
7.11
Upper limit of the 95% confidence interval on the RSRR
11.04
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
16
Number of eligible stays
312
Unadjusted potentially preventable readmission rate
5.13
Risk-standardized potentially preventable readmission rate (RSRR)
4.88
Lower limit of the 95% confidence interval on the RSRR
3.30
Upper limit of the 95% confidence interval on the RSRR
6.98
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)
147
Number of eligible stays
258
Observed discharge to community rate
56.98
Risk-standardized discharge to community rate
60.79
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
55.10
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.23
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.04
Number of eligible episodes
263
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
178
Denominator
180
Facility rate
98.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
180
Facility observed rate
1.7
Facility risk-adjusted rate
1.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
14
Number of health care workers
16
Rate of COVID-19 vaccination
87.5