Upmc Susquehanna Williamsport


About the Facility

CMS Certification Number (CCN)
39T045
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
777 Rural Avenue
Phone Number
(877) 287-3422

Facility Medical Condition Statistics

All other conditions
31
Brain disease or condition (non-traumatic)
16
Brain injury (traumatic)
21
Hip or femur fracture
32
Hip or knee replacement, amputation or other bone or joint condition
45
Nervous system disorder (excluding stroke)
42
Spinal cord disease or condition (non-traumatic)
16
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
57

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
418
Predicted number of infections (B)
0.864
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
264
Denominator
264
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.2
Denominator
238
Average observed change score
14.1
Change in patients ability to move around
Average risk-adjusted change score
34.2
Denominator
238
Average observed change score
36.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
168
Denominator
238
Facility rate
70.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
170
Denominator
238
Facility rate
71.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
264
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
0.955
Comparative performance category
Better than the National Benchmark
Patient days
5,324
Predicted number of infections (B)
3.136
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
701
Number of health care workers
736
Rate of flu vaccination
95.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
24
Number of eligible stays
311
Unadjusted potentially preventable readmission rate
7.72
Risk-standardized potentially preventable readmission rate (RSRR)
8.78
Lower limit of the 95% confidence interval on the RSRR
6.90
Upper limit of the 95% confidence interval on the RSRR
10.97
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
19
Number of eligible stays
345
Unadjusted potentially preventable readmission rate
5.51
Risk-standardized potentially preventable readmission rate (RSRR)
5.72
Lower limit of the 95% confidence interval on the RSRR
4.09
Upper limit of the 95% confidence interval on the RSRR
7.77
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)
198
Number of eligible stays
285
Observed discharge to community rate
69.47
Risk-standardized discharge to community rate
67.11
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.28
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.33
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
321
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
262
Denominator
264
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
264
Facility observed rate
1.5
Facility risk-adjusted rate
2.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
597
Number of health care workers
699
Rate of COVID-19 vaccination
85.4