Penn Highlands Dubois


About the Facility

CMS Certification Number (CCN)
39T086
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
100 Hospital Ave
Phone Number
(814) 375-3058

Facility Medical Condition Statistics

All other conditions
50
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
47
Hip or knee replacement, amputation or other bone or joint condition
35
Nervous system disorder (excluding stroke)
37
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
53

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
299
Predicted number of infections (B)
0.572
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
235
Denominator
237
Facility rate
99.2
Change in patients ability to care for themselves
Average risk-adjusted change score
13.0
Denominator
216
Average observed change score
13.1
Change in patients ability to move around
Average risk-adjusted change score
31.1
Denominator
216
Average observed change score
33.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
136
Denominator
216
Facility rate
63.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
133
Denominator
216
Facility rate
61.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
237
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.040
SIR 95% confidence interval - upper limit
3.933
Comparative performance category
No Different than the National Benchmark
Patient days
3,405
Predicted number of infections (B)
1.254
Number of infections reported (A)
1
SIR (A/B)
0.798
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
Not Available
Number of health care workers
Not Available
Rate of flu vaccination
Not Available
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
25
Number of eligible stays
278
Unadjusted potentially preventable readmission rate
8.99
Risk-standardized potentially preventable readmission rate (RSRR)
9.42
Lower limit of the 95% confidence interval on the RSRR
7.43
Upper limit of the 95% confidence interval on the RSRR
11.71
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
11
Number of eligible stays
298
Unadjusted potentially preventable readmission rate
3.69
Risk-standardized potentially preventable readmission rate (RSRR)
4.91
Lower limit of the 95% confidence interval on the RSRR
3.40
Upper limit of the 95% confidence interval on the RSRR
7.10
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)
157
Number of eligible stays
260
Observed discharge to community rate
60.38
Risk-standardized discharge to community rate
58.39
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
53.60
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.92
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
295
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
189
Denominator
237
Facility rate
79.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
236
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
24
Number of health care workers
27
Rate of COVID-19 vaccination
88.9