Western Pennsylvania Hospital


About the Facility

CMS Certification Number (CCN)
39T090
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
4800 Friendship Ave
Phone Number
(412) 578-1093

Facility Medical Condition Statistics

All other conditions
77
Brain disease or condition (non-traumatic)
23
Brain injury (traumatic)
15
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
36
Nervous system disorder (excluding stroke)
25
Spinal cord disease or condition (non-traumatic)
33
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
64

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.323
SIR 95% confidence interval - upper limit
6.372
Comparative performance category
No Different than the National Benchmark
Catheter days
479
Predicted number of infections (B)
1.037
Number of infections reported (A)
2
SIR (A/B)
1.929
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
283
Denominator
283
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.1
Denominator
224
Average observed change score
9.8
Change in patients ability to move around
Average risk-adjusted change score
25.7
Denominator
224
Average observed change score
27.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
76
Denominator
224
Facility rate
33.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
92
Denominator
224
Facility rate
41.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
283
Facility rate
0.7
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.129
SIR 95% confidence interval - upper limit
2.544
Comparative performance category
No Different than the National Benchmark
Patient days
6,286
Predicted number of infections (B)
2.597
Number of infections reported (A)
2
SIR (A/B)
0.770
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
16
Number of health care workers
29
Rate of flu vaccination
55.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
17
Number of eligible stays
191
Unadjusted potentially preventable readmission rate
8.90
Risk-standardized potentially preventable readmission rate (RSRR)
8.62
Lower limit of the 95% confidence interval on the RSRR
6.91
Upper limit of the 95% confidence interval on the RSRR
10.88
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
20
Number of eligible stays
234
Unadjusted potentially preventable readmission rate
8.55
Risk-standardized potentially preventable readmission rate (RSRR)
6.16
Lower limit of the 95% confidence interval on the RSRR
4.58
Upper limit of the 95% confidence interval on the RSRR
8.28
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)
116
Number of eligible stays
191
Observed discharge to community rate
60.73
Risk-standardized discharge to community rate
63.88
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.34
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.44
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.08
Number of eligible episodes
192
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
278
Denominator
283
Facility rate
98.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
10
Denominator
282
Facility observed rate
3.5
Facility risk-adjusted rate
4.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
29
Number of health care workers
29
Rate of COVID-19 vaccination
100.0