Upmc Northwest


About the Facility

CMS Certification Number (CCN)
39T091
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
100 Fairfield Ave.
Phone Number
(877) 287-3422

Facility Medical Condition Statistics

All other conditions
35
Brain disease or condition (non-traumatic)
13
Brain injury (traumatic)
13
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
22
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)
-
Stroke
47

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
129
Predicted number of infections (B)
0.329
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
147
Denominator
147
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.2
Denominator
122
Average observed change score
13.5
Change in patients ability to move around
Average risk-adjusted change score
33.1
Denominator
122
Average observed change score
35.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
77
Denominator
122
Facility rate
63.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
83
Denominator
122
Facility rate
68.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
147
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.043
SIR 95% confidence interval - upper limit
4.264
Comparative performance category
No Different than the National Benchmark
Patient days
2,468
Predicted number of infections (B)
1.157
Number of infections reported (A)
1
SIR (A/B)
0.865
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
34
Number of health care workers
35
Rate of flu vaccination
97.1
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
117
Unadjusted potentially preventable readmission rate
7.69
Risk-standardized potentially preventable readmission rate (RSRR)
8.81
Lower limit of the 95% confidence interval on the RSRR
6.82
Upper limit of the 95% confidence interval on the RSRR
11.44
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
136
Unadjusted potentially preventable readmission rate
5.15
Risk-standardized potentially preventable readmission rate (RSRR)
5.09
Lower limit of the 95% confidence interval on the RSRR
3.48
Upper limit of the 95% confidence interval on the RSRR
7.32
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)
83
Number of eligible stays
112
Observed discharge to community rate
74.11
Risk-standardized discharge to community rate
69.79
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.49
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.19
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.91
Number of eligible episodes
125
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
145
Denominator
147
Facility rate
98.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
147
Facility observed rate
1.4
Facility risk-adjusted rate
2.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
34
Number of health care workers
36
Rate of COVID-19 vaccination
94.4