Wayne Memorial Hospital


About the Facility

CMS Certification Number (CCN)
39T125
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
601 Park Street
Phone Number
(570) 253-8100

Facility Medical Condition Statistics

All other conditions
24
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
20
Hip or knee replacement, amputation or other bone or joint condition
28
Nervous system disorder (excluding stroke)
17
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
21

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
195
Predicted number of infections (B)
0.428
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
128
Denominator
128
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.2
Denominator
114
Average observed change score
11.2
Change in patients ability to move around
Average risk-adjusted change score
33.9
Denominator
114
Average observed change score
39.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
58
Denominator
114
Facility rate
50.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
73
Denominator
114
Facility rate
64.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
128
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
2.726
Comparative performance category
No Different than the National Benchmark
Patient days
2,138
Predicted number of infections (B)
1.099
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
8
Number of health care workers
19
Rate of flu vaccination
42.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
10
Number of eligible stays
169
Unadjusted potentially preventable readmission rate
5.92
Risk-standardized potentially preventable readmission rate (RSRR)
8.33
Lower limit of the 95% confidence interval on the RSRR
6.41
Upper limit of the 95% confidence interval on the RSRR
10.70
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
182
Unadjusted potentially preventable readmission rate
3.85
Risk-standardized potentially preventable readmission rate (RSRR)
5.00
Lower limit of the 95% confidence interval on the RSRR
3.02
Upper limit of the 95% confidence interval on the RSRR
7.49
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)
104
Number of eligible stays
154
Observed discharge to community rate
67.53
Risk-standardized discharge to community rate
64.58
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.93
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.62
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
178
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1
Denominator
128
Facility rate
0.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
128
Facility observed rate
2.3
Facility risk-adjusted rate
2.7
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