Lehigh Valley Hospital


About the Facility

CMS Certification Number (CCN)
39T133
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
1200 S Cedar Crest Blvd
Phone Number
(610) 402-7062

Facility Medical Condition Statistics

All other conditions
273
Brain disease or condition (non-traumatic)
65
Brain injury (traumatic)
45
Hip or femur fracture
103
Hip or knee replacement, amputation or other bone or joint condition
131
Nervous system disorder (excluding stroke)
66
Spinal cord disease or condition (non-traumatic)
46
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
210

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.081
SIR 95% confidence interval - upper limit
1.595
Comparative performance category
No Different than the National Benchmark
Catheter days
1,595
Predicted number of infections (B)
4.144
Number of infections reported (A)
2
SIR (A/B)
0.483
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
933
Denominator
934
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
12.1
Denominator
781
Average observed change score
13.7
Change in patients ability to move around
Average risk-adjusted change score
29.3
Denominator
781
Average observed change score
31.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
428
Denominator
781
Facility rate
54.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
402
Denominator
781
Facility rate
51.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
934
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.008
SIR 95% confidence interval - upper limit
0.748
Comparative performance category
Better than the National Benchmark
Patient days
16,467
Predicted number of infections (B)
6.597
Number of infections reported (A)
1
SIR (A/B)
0.152
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
478
Number of health care workers
517
Rate of flu vaccination
92.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
93
Number of eligible stays
1,125
Unadjusted potentially preventable readmission rate
8.27
Risk-standardized potentially preventable readmission rate (RSRR)
8.33
Lower limit of the 95% confidence interval on the RSRR
7.10
Upper limit of the 95% confidence interval on the RSRR
9.73
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
55
Number of eligible stays
1,245
Unadjusted potentially preventable readmission rate
4.42
Risk-standardized potentially preventable readmission rate (RSRR)
4.36
Lower limit of the 95% confidence interval on the RSRR
3.38
Upper limit of the 95% confidence interval on the RSRR
5.70
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)
671
Number of eligible stays
986
Observed discharge to community rate
68.05
Risk-standardized discharge to community rate
69.68
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.62
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.20
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
1,043
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
913
Denominator
934
Facility rate
97.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
28
Denominator
934
Facility observed rate
3.0
Facility risk-adjusted rate
3.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
191
Number of health care workers
208
Rate of COVID-19 vaccination
91.8