Monongahela Valley Hospital


About the Facility

CMS Certification Number (CCN)
39T147
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
Country Club Road
Phone Number
(724) 258-1408

Facility Medical Condition Statistics

All other conditions
69
Brain disease or condition (non-traumatic)
11
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
31
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
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
48

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
315
Predicted number of infections (B)
0.501
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
175
Denominator
175
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.0
Denominator
153
Average observed change score
9.5
Change in patients ability to move around
Average risk-adjusted change score
24.7
Denominator
153
Average observed change score
22.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
63
Denominator
153
Facility rate
41.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
44
Denominator
153
Facility rate
28.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
175
Facility rate
0.6
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
2.500
Comparative performance category
No Different than the National Benchmark
Patient days
2,755
Predicted number of infections (B)
1.198
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
60
Number of health care workers
77
Rate of flu vaccination
77.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
12
Number of eligible stays
115
Unadjusted potentially preventable readmission rate
10.43
Risk-standardized potentially preventable readmission rate (RSRR)
8.93
Lower limit of the 95% confidence interval on the RSRR
7.03
Upper limit of the 95% confidence interval on the RSRR
11.31
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
3
Number of eligible stays
124
Unadjusted potentially preventable readmission rate
2.42
Risk-standardized potentially preventable readmission rate (RSRR)
4.25
Lower limit of the 95% confidence interval on the RSRR
2.65
Upper limit of the 95% confidence interval on the RSRR
5.98
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)
65
Number of eligible stays
99
Observed discharge to community rate
65.66
Risk-standardized discharge to community rate
67.47
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.79
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.08
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
107
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
169
Denominator
175
Facility rate
96.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
175
Facility observed rate
1.1
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
201
Number of health care workers
212
Rate of COVID-19 vaccination
94.8