Upmc Montefiore


About the Facility

CMS Certification Number (CCN)
39T164
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
200 Lothrop St
Phone Number
(877) 287-3422

Facility Medical Condition Statistics

All other conditions
90
Brain disease or condition (non-traumatic)
26
Brain injury (traumatic)
14
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
16
Spinal cord disease or condition (non-traumatic)
18
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
75

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
150
Predicted number of infections (B)
0.410
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
258
Denominator
258
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.3
Denominator
216
Average observed change score
15.3
Change in patients ability to move around
Average risk-adjusted change score
37.4
Denominator
216
Average observed change score
38.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
160
Denominator
216
Facility rate
74.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
170
Denominator
216
Facility rate
78.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
258
Facility rate
0.4
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.250
SIR 95% confidence interval - upper limit
2.674
Comparative performance category
No Different than the National Benchmark
Patient days
5,918
Predicted number of infections (B)
3.054
Number of infections reported (A)
3
SIR (A/B)
0.982
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
35
Number of health care workers
36
Rate of flu vaccination
97.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
3
Number of eligible stays
130
Unadjusted potentially preventable readmission rate
2.31
Risk-standardized potentially preventable readmission rate (RSRR)
7.18
Lower limit of the 95% confidence interval on the RSRR
5.63
Upper limit of the 95% confidence interval on the RSRR
9.33
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
10
Number of eligible stays
156
Unadjusted potentially preventable readmission rate
6.41
Risk-standardized potentially preventable readmission rate (RSRR)
4.94
Lower limit of the 95% confidence interval on the RSRR
3.42
Upper limit of the 95% confidence interval on the RSRR
7.41
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)
82
Number of eligible stays
121
Observed discharge to community rate
67.77
Risk-standardized discharge to community rate
72.46
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.15
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
79.52
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
132
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
258
Denominator
258
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
258
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
33
Number of health care workers
34
Rate of COVID-19 vaccination
97.1