Lehigh Valley Hospital - Pocono


About the Facility

CMS Certification Number (CCN)
39T201
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
206 E Brown St
Phone Number
(610) 402-7062

Facility Medical Condition Statistics

All other conditions
77
Brain disease or condition (non-traumatic)
12
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
41
Hip or knee replacement, amputation or other bone or joint condition
27
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
46

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
225
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
223
Denominator
223
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.2
Denominator
203
Average observed change score
13.8
Change in patients ability to move around
Average risk-adjusted change score
29.8
Denominator
203
Average observed change score
31.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
141
Denominator
203
Facility rate
69.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
123
Denominator
203
Facility rate
60.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
223
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
Not Available
Comparative performance category
Not Available
Patient days
2,892
Predicted number of infections (B)
0.944
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
65
Number of health care workers
74
Rate of flu vaccination
87.8
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
243
Unadjusted potentially preventable readmission rate
4.94
Risk-standardized potentially preventable readmission rate (RSRR)
7.86
Lower limit of the 95% confidence interval on the RSRR
6.13
Upper limit of the 95% confidence interval on the RSRR
10.07
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
5
Number of eligible stays
260
Unadjusted potentially preventable readmission rate
1.92
Risk-standardized potentially preventable readmission rate (RSRR)
4.08
Lower limit of the 95% confidence interval on the RSRR
2.68
Upper limit of the 95% confidence interval on the RSRR
5.54
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)
146
Number of eligible stays
202
Observed discharge to community rate
72.28
Risk-standardized discharge to community rate
68.47
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.10
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.28
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.89
Number of eligible episodes
223
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
222
Denominator
223
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
222
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
30
Number of health care workers
32
Rate of COVID-19 vaccination
93.8