Jefferson Hospital


About the Facility

CMS Certification Number (CCN)
39T265
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
565 Coal Valley Rd
Phone Number
(412) 469-7488

Facility Medical Condition Statistics

All other conditions
120
Brain disease or condition (non-traumatic)
19
Brain injury (traumatic)
17
Hip or femur fracture
18
Hip or knee replacement, amputation or other bone or joint condition
37
Nervous system disorder (excluding stroke)
26
Spinal cord disease or condition (non-traumatic)
21
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
99

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
283
Predicted number of infections (B)
0.771
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
356
Denominator
356
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
8.9
Denominator
309
Average observed change score
9.1
Change in patients ability to move around
Average risk-adjusted change score
23.0
Denominator
309
Average observed change score
25.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
99
Denominator
309
Facility rate
32.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
97
Denominator
309
Facility rate
31.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
356
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.019
SIR 95% confidence interval - upper limit
1.879
Comparative performance category
No Different than the National Benchmark
Patient days
5,480
Predicted number of infections (B)
2.625
Number of infections reported (A)
1
SIR (A/B)
0.381
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
15
Number of health care workers
33
Rate of flu vaccination
45.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
19
Number of eligible stays
211
Unadjusted potentially preventable readmission rate
9.00
Risk-standardized potentially preventable readmission rate (RSRR)
8.94
Lower limit of the 95% confidence interval on the RSRR
6.96
Upper limit of the 95% confidence interval on the RSRR
11.23
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
11
Number of eligible stays
240
Unadjusted potentially preventable readmission rate
4.58
Risk-standardized potentially preventable readmission rate (RSRR)
4.91
Lower limit of the 95% confidence interval on the RSRR
3.39
Upper limit of the 95% confidence interval on the RSRR
6.68
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)
135
Number of eligible stays
191
Observed discharge to community rate
70.68
Risk-standardized discharge to community rate
67.89
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.71
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.78
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
204
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
354
Denominator
356
Facility rate
99.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
355
Facility observed rate
1.4
Facility risk-adjusted rate
1.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
31
Number of health care workers
32
Rate of COVID-19 vaccination
96.9