Upmc East


About the Facility

CMS Certification Number (CCN)
39T328
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
2735 Mosside Blvd
Phone Number
(877) 287-3422

Facility Medical Condition Statistics

All other conditions
94
Brain disease or condition (non-traumatic)
18
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
26
Hip or knee replacement, amputation or other bone or joint condition
32
Nervous system disorder (excluding stroke)
22
Spinal cord disease or condition (non-traumatic)
17
Spinal cord injury (traumatic)
-
Stroke
92

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
331
Predicted number of infections (B)
0.902
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
305
Denominator
305
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.5
Denominator
265
Average observed change score
12.9
Change in patients ability to move around
Average risk-adjusted change score
37.4
Denominator
265
Average observed change score
37.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
171
Denominator
265
Facility rate
64.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
199
Denominator
265
Facility rate
75.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
305
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.287
SIR 95% confidence interval - upper limit
3.068
Comparative performance category
No Different than the National Benchmark
Patient days
5,158
Predicted number of infections (B)
2.662
Number of infections reported (A)
3
SIR (A/B)
1.127
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
20
Number of health care workers
23
Rate of flu vaccination
87.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
6
Number of eligible stays
173
Unadjusted potentially preventable readmission rate
3.47
Risk-standardized potentially preventable readmission rate (RSRR)
7.64
Lower limit of the 95% confidence interval on the RSRR
5.89
Upper limit of the 95% confidence interval on the RSRR
9.75
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
196
Unadjusted potentially preventable readmission rate
5.10
Risk-standardized potentially preventable readmission rate (RSRR)
5.26
Lower limit of the 95% confidence interval on the RSRR
3.23
Upper limit of the 95% confidence interval on the RSRR
7.20
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)
100
Number of eligible stays
147
Observed discharge to community rate
68.03
Risk-standardized discharge to community rate
66.94
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.89
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.02
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
168
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
305
Denominator
305
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
305
Facility observed rate
1.0
Facility risk-adjusted rate
1.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
20
Number of health care workers
23
Rate of COVID-19 vaccination
87.0