Ut Southwestern Inpatient Rehabilitation


About the Facility

CMS Certification Number (CCN)
45T044
Ownership Type
Government
CMS Region
Dallas
Certification Date
Address
5151 Harry Hines Blvd
Dallas, Texas 75235
Phone Number
(214) 645-4833

Facility Medical Condition Statistics

All other conditions
219
Brain disease or condition (non-traumatic)
85
Brain injury (traumatic)
17
Hip or femur fracture
32
Hip or knee replacement, amputation or other bone or joint condition
42
Nervous system disorder (excluding stroke)
60
Spinal cord disease or condition (non-traumatic)
84
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
114

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
376
Predicted number of infections (B)
0.779
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
651
Denominator
654
Facility rate
99.5
Change in patients ability to care for themselves
Average risk-adjusted change score
11.4
Denominator
537
Average observed change score
12.0
Change in patients ability to move around
Average risk-adjusted change score
32.9
Denominator
536
Average observed change score
32.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
308
Denominator
537
Facility rate
57.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
347
Denominator
537
Facility rate
64.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
654
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.011
SIR 95% confidence interval - upper limit
1.074
Comparative performance category
No Different than the National Benchmark
Patient days
9,791
Predicted number of infections (B)
4.592
Number of infections reported (A)
1
SIR (A/B)
0.218
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
87
Number of health care workers
105
Rate of flu vaccination
82.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
47
Number of eligible stays
664
Unadjusted potentially preventable readmission rate
7.08
Risk-standardized potentially preventable readmission rate (RSRR)
7.51
Lower limit of the 95% confidence interval on the RSRR
6.24
Upper limit of the 95% confidence interval on the RSRR
8.98
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
33
Number of eligible stays
742
Unadjusted potentially preventable readmission rate
4.45
Risk-standardized potentially preventable readmission rate (RSRR)
4.18
Lower limit of the 95% confidence interval on the RSRR
3.17
Upper limit of the 95% confidence interval on the RSRR
5.52
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)
403
Number of eligible stays
590
Observed discharge to community rate
68.31
Risk-standardized discharge to community rate
72.08
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.36
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.46
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
654
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
569
Denominator
654
Facility rate
87.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
8
Denominator
651
Facility observed rate
1.2
Facility risk-adjusted rate
1.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
85
Number of health care workers
92
Rate of COVID-19 vaccination
92.4