Sentara Norfolk General Hosp


About the Facility

CMS Certification Number (CCN)
49T007
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
600 Gresham Drive
Phone Number
(757) 388-4261

Facility Medical Condition Statistics

All other conditions
42
Brain disease or condition (non-traumatic)
15
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
28
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
12
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
244
Predicted number of infections (B)
0.664
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
193
Denominator
193
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.3
Denominator
162
Average observed change score
12.7
Change in patients ability to move around
Average risk-adjusted change score
30.4
Denominator
162
Average observed change score
32.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
99
Denominator
162
Facility rate
61.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
95
Denominator
162
Facility rate
58.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
193
Facility rate
0.5
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.023
SIR 95% confidence interval - upper limit
2.243
Comparative performance category
No Different than the National Benchmark
Patient days
4,833
Predicted number of infections (B)
2.199
Number of infections reported (A)
1
SIR (A/B)
0.455
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
247
Number of health care workers
255
Rate of flu vaccination
96.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
21
Number of eligible stays
230
Unadjusted potentially preventable readmission rate
9.13
Risk-standardized potentially preventable readmission rate (RSRR)
8.68
Lower limit of the 95% confidence interval on the RSRR
6.91
Upper limit of the 95% confidence interval on the RSRR
10.92
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
250
Unadjusted potentially preventable readmission rate
3.20
Risk-standardized potentially preventable readmission rate (RSRR)
3.93
Lower limit of the 95% confidence interval on the RSRR
2.58
Upper limit of the 95% confidence interval on the RSRR
5.19
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)
116
Number of eligible stays
202
Observed discharge to community rate
57.43
Risk-standardized discharge to community rate
61.47
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
55.25
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.42
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.88
Number of eligible episodes
203
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
192
Denominator
193
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
193
Facility observed rate
1.0
Facility risk-adjusted rate
1.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
230
Number of health care workers
238
Rate of COVID-19 vaccination
96.6