Virginia Baptist Hospital


About the Facility

CMS Certification Number (CCN)
49T021
Ownership Type
Non-profit
CMS Region
Philadelphia
Certification Date
Address
3300 Rivermont Ave
Phone Number
(434) 200-5879

Facility Medical Condition Statistics

All other conditions
14
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
11
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
16
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
13
Spinal cord injury (traumatic)
-
Stroke
98

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
256
Predicted number of infections (B)
0.697
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
143
Denominator
143
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.6
Denominator
122
Average observed change score
11.4
Change in patients ability to move around
Average risk-adjusted change score
24.6
Denominator
122
Average observed change score
27.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
50
Denominator
122
Facility rate
41.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
39
Denominator
122
Facility rate
32.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
143
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.400
SIR 95% confidence interval - upper limit
4.276
Comparative performance category
No Different than the National Benchmark
Patient days
4,956
Predicted number of infections (B)
1.910
Number of infections reported (A)
3
SIR (A/B)
1.571
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
55
Number of health care workers
56
Rate of flu vaccination
98.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
4
Number of eligible stays
223
Unadjusted potentially preventable readmission rate
1.79
Risk-standardized potentially preventable readmission rate (RSRR)
7.30
Lower limit of the 95% confidence interval on the RSRR
5.48
Upper limit of the 95% confidence interval on the RSRR
9.49
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
244
Unadjusted potentially preventable readmission rate
3.28
Risk-standardized potentially preventable readmission rate (RSRR)
4.59
Lower limit of the 95% confidence interval on the RSRR
3.18
Upper limit of the 95% confidence interval on the RSRR
7.43
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)
139
Number of eligible stays
199
Observed discharge to community rate
69.85
Risk-standardized discharge to community rate
68.44
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.75
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.93
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
212
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
135
Denominator
143
Facility rate
94.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
143
Facility observed rate
2.1
Facility risk-adjusted rate
2.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
56
Number of health care workers
60
Rate of COVID-19 vaccination
93.3