M HEALTH FAIRVIEW BETHESDA HOSPITAL

M HEALTH FAIRVIEW BETHESDA HOSPITAL is a Non-profit facility located at 45 10TH STREET WEST, -, SAINT PAUL, MN 55102 in Ramsey County. Contact them at (952) 892-2101. The facility was certified on January 20, 1989 and has 254 beds.

Facility Summary: M HEALTH FAIRVIEW BETHESDA HOSPITAL

Ownership: Non-profit

Profit Status:

Address: 45 10TH STREET WEST, -, SAINT PAUL, MN 55102

County: Ramsey

Phone: (952) 892-2101

Certification Date: January 20, 1989

Number of Beds: 254

Abbreviations for M HEALTH FAIRVIEW BETHESDA HOSPITAL Scores Below

CAUTI - Catheter-associated urinary tract infections
CCN - CMS Certification Number
CDC - Centers for Disease Control and Prevention
CDI - Clostridium difficile infection
CLABSI - Central line-associated bloodstream infections
CMS - Centers for Medicare & Medicaid Services
COVID-19 - Coronavirus Disease 2019
HCP - Healthcare personnel
LTCH - Long-term care hospital
LCDS - LTCH CARE (Continuity Assessment Record and Evaluation) Data Set
MSPB - Medicare spending per beneficiary
NHSN - National Healthcare Safety Network
PAC - Post-acute care
PHE - Public health emergency
RSRR - Risk-standardized readmission rate
QRP - Quality Reporting Program
SIR - Standardized infection ratio
ZIP Code - Zone Improvement Plan (ZIP) Code
Standardized infection ratio (SIR) 95% confidence interval - lower limit

Value: 0.274

SIR 95% confidence interval - upper limit

Value: 2.932

Comparative performance category

Value: No Different than the National Benchmark

Catheter days

Value: 1,588

Predicted number of infections (B)

Value: 2.785

Number of infections reported (A)

Value: 3

SIR (A/B)

Value: 1.077

SIR 95% confidence interval - lower limit

Value: 0.336

SIR 95% confidence interval - upper limit

Value: 3.590

Comparative performance category

Value: No Different than the National Benchmark

Central line days

Value: 3,176

Predicted number of infections (B)

Value: 2.274

Number of infections reported (A)

Value: 3

Standardized infection ratio (SIR) (A/B)

Value: 1.319

Denominator for ADL and thinking skills assessment

Value: 166

Numerator for ADL and thinking skills assessment

Value: 164

Facility rate for ADL and thinking skills assessment

Value: 98.8

Denominator for functional abilities assessment

Value: 166

Numerator for functional abilities assessment

Value: 161

Facility rate for functional abilities assessment

Value: 97.0

Adjusted change in mobility score

Value: 14.1

Denominator for mobility score change

Value: 93

Observed change in mobility score

Value: 15.0

Denominator for falls with major injury

Value: 166

Numerator for falls with major injury

Value: 0

Facility rate for falls with major injury

Value: 0.0

Standardized infection ratio (SIR) 95% confidence interval - lower limit for CDI

Value: 0.518

SIR 95% confidence interval - upper limit for CDI

Value: 2.659

Comparative performance category for CDI

Value: No Different than the National Benchmark

Patient days for CDI

Value: 6,697

Predicted number of CDI infections (B)

Value: 4.694

Number of CDI infections reported (A)

Value: 6

SIR for CDI (A/B)

Value: 1.278

Number of healthcare workers

Value: 412

Number of healthcare workers vaccinated

Value: 348

Rate of flu vaccination

Value: 84.5

Comparative performance category

Value: No Different than the National Rate

Unadjusted potentially preventable readmission rate

Value: 13.51

Number of potentially preventable readmissions following discharge

Value: 5

Risk-standardized potentially preventable readmission rate (RSRR)

Value: 17.69

Lower limit of the 95% confidence interval on the RSRR

Value: 13.21

Upper limit of the 95% confidence interval on the RSRR

Value: 23.39

Number of eligible stays

Value: 37

Comparative performance category

Value: No Different than the National Rate

Observed number of discharges to community

Value: 4

Observed discharge to community rate

Value: 9.76

Risk-standardized discharge to community rate

Value: 18.79

Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate

Value: 9.83

Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate

Value: 32.12

Number of eligible stays

Value: 41

Number of Eligible Episodes

Value: 36

MSPB Score

Value: 1.10

Facility adjusted rate

Value: 2.7

Denominator

Value: 153

Numerator

Value: 3

Facility observed rate

Value: 2.0

Denominator

Value: 166

Numerator

Value: 139

Facility rate

Value: 83.7

Denominator-component 1

Value: 88

Numerator-component 1

Value: 75

Facility observed rate-component 1

Value: 85.2

Denominator-component 2

Value: 57

Numerator-component 2

Value: 51

Facility observed rate-component 2

Value: 89.5

Facility adjusted rate

Value: 59.9

Denominator

Value: 88

Numerator

Value: 44

Facility observed rate

Value: 50.0

Denominator

Value: 430

Numerator

Value: 420

Facility observed rate for unplanned readmissions

Value: 97.7