General Totals
Number of Dialysis Providers
| 6,236 | Nation |
|---|---|
| 4 | Virgin Islands |
| 2 | Christiansted, Virgin Islands |
| N/A | Governor Juan F. Luis Hospital and Medical Center |
Total Number of Dialysis Stations
| 110,108 | Nation |
|---|---|
| 58 | Virgin Islands |
| 30 | Christiansted, Virgin Islands |
| 12 | Governor Juan F. Luis Hospital and Medical Center |
Average Number of Dialysis Stations
| 17.66 | Nation |
|---|---|
| 14.50 | Virgin Islands |
| 15.00 | Christiansted, Virgin Islands |
| N/A | Governor Juan F. Luis Hospital and Medical Center |
Services Totals
Total Number Offering Hemodialysis
| 6,236 | Nation |
|---|---|
| 4 | Virgin Islands |
| 2 | Christiansted, Virgin Islands |
| 1 | Governor Juan F. Luis Hospital and Medical Center |
Total Number Offering Peritoneal Dialysis
| 3,114 | Nation |
|---|---|
| N/A | Virgin Islands |
| N/A | Christiansted, Virgin Islands |
| 0 | Governor Juan F. Luis Hospital and Medical Center |
Total Number Offering Home Training
| 1,705 | Nation |
|---|---|
| N/A | Virgin Islands |
| N/A | Christiansted, Virgin Islands |
| 0 | Governor Juan F. Luis Hospital and Medical Center |
Have Shifts after 5pm
| 1,124 | Nation |
|---|---|
| 1 | Virgin Islands |
| N/A | Christiansted, Virgin Islands |
| 0 | Governor Juan F. Luis Hospital and Medical Center |
Total Number of For Profit Facilities
| 5,346 | Nation |
|---|---|
| 2 | Virgin Islands |
| 1 | Christiansted, Virgin Islands |
| 0 | Governor Juan F. Luis Hospital and Medical Center |
Total Number of Non Profit Facilities
| 890 | Nation |
|---|---|
| 2 | Virgin Islands |
| 1 | Christiansted, Virgin Islands |
| 0 | Governor Juan F. Luis Hospital and Medical Center |
Total Number of Chain Owned
| 5,347 | Nation |
|---|---|
| 2 | Virgin Islands |
| 1 | Christiansted, Virgin Islands |
| 0 | Governor Juan F. Luis Hospital and Medical Center |
Total Number of Not Chain Owned
| 889 | Nation |
|---|---|
| 2 | Virgin Islands |
| 1 | Christiansted, Virgin Islands |
| 0 | Governor Juan F. Luis Hospital and Medical Center |
Performance Scores
Total Performance Score
| 81.97 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 67.00 | Average |
|---|---|
| 58.00 | Least |
| 76.00 | Most |
| 71.50 | Average |
|---|---|
| 67.00 | Least |
| 76.00 | Most |
| 76.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
ICH CAHPS Admin Score
| 9.60 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
NHSN Event Reporting Score
| 9.80 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Measure Scores
Patient(s) who had an average hemoglobin value greater than 12.0 g/dL
| 9.52 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 4.00 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.00 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Hemoglobin Score Applied
| 5,241 | Achievement |
|---|---|
| 59 | Improvement |
| 936 | Not Available |
| 3 | Achievement |
|---|---|
| 1 | Not Available |
| 2 | Achievement |
|---|
| Improvement |
|---|
Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%
| 8.35 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 7.33 | Average |
|---|---|
| 5.00 | Least |
| 10.00 | Most |
| 7.50 | Average |
|---|---|
| 5.00 | Least |
| 10.00 | Most |
| 5.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
URR Score Applied
| 5,034 | Achievement |
|---|---|
| 173 | Improvement |
| 1,029 | Not Available |
| 3 | Achievement |
|---|---|
| 1 | Not Available |
| 2 | Achievement |
|---|
| Improvement |
|---|
Vascular Catheter Measure Score
| 6.26 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.67 | Average |
|---|---|
| 9.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Vascular Catheter Score Applied
| 4,992 | Achievement |
|---|---|
| 337 | Improvement |
| 907 | Not Available |
| 3 | Achievement |
|---|---|
| 1 | Not Available |
| 2 | Achievement |
|---|
| Improvement |
|---|
Fistula Measure Score
| 5.69 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.00 | Average |
|---|---|
| 3.00 | Least |
| 8.00 | Most |
| 5.50 | Average |
|---|---|
| 3.00 | Least |
| 8.00 | Most |
| 3.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Fistula Score Applied
| 5,011 | Achievement |
|---|---|
| 297 | Improvement |
| 928 | Not Available |
| 3 | Achievement |
|---|---|
| 1 | Not Available |
| 2 | Achievement |
|---|
| Improvement |
|---|
Vascular Access Combined Measure Score
| 6.22 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 7.67 | Average |
|---|---|
| 7.00 | Least |
| 9.00 | Most |
| 8.00 | Average |
|---|---|
| 7.00 | Least |
| 9.00 | Most |
| 7.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Mineral Metabolism Reporting Score
| 9.08 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Hospitalization Rate
Hospitalization Rate
| 5,435 | As Expected |
|---|---|
| 54 | Better than Expected |
| 282 | Worse than Expected |
| 465 | Not Available |
| 2 | As Expected |
|---|---|
| 1 | Better than Expected |
| 1 | Not Available |
| 2 | As Expected |
|---|
| Better than Expected |
|---|
Data Availablilty
| 5,771 | Data Available |
| 232 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 66 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patients Included in Hospitalization Summary
| 440,405 | Total |
|---|---|
| 72.23 | Average |
| 0 | Least |
| 467 | Most |
| 211 | Total |
|---|---|
| 52.75 | Average |
| 0 | Least |
| 82 | Most |
| 129 | Total |
|---|---|
| 64.50 | Average |
| 60 | Least |
| 69 | Most |
| 69 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Standardized Hospitalization Ratio
| 1.00 | Average |
|---|---|
| 0.07 | Least |
| 3.48 | Most |
| 0.53 | Average |
|---|---|
| 0.43 | Least |
| 0.63 | Most |
| 0.59 | Average |
|---|---|
| 0.54 | Least |
| 0.63 | Most |
| 0.54 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Survivability Rate
Survival Rate
| 4,741 | As Expected |
|---|---|
| 462 | Better than Expected |
| 520 | Worse than Expected |
| 513 | Not Available |
| 3 | As Expected |
|---|---|
| 1 | Not Available |
| 2 | As Expected |
|---|
| Better than Expected |
|---|
Data Availablilty
| 5,723 | Data Available |
| 294 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 38 | Data not reported – Call the facility to discuss this quality measure. |
| 15 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patients Included in Survival Summary
| 2,100,956 | Total |
|---|---|
| 344.53 | Average |
| 0 | Least |
| 2,461 | Most |
| 1,069 | Total |
|---|---|
| 267.25 | Average |
| 0 | Least |
| 431 | Most |
| 638 | Total |
|---|---|
| 319.00 | Average |
| 295 | Least |
| 343 | Most |
| 343 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Standardized Mortality Ratio
| 1.02 | Average |
|---|---|
| 0.00 | Least |
| 3.29 | Most |
| 0.86 | Average |
|---|---|
| 0.70 | Least |
| 0.96 | Most |
| 0.83 | Average |
|---|---|
| 0.70 | Least |
| 0.96 | Most |
| 0.70 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Anemia Management
Patient Transfusions Rate
| 4,983 | As Expected |
|---|---|
| 27 | Better than Expected |
| 358 | Worse than Expected |
| 868 | Not Available |
| 3 | As Expected |
|---|---|
| 1 | Not Available |
| 2 | As Expected |
|---|
| Better than Expected |
|---|
Data Availablilty
| 5,468 | Data Available |
| 654 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 65 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | CMS determined that the percentage was not accurate. |
| 46 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Performance Rate 1 - Average hemoglobin value greater than 12.0 g/dL
| 0.56 | Average |
|---|---|
| 0.00 | Least |
| 64.00 | Most |
| 8.00 | Average |
|---|---|
| 0.00 | Least |
| 16.00 | Most |
| 8.00 | Average |
|---|---|
| 0.00 | Least |
| 16.00 | Most |
| 0.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL
| 4.99 | Average |
|---|---|
| 0.00 | Least |
| 62.00 | Most |
| 3.00 | Average |
|---|---|
| 0.00 | Least |
| 6.00 | Most |
| 4.50 | Average |
|---|---|
| 3.00 | Least |
| 6.00 | Most |
| 3.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Standarized Transfusion Ratio
| 1.01 | Average |
|---|---|
| 0.00 | Least |
| 7.15 | Most |
| 0.72 | Average |
|---|---|
| 0.57 | Least |
| 1.01 | Most |
| 0.79 | Average |
|---|---|
| 0.57 | Least |
| 1.01 | Most |
| 0.57 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Number of Patients in Summary
| 378,886 | Total |
|---|---|
| 62.56 | Average |
| 0 | Least |
| 349 | Most |
| 183 | Total |
|---|---|
| 61.00 | Average |
| 50 | Least |
| 74 | Most |
| 109 | Total |
|---|---|
| 54.50 | Average |
| 50 | Least |
| 59 | Most |
| 59 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Patient(s) who had an average hemoglobin value greater than 12.0 g/dL
| 1,604 | Total |
|---|---|
| 0.29 | Average |
| 0 | Least |
| 21 | Most |
| 2 | Total |
|---|---|
| 0.67 | Average |
| 0 | Least |
| 2 | Most |
| 0 | Total |
|---|---|
| 0.00 | Average |
| 0 | Least |
| 0 | Most |
| 0 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Data Availablilty
| 5,486 | Data Available |
| 401 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 181 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Patient(s) who had an average hemoglobin value less than 10.0 g/dL
| 70,587 | Total |
|---|---|
| 12.87 | Average |
| 0 | Least |
| 91 | Most |
| 47 | Total |
|---|---|
| 15.67 | Average |
| 9 | Least |
| 26 | Most |
| 21 | Total |
|---|---|
| 10.50 | Average |
| 9 | Least |
| 12 | Most |
| 12 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Data Availablilty
| 5,486 | Data Available |
| 401 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 181 | Data not reported – Call the facility to discuss this quality measure. |
| 2 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Dialysis Patients with Hemoglobin Data
| 275,176 | Total |
|---|---|
| 45.44 | Average |
| 0 | Least |
| 283 | Most |
| 158 | Total |
|---|---|
| 52.67 | Average |
| 45 | Least |
| 61 | Most |
| 97 | Total |
|---|---|
| 48.50 | Average |
| 45 | Least |
| 52 | Most |
| 52 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Number of Hemoglobin Eligible Patients - Performance Period
| 274,010 | Total |
|---|---|
| 47.04 | Average |
| 0 | Least |
| 274 | Most |
| 170 | Total |
|---|---|
| 56.67 | Average |
| 54 | Least |
| 60 | Most |
| 110 | Total |
|---|---|
| 55.00 | Average |
| 54 | Least |
| 56 | Most |
| 54 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Number of Hemoglobin Eligible Patients - Baseline Period
| 279,098 | Total |
|---|---|
| 47.91 | Average |
| 0 | Least |
| 317 | Most |
| 142 | Total |
|---|---|
| 47.33 | Average |
| 35 | Least |
| 60 | Most |
| 95 | Total |
|---|---|
| 47.50 | Average |
| 35 | Least |
| 60 | Most |
| 60 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Dialysis Adequacy - URR
Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%
| 98.77 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 99.00 | Average |
|---|---|
| 98.00 | Least |
| 100.00 | Most |
| 99.00 | Average |
|---|---|
| 98.00 | Least |
| 100.00 | Most |
| 98.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Data Availablilty
| 5,394 | Data Available |
| 346 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 237 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 92 | The facility does not provide hemodialysis. |
| 166 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Performance Rate #1 - Urea Reduction Ratio greater than or equal to 65%
| 98.79 | Average |
|---|---|
| 57.00 | Least |
| 100.00 | Most |
| 98.33 | Average |
|---|---|
| 97.00 | Least |
| 100.00 | Most |
| 98.50 | Average |
|---|---|
| 97.00 | Least |
| 100.00 | Most |
| 97.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%
| 97.27 | Average |
|---|---|
| 34.00 | Least |
| 100.00 | Most |
| 99.00 | Average |
|---|---|
| 97.00 | Least |
| 100.00 | Most |
| 98.50 | Average |
|---|---|
| 97.00 | Least |
| 100.00 | Most |
| 97.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Number of Hemodialysis Patients with URR Data
| 269,264 | Total |
|---|---|
| 44.46 | Average |
| 0 | Least |
| 297 | Most |
| 168 | Total |
|---|---|
| 56.00 | Average |
| 45 | Least |
| 68 | Most |
| 100 | Total |
|---|---|
| 50.00 | Average |
| 45 | Least |
| 55 | Most |
| 55 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Number of URR Eligible Patients - Performance Period
| 265,552 | Total |
|---|---|
| 45.59 | Average |
| 0 | Least |
| 273 | Most |
| 166 | Total |
|---|---|
| 55.33 | Average |
| 48 | Least |
| 59 | Most |
| 107 | Total |
|---|---|
| 53.50 | Average |
| 48 | Least |
| 59 | Most |
| 59 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Number of URR Eligible Patients - Baseline Period
| 256,555 | Total |
|---|---|
| 44.04 | Average |
| 0 | Least |
| 283 | Most |
| 149 | Total |
|---|---|
| 49.67 | Average |
| 36 | Least |
| 63 | Most |
| 99 | Total |
|---|---|
| 49.50 | Average |
| 36 | Least |
| 63 | Most |
| 63 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Dialysis Adequacy - Adult HD
Adult hemodialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.2
| 88.05 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 76.67 | Average |
|---|---|
| 40.00 | Least |
| 98.00 | Most |
| 95.00 | Average |
|---|---|
| 92.00 | Least |
| 98.00 | Most |
| 98.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Data Availablilty
| 5,616 | Data Available |
| 188 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 160 | Data not reported – Call the facility to discuss this quality measure. |
| 22 | CMS determined that the percentage was not accurate. |
| 84 | The facility does not provide hemodialysis. |
| 166 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Adult HD Patients with Kt/V Data
| 69.74 | Average |
|---|---|
| 0.00 | Least |
| 641.00 | Most |
| 74.00 | Average |
|---|---|
| 68.00 | Least |
| 77.00 | Most |
| 72.50 | Average |
|---|---|
| 68.00 | Least |
| 77.00 | Most |
| 68.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Number of Adult HD Patient-Months with Kt/V Data
| 507.90 | Average |
|---|---|
| 0.00 | Least |
| 3,182.00 | Most |
| 585.00 | Average |
|---|---|
| 518.00 | Least |
| 692.00 | Most |
| 531.50 | Average |
|---|---|
| 518.00 | Least |
| 545.00 | Most |
| 545.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Dialysis Adequacy - Adult PD
Adult Peritoneal Dialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.7
| 80.98 | Average |
|---|---|
| 0.00 | Least |
| 99.00 | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | Governor Juan F. Luis Hospital and Medical Center |
|---|
Data Availablilty
| 1,189 | Data Available |
| 1,272 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 598 | Data not reported – Call the facility to discuss this quality measure. |
| 18 | CMS determined that the percentage was not accurate. |
| 2,993 | The facility does not provide peritoneal dialysis. |
| 166 | The facility was not open for the entire reporting period. |
| 3 | The facility does not provide peritoneal dialysis. |
| 1 | The facility was not open for the entire reporting period. |
| 2 | The facility does not provide peritoneal dialysis. |
| 7 | The facility was not open for the entire reporting period. |
Number of Adult PD Patients with Kt/V Data
| 6.12 | Average |
|---|---|
| 0.00 | Least |
| 172.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Number of Adult PD Patient-Months with Kt/V Data
| 46.35 | Average |
|---|---|
| 0.00 | Least |
| 1,533.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Average |
|---|---|
| 0.00 | Least |
| 0.00 | Most |
| 0.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Dialysis Adequacy - Ped. HD
Pediatric hemodialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.2
| 84.15 | Average |
|---|---|
| 63.00 | Least |
| 94.00 | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | Average |
|---|---|
| N/A | Least |
| N/A | Most |
| N/A | Governor Juan F. Luis Hospital and Medical Center |
|---|
Data Availablilty
| 13 | Data Available |
| 207 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 313 | Data not reported – Call the facility to discuss this quality measure. |
| 5,535 | The facility does not provide hemodialysis to pediatric patients. |
| 2 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 2 | The facility does not provide hemodialysis to pediatric patients. |
| 1 | The facility was not open for the entire reporting period. |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 1 | The facility does not provide hemodialysis to pediatric patients. |
| 4 | CMS determined that the percentage was not accurate. |
Number of Pediatric HD Patients with Kt/V Data
| 0.10 | Average |
|---|---|
| 0.00 | Least |
| 15.00 | Most |
| 0.33 | Average |
|---|---|
| 0.00 | Least |
| 1.00 | Most |
| 0.50 | Average |
|---|---|
| 0.00 | Least |
| 1.00 | Most |
| 0.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Number of Pediatric HD Patient-Months with Kt/V Data
| 0.54 | Average |
|---|---|
| 0.00 | Least |
| 112.00 | Most |
| 2.00 | Average |
|---|---|
| 0.00 | Least |
| 6.00 | Most |
| 3.00 | Average |
|---|---|
| 0.00 | Least |
| 6.00 | Most |
| 0.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Vascular Catheters
Percentage of Patients with Vascular Catheter in Use for 90 Days or Longer
| 10.76 | Average |
|---|---|
| 0.00 | Least |
| 58.00 | Most |
| 4.33 | Average |
|---|---|
| 3.00 | Least |
| 6.00 | Most |
| 3.50 | Average |
|---|---|
| 3.00 | Least |
| 4.00 | Most |
| 3.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Data Availablilty
| 5,671 | Data Available |
| 184 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 127 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 87 | The facility does not provide hemodialysis. |
| 166 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Performance Period - Catheter Rate
| 12.54 | Average |
|---|---|
| 0.00 | Least |
| 63.00 | Most |
| 4.33 | Average |
|---|---|
| 2.00 | Least |
| 7.00 | Most |
| 3.00 | Average |
|---|---|
| 2.00 | Least |
| 4.00 | Most |
| 4.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Performance Period - Number of Catheter Patient Months
| 2,822,013 | Total |
|---|---|
| 484.47 | Average |
| 0 | Least |
| 2,871 | Most |
| 1,556 | Total |
|---|---|
| 518.67 | Average |
| 422 | Least |
| 635 | Most |
| 921 | Total |
|---|---|
| 460.50 | Average |
| 422 | Least |
| 499 | Most |
| 422 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Baseline Period - Catheter Rate
| 15.13 | Average |
|---|---|
| 0.00 | Least |
| 82.00 | Most |
| 3.33 | Average |
|---|---|
| 1.00 | Least |
| 5.00 | Most |
| 4.50 | Average |
|---|---|
| 4.00 | Least |
| 5.00 | Most |
| 5.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Baseline Period - Number of Catheter Patient Months
| 2,011,527 | Total |
|---|---|
| 345.33 | Average |
| 0 | Least |
| 2,281 | Most |
| 882 | Total |
|---|---|
| 294.00 | Average |
| 230 | Least |
| 363 | Most |
| 652 | Total |
|---|---|
| 326.00 | Average |
| 289 | Least |
| 363 | Most |
| 363 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Arteriovenous Fistulae
Percentage of Patients with Arteriovenous Fistulae in Place
| 63.16 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 63.00 | Average |
|---|---|
| 57.00 | Least |
| 71.00 | Most |
| 64.00 | Average |
|---|---|
| 57.00 | Least |
| 71.00 | Most |
| 57.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Data Availablilty
| 5,671 | Data Available |
| 184 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 127 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 87 | The facility does not provide hemodialysis. |
| 166 | The facility was not open for the entire reporting period. |
| 3 | Data Available |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Performance Period - Fistula Rate
| 62.10 | Average |
|---|---|
| 0.00 | Least |
| 98.00 | Most |
| 60.33 | Average |
|---|---|
| 55.00 | Least |
| 70.00 | Most |
| 62.50 | Average |
|---|---|
| 55.00 | Least |
| 70.00 | Most |
| 55.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Performance Period - Number of Fistula Patient Months
| 3,060,336 | Total |
|---|---|
| 525.38 | Average |
| 0 | Least |
| 3,083 | Most |
| 1,777 | Total |
|---|---|
| 592.33 | Average |
| 492 | Least |
| 720 | Most |
| 1,057 | Total |
|---|---|
| 528.50 | Average |
| 492 | Least |
| 565 | Most |
| 492 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Baseline Period - Fistula Rate
| 57.98 | Average |
|---|---|
| 3.00 | Least |
| 100.00 | Most |
| 62.67 | Average |
|---|---|
| 51.00 | Least |
| 74.00 | Most |
| 68.50 | Average |
|---|---|
| 63.00 | Least |
| 74.00 | Most |
| 63.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Baseline Period - Number of Fistula Patient Months
| 2,906,552 | Total |
|---|---|
| 498.98 | Average |
| 0 | Least |
| 3,197 | Most |
| 1,526 | Total |
|---|---|
| 508.67 | Average |
| 422 | Least |
| 599 | Most |
| 1,021 | Total |
|---|---|
| 510.50 | Average |
| 422 | Least |
| 599 | Most |
| 599 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Hypercalcemia
Percentage Of Adult Patients With Hypercalcemia Serum Calcium Greater Than 10.2 mg/dL
| 2.36 | Average |
|---|---|
| 0.00 | Least |
| 96.00 | Most |
| 2.00 | Average |
|---|---|
| 1.00 | Least |
| 3.00 | Most |
| 2.00 | Average |
|---|---|
| 1.00 | Least |
| 3.00 | Most |
| 3.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Data Availablilty
| 5,707 | Data Available |
| 221 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 141 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patients in Summary
| 487,975 | Total |
|---|---|
| 80.58 | Average |
| 0 | Least |
| 494 | Most |
| 141 | Total |
|---|---|
| 47.00 | Average |
| 2 | Least |
| 72 | Most |
| 139 | Total |
|---|---|
| 69.50 | Average |
| 67 | Least |
| 72 | Most |
| 72 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Number of Patient Months in Summary
| 4,102,316 | Total |
|---|---|
| 677.40 | Average |
| 0 | Least |
| 4,454 | Most |
| 1,236 | Total |
|---|---|
| 412.00 | Average |
| 2 | Least |
| 639 | Most |
| 1,234 | Total |
|---|---|
| 617.00 | Average |
| 595 | Least |
| 639 | Most |
| 639 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Serum Phosphorus
Number of Patients in Serum Phosphorus Summary
| 514,568 | Total |
|---|---|
| 84.97 | Average |
| 0 | Least |
| 524 | Most |
| 150 | Total |
|---|---|
| 50.00 | Average |
| 2 | Least |
| 79 | Most |
| 148 | Total |
|---|---|
| 74.00 | Average |
| 69 | Least |
| 79 | Most |
| 79 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Data Availablilty
| 5,727 | Data Available |
| 211 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 131 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | CMS determined that the percentage was not accurate. |
| 166 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 1 | The facility was not open for the entire reporting period. |
| 2 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Patient Months in Summary
| 4,294,671 | Total |
|---|---|
| 709.16 | Average |
| 0 | Least |
| 4,692 | Most |
| 1,290 | Total |
|---|---|
| 430.00 | Average |
| 2 | Least |
| 678 | Most |
| 1,288 | Total |
|---|---|
| 644.00 | Average |
| 610 | Least |
| 678 | Most |
| 678 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Percentage of Adult Patients with SP Less Than 3.5 mg/dL
| 10.46 | Average |
|---|---|
| 0.00 | Least |
| 44.00 | Most |
| 17.00 | Average |
|---|---|
| 13.00 | Least |
| 21.00 | Most |
| 17.00 | Average |
|---|---|
| 13.00 | Least |
| 21.00 | Most |
| 13.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl
| 28.52 | Average |
|---|---|
| 0.00 | Least |
| 54.00 | Most |
| 31.00 | Average |
|---|---|
| 29.00 | Least |
| 33.00 | Most |
| 31.00 | Average |
|---|---|
| 29.00 | Least |
| 33.00 | Most |
| 29.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl
| 31.56 | Average |
|---|---|
| 3.00 | Least |
| 57.00 | Most |
| 24.00 | Average |
|---|---|
| 21.00 | Least |
| 27.00 | Most |
| 24.00 | Average |
|---|---|
| 21.00 | Least |
| 27.00 | Most |
| 21.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl
| 19.11 | Average |
|---|---|
| 0.00 | Least |
| 48.00 | Most |
| 20.50 | Average |
|---|---|
| 14.00 | Least |
| 27.00 | Most |
| 20.50 | Average |
|---|---|
| 14.00 | Least |
| 27.00 | Most |
| 27.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|
Percentage of Adult Patients with SP Greater Than 7.0 mg/dl
| 10.36 | Average |
|---|---|
| 0.00 | Least |
| 70.00 | Most |
| 7.50 | Average |
|---|---|
| 5.00 | Least |
| 10.00 | Most |
| 7.50 | Average |
|---|---|
| 5.00 | Least |
| 10.00 | Most |
| 10.00 | Governor Juan F. Luis Hospital and Medical Center |
|---|