General Totals
Number of Dialysis Providers
| 6,236 | Nation |
|---|---|
| 64 | Arkansas |
| 3 | Jonesboro, Arkansas |
| N/A | St Bernards Regional Med Center-Dialysis |
Total Number of Dialysis Stations
| 110,108 | Nation |
|---|---|
| 1,061 | Arkansas |
| 47 | Jonesboro, Arkansas |
| 20 | St Bernards Regional Med Center-Dialysis |
Average Number of Dialysis Stations
| 17.66 | Nation |
|---|---|
| 16.58 | Arkansas |
| 15.67 | Jonesboro, Arkansas |
| N/A | St Bernards Regional Med Center-Dialysis |
Services Totals
Total Number Offering Hemodialysis
| 6,236 | Nation |
|---|---|
| 64 | Arkansas |
| 3 | Jonesboro, Arkansas |
| 1 | St Bernards Regional Med Center-Dialysis |
Total Number Offering Peritoneal Dialysis
| 3,114 | Nation |
|---|---|
| 32 | Arkansas |
| 3 | Jonesboro, Arkansas |
| 1 | St Bernards Regional Med Center-Dialysis |
Total Number Offering Home Training
| 1,705 | Nation |
|---|---|
| 12 | Arkansas |
| N/A | Jonesboro, Arkansas |
| 0 | St Bernards Regional Med Center-Dialysis |
Have Shifts after 5pm
| 1,124 | Nation |
|---|---|
| 2 | Arkansas |
| N/A | Jonesboro, Arkansas |
| 0 | St Bernards Regional Med Center-Dialysis |
Total Number of For Profit Facilities
| 5,346 | Nation |
|---|---|
| 59 | Arkansas |
| 1 | Jonesboro, Arkansas |
| 0 | St Bernards Regional Med Center-Dialysis |
Total Number of Non Profit Facilities
| 890 | Nation |
|---|---|
| 5 | Arkansas |
| 2 | Jonesboro, Arkansas |
| 0 | St Bernards Regional Med Center-Dialysis |
Total Number of Chain Owned
| 5,347 | Nation |
|---|---|
| 59 | Arkansas |
| 1 | Jonesboro, Arkansas |
| 0 | St Bernards Regional Med Center-Dialysis |
Total Number of Not Chain Owned
| 889 | Nation |
|---|---|
| 5 | Arkansas |
| 2 | Jonesboro, Arkansas |
| 0 | St Bernards Regional Med Center-Dialysis |
Performance Scores
Total Performance Score
| 81.97 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 76.00 | Average |
|---|---|
| 7.00 | Least |
| 100.00 | Most |
| 77.50 | Average |
|---|---|
| 73.00 | Least |
| 82.00 | Most |
| 73.00 | St Bernards Regional Med Center-Dialysis |
|---|
ICH CAHPS Admin Score
| 9.60 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.18 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | St Bernards Regional Med Center-Dialysis |
|---|
NHSN Event Reporting Score
| 9.80 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 9.03 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | St Bernards Regional Med Center-Dialysis |
|---|
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 |
| 9.56 | Average |
|---|---|
| 2.00 | Least |
| 10.00 | Most |
| 9.50 | Average |
|---|---|
| 9.00 | Least |
| 10.00 | Most |
| 9.00 | St Bernards Regional Med Center-Dialysis |
|---|
Hemoglobin Score Applied
| 5,241 | Achievement |
|---|---|
| 59 | Improvement |
| 936 | Not Available |
| 54 | Achievement |
|---|---|
| 10 | Not Available |
| 2 | Achievement |
|---|---|
| 1 | Not Available |
| 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 |
| 8.58 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 8.50 | Average |
|---|---|
| 7.00 | Least |
| 10.00 | Most |
| 7.00 | St Bernards Regional Med Center-Dialysis |
|---|
URR Score Applied
| 5,034 | Achievement |
|---|---|
| 173 | Improvement |
| 1,029 | Not Available |
| 54 | Achievement |
|---|---|
| 1 | Improvement |
| 9 | Not Available |
| 2 | Achievement |
|---|---|
| 1 | Not Available |
| Improvement |
|---|
Vascular Catheter Measure Score
| 6.26 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 4.51 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 3.50 | Average |
|---|---|
| 3.00 | Least |
| 4.00 | Most |
| 4.00 | St Bernards Regional Med Center-Dialysis |
|---|
Vascular Catheter Score Applied
| 4,992 | Achievement |
|---|---|
| 337 | Improvement |
| 907 | Not Available |
| 47 | Achievement |
|---|---|
| 10 | Improvement |
| 7 | Not Available |
| 2 | Improvement |
|---|---|
| 1 | Not Available |
Fistula Measure Score
| 5.69 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 4.42 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.00 | Average |
|---|---|
| 5.00 | Least |
| 5.00 | Most |
| 5.00 | St Bernards Regional Med Center-Dialysis |
|---|
Fistula Score Applied
| 5,011 | Achievement |
|---|---|
| 297 | Improvement |
| 928 | Not Available |
| 50 | Achievement |
|---|---|
| 7 | Improvement |
| 7 | Not Available |
| 2 | Achievement |
|---|---|
| 1 | Not Available |
| Improvement |
|---|
Vascular Access Combined Measure Score
| 6.22 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 4.70 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 4.50 | Average |
|---|---|
| 4.00 | Least |
| 5.00 | Most |
| 5.00 | St Bernards Regional Med Center-Dialysis |
|---|
Mineral Metabolism Reporting Score
| 9.08 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 8.23 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | Average |
|---|---|
| 10.00 | Least |
| 10.00 | Most |
| 10.00 | St Bernards Regional Med Center-Dialysis |
|---|
Hospitalization Rate
Hospitalization Rate
| 5,435 | As Expected |
|---|---|
| 54 | Better than Expected |
| 282 | Worse than Expected |
| 465 | Not Available |
| 60 | As Expected |
|---|---|
| 1 | Better than Expected |
| 2 | Worse than Expected |
| 1 | Not Available |
| 3 | 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. |
| 63 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 3 | 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 |
| 4,167 | Total |
|---|---|
| 65.11 | Average |
| 1 | Least |
| 307 | Most |
| 234 | Total |
|---|---|
| 78.00 | Average |
| 37 | Least |
| 130 | Most |
| 130 | St Bernards Regional Med Center-Dialysis |
|---|
Standardized Hospitalization Ratio
| 1.00 | Average |
|---|---|
| 0.07 | Least |
| 3.48 | Most |
| 0.92 | Average |
|---|---|
| 0.43 | Least |
| 2.23 | Most |
| 0.83 | Average |
|---|---|
| 0.67 | Least |
| 1.09 | Most |
| 1.09 | St Bernards Regional Med Center-Dialysis |
|---|
Survivability Rate
Survival Rate
| 4,741 | As Expected |
|---|---|
| 462 | Better than Expected |
| 520 | Worse than Expected |
| 513 | Not Available |
| 58 | As Expected |
|---|---|
| 4 | Worse than Expected |
| 2 | Not Available |
| 3 | 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. |
| 62 | Data Available |
| 2 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 3 | 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 |
| 18,805 | Total |
|---|---|
| 293.83 | Average |
| 1 | Least |
| 1,397 | Most |
| 908 | Total |
|---|---|
| 302.67 | Average |
| 42 | Least |
| 520 | Most |
| 520 | St Bernards Regional Med Center-Dialysis |
|---|
Standardized Mortality Ratio
| 1.02 | Average |
|---|---|
| 0.00 | Least |
| 3.29 | Most |
| 1.12 | Average |
|---|---|
| 0.20 | Least |
| 1.94 | Most |
| 0.79 | Average |
|---|---|
| 0.20 | Least |
| 1.17 | Most |
| 1.17 | St Bernards Regional Med Center-Dialysis |
|---|
Anemia Management
Patient Transfusions Rate
| 4,983 | As Expected |
|---|---|
| 27 | Better than Expected |
| 358 | Worse than Expected |
| 868 | Not Available |
| 42 | As Expected |
|---|---|
| 14 | Worse than Expected |
| 8 | Not Available |
| 1 | As Expected |
|---|---|
| 2 | Not Available |
| 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. |
| 56 | Data Available |
| 8 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 1 | Data Available |
| 2 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 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 |
| 0.44 | Average |
|---|---|
| 0.00 | Least |
| 8.00 | Most |
| 0.50 | Average |
|---|---|
| 0.00 | Least |
| 1.00 | Most |
| 1.00 | St Bernards Regional Med Center-Dialysis |
|---|
Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL
| 4.99 | Average |
|---|---|
| 0.00 | Least |
| 62.00 | Most |
| 7.62 | Average |
|---|---|
| 0.00 | Least |
| 23.00 | Most |
| 7.00 | Average |
|---|---|
| 7.00 | Least |
| 7.00 | Most |
| 7.00 | St Bernards Regional Med Center-Dialysis |
|---|
Standarized Transfusion Ratio
| 1.01 | Average |
|---|---|
| 0.00 | Least |
| 7.15 | Most |
| 1.46 | Average |
|---|---|
| 0.44 | Least |
| 4.14 | Most |
| 1.13 | Average |
|---|---|
| 1.13 | Least |
| 1.13 | Most |
| 1.13 | St Bernards Regional Med Center-Dialysis |
|---|
Number of Patients in Summary
| 378,886 | Total |
|---|---|
| 62.56 | Average |
| 0 | Least |
| 349 | Most |
| 3,602 | Total |
|---|---|
| 56.28 | Average |
| 1 | Least |
| 280 | Most |
| 151 | Total |
|---|---|
| 50.33 | Average |
| 16 | Least |
| 119 | Most |
| 119 | St Bernards Regional Med Center-Dialysis |
|---|
Patient(s) who had an average hemoglobin value greater than 12.0 g/dL
| 1,604 | Total |
|---|---|
| 0.29 | Average |
| 0 | Least |
| 21 | Most |
| 15 | Total |
|---|---|
| 0.27 | Average |
| 0 | Least |
| 7 | Most |
| 0 | Total |
|---|---|
| 0.00 | Average |
| 0 | Least |
| 0 | Most |
| 0 | St Bernards Regional Med Center-Dialysis |
|---|
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. |
| 56 | Data Available |
| 5 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 3 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | 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 |
| 1,073 | Total |
|---|---|
| 19.16 | Average |
| 4 | Least |
| 60 | Most |
| 86 | Total |
|---|---|
| 28.67 | Average |
| 22 | Least |
| 42 | Most |
| 22 | St Bernards Regional Med Center-Dialysis |
|---|
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. |
| 56 | Data Available |
| 5 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 3 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | 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 |
| 2,673 | Total |
|---|---|
| 41.77 | Average |
| 0 | Least |
| 201 | Most |
| 129 | Total |
|---|---|
| 43.00 | Average |
| 26 | Least |
| 76 | Most |
| 76 | St Bernards Regional Med Center-Dialysis |
|---|
Number of Hemoglobin Eligible Patients - Performance Period
| 274,010 | Total |
|---|---|
| 47.04 | Average |
| 0 | Least |
| 274 | Most |
| 2,663 | Total |
|---|---|
| 42.95 | Average |
| 0 | Least |
| 193 | Most |
| 139 | Total |
|---|---|
| 69.50 | Average |
| 52 | Least |
| 87 | Most |
| 87 | St Bernards Regional Med Center-Dialysis |
|---|
Number of Hemoglobin Eligible Patients - Baseline Period
| 279,098 | Total |
|---|---|
| 47.91 | Average |
| 0 | Least |
| 317 | Most |
| 2,817 | Total |
|---|---|
| 45.44 | Average |
| 0 | Least |
| 204 | Most |
| 114 | Total |
|---|---|
| 57.00 | Average |
| 56 | Least |
| 58 | Most |
| 58 | St Bernards Regional Med Center-Dialysis |
|---|
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 |
| 98.24 | Average |
|---|---|
| 86.00 | Least |
| 100.00 | Most |
| 98.67 | Average |
|---|---|
| 96.00 | Least |
| 100.00 | Most |
| 100.00 | St Bernards Regional Med Center-Dialysis |
|---|
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. |
| 58 | Data Available |
| 3 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 3 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | 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 |
| 98.84 | Average |
|---|---|
| 82.00 | Least |
| 100.00 | Most |
| 99.00 | Average |
|---|---|
| 98.00 | Least |
| 100.00 | Most |
| 98.00 | St Bernards Regional Med Center-Dialysis |
|---|
Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%
| 97.27 | Average |
|---|---|
| 34.00 | Least |
| 100.00 | Most |
| 95.62 | Average |
|---|---|
| 71.00 | Least |
| 100.00 | Most |
| 96.00 | Average |
|---|---|
| 96.00 | Least |
| 96.00 | Most |
| 96.00 | St Bernards Regional Med Center-Dialysis |
|---|
Number of Hemodialysis Patients with URR Data
| 269,264 | Total |
|---|---|
| 44.46 | Average |
| 0 | Least |
| 297 | Most |
| 2,400 | Total |
|---|---|
| 37.50 | Average |
| 0 | Least |
| 140 | Most |
| 102 | Total |
|---|---|
| 34.00 | Average |
| 18 | Least |
| 57 | Most |
| 57 | St Bernards Regional Med Center-Dialysis |
|---|
Number of URR Eligible Patients - Performance Period
| 265,552 | Total |
|---|---|
| 45.59 | Average |
| 0 | Least |
| 273 | Most |
| 2,379 | Total |
|---|---|
| 38.37 | Average |
| 0 | Least |
| 137 | Most |
| 109 | Total |
|---|---|
| 54.50 | Average |
| 46 | Least |
| 63 | Most |
| 63 | St Bernards Regional Med Center-Dialysis |
|---|
Number of URR Eligible Patients - Baseline Period
| 256,555 | Total |
|---|---|
| 44.04 | Average |
| 0 | Least |
| 283 | Most |
| 2,446 | Total |
|---|---|
| 39.45 | Average |
| 0 | Least |
| 143 | Most |
| 100 | Total |
|---|---|
| 50.00 | Average |
| 47 | Least |
| 53 | Most |
| 53 | St Bernards Regional Med Center-Dialysis |
|---|
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 |
| 90.84 | Average |
|---|---|
| 75.00 | Least |
| 98.00 | Most |
| 82.67 | Average |
|---|---|
| 75.00 | Least |
| 87.00 | Most |
| 87.00 | St Bernards Regional Med Center-Dialysis |
|---|
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. |
| 61 | Data Available |
| 3 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | 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 |
| 58.97 | Average |
|---|---|
| 0.00 | Least |
| 206.00 | Most |
| 69.00 | Average |
|---|---|
| 32.00 | Least |
| 119.00 | Most |
| 119.00 | St Bernards Regional Med Center-Dialysis |
|---|
Number of Adult HD Patient-Months with Kt/V Data
| 507.90 | Average |
|---|---|
| 0.00 | Least |
| 3,182.00 | Most |
| 429.20 | Average |
|---|---|
| 0.00 | Least |
| 1,594.00 | Most |
| 399.00 | Average |
|---|---|
| 183.00 | Least |
| 668.00 | Most |
| 668.00 | St Bernards Regional Med Center-Dialysis |
|---|
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 |
| 81.12 | Average |
|---|---|
| 58.00 | Least |
| 94.00 | Most |
| 69.00 | Average |
|---|---|
| 58.00 | Least |
| 84.00 | Most |
| 84.00 | St Bernards Regional Med Center-Dialysis |
|---|
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. |
| 17 | Data Available |
| 8 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 7 | Data not reported – Call the facility to discuss this quality measure. |
| 32 | The facility does not provide peritoneal dialysis. |
| 3 | Data Available |
| 1 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
Number of Adult PD Patients with Kt/V Data
| 6.12 | Average |
|---|---|
| 0.00 | Least |
| 172.00 | Most |
| 11.17 | Average |
|---|---|
| 0.00 | Least |
| 93.00 | Most |
| 29.00 | Average |
|---|---|
| 17.00 | Least |
| 49.00 | Most |
| 49.00 | St Bernards Regional Med Center-Dialysis |
|---|
Number of Adult PD Patient-Months with Kt/V Data
| 46.35 | Average |
|---|---|
| 0.00 | Least |
| 1,533.00 | Most |
| 84.70 | Average |
|---|---|
| 0.00 | Least |
| 731.00 | Most |
| 197.33 | Average |
|---|---|
| 69.00 | Least |
| 410.00 | Most |
| 410.00 | St Bernards Regional Med Center-Dialysis |
|---|
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 | St Bernards Regional Med Center-Dialysis |
|---|
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. |
| 1 | Data not reported – Call the facility to discuss this quality measure. |
| 62 | The facility does not provide hemodialysis to pediatric patients. |
| 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. |
| 2 | Data not reported – Call the facility to discuss this quality measure. |
Number of Pediatric HD Patients with Kt/V Data
| 0.10 | Average |
|---|---|
| 0.00 | Least |
| 15.00 | Most |
| 0.02 | Average |
|---|---|
| 0.00 | Least |
| 1.00 | Most |
| 0.33 | Average |
|---|---|
| 0.00 | Least |
| 1.00 | Most |
| 1.00 | St Bernards Regional Med Center-Dialysis |
|---|
Number of Pediatric HD Patient-Months with Kt/V Data
| 0.54 | Average |
|---|---|
| 0.00 | Least |
| 112.00 | Most |
| 0.19 | Average |
|---|---|
| 0.00 | Least |
| 12.00 | Most |
| 4.00 | Average |
|---|---|
| 0.00 | Least |
| 12.00 | Most |
| 12.00 | St Bernards Regional Med Center-Dialysis |
|---|
Vascular Catheters
Percentage of Patients with Vascular Catheter in Use for 90 Days or Longer
| 10.76 | Average |
|---|---|
| 0.00 | Least |
| 58.00 | Most |
| 15.03 | Average |
|---|---|
| 1.00 | Least |
| 30.00 | Most |
| 16.00 | Average |
|---|---|
| 10.00 | Least |
| 20.00 | Most |
| 18.00 | St Bernards Regional Med Center-Dialysis |
|---|
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. |
| 61 | Data Available |
| 3 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | 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 |
| 17.88 | Average |
|---|---|
| 3.00 | Least |
| 38.00 | Most |
| 20.00 | Average |
|---|---|
| 20.00 | Least |
| 20.00 | Most |
| 20.00 | St Bernards Regional Med Center-Dialysis |
|---|
Performance Period - Number of Catheter Patient Months
| 2,822,013 | Total |
|---|---|
| 484.47 | Average |
| 0 | Least |
| 2,871 | Most |
| 24,966 | Total |
|---|---|
| 402.68 | Average |
| 0 | Least |
| 1,549 | Most |
| 1,204 | Total |
|---|---|
| 602.00 | Average |
| 492 | Least |
| 712 | Most |
| 712 | St Bernards Regional Med Center-Dialysis |
|---|
Baseline Period - Catheter Rate
| 15.13 | Average |
|---|---|
| 0.00 | Least |
| 82.00 | Most |
| 20.71 | Average |
|---|---|
| 1.00 | Least |
| 54.00 | Most |
| 28.50 | Average |
|---|---|
| 27.00 | Least |
| 30.00 | Most |
| 30.00 | St Bernards Regional Med Center-Dialysis |
|---|
Baseline Period - Number of Catheter Patient Months
| 2,011,527 | Total |
|---|---|
| 345.33 | Average |
| 0 | Least |
| 2,281 | Most |
| 19,604 | Total |
|---|---|
| 316.19 | Average |
| 0 | Least |
| 1,208 | Most |
| 803 | Total |
|---|---|
| 401.50 | Average |
| 380 | Least |
| 423 | Most |
| 423 | St Bernards Regional Med Center-Dialysis |
|---|
Arteriovenous Fistulae
Percentage of Patients with Arteriovenous Fistulae in Place
| 63.16 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 57.39 | Average |
|---|---|
| 23.00 | Least |
| 84.00 | Most |
| 62.33 | Average |
|---|---|
| 57.00 | Least |
| 68.00 | Most |
| 62.00 | St Bernards Regional Med Center-Dialysis |
|---|
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. |
| 61 | Data Available |
| 3 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | 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 |
| 57.07 | Average |
|---|---|
| 21.00 | Least |
| 93.00 | Most |
| 60.00 | Average |
|---|---|
| 60.00 | Least |
| 60.00 | Most |
| 60.00 | St Bernards Regional Med Center-Dialysis |
|---|
Performance Period - Number of Fistula Patient Months
| 3,060,336 | Total |
|---|---|
| 525.38 | Average |
| 0 | Least |
| 3,083 | Most |
| 27,207 | Total |
|---|---|
| 438.82 | Average |
| 0 | Least |
| 1,638 | Most |
| 1,271 | Total |
|---|---|
| 635.50 | Average |
| 520 | Least |
| 751 | Most |
| 751 | St Bernards Regional Med Center-Dialysis |
|---|
Baseline Period - Fistula Rate
| 57.98 | Average |
|---|---|
| 3.00 | Least |
| 100.00 | Most |
| 52.79 | Average |
|---|---|
| 28.00 | Least |
| 83.00 | Most |
| 49.00 | Average |
|---|---|
| 40.00 | Least |
| 58.00 | Most |
| 40.00 | St Bernards Regional Med Center-Dialysis |
|---|
Baseline Period - Number of Fistula Patient Months
| 2,906,552 | Total |
|---|---|
| 498.98 | Average |
| 0 | Least |
| 3,197 | Most |
| 28,277 | Total |
|---|---|
| 456.08 | Average |
| 0 | Least |
| 1,698 | Most |
| 1,154 | Total |
|---|---|
| 577.00 | Average |
| 547 | Least |
| 607 | Most |
| 607 | St Bernards Regional Med Center-Dialysis |
|---|
Hypercalcemia
Percentage Of Adult Patients With Hypercalcemia Serum Calcium Greater Than 10.2 mg/dL
| 2.36 | Average |
|---|---|
| 0.00 | Least |
| 96.00 | Most |
| 2.07 | Average |
|---|---|
| 0.00 | Least |
| 9.00 | Most |
| 4.33 | Average |
|---|---|
| 1.00 | Least |
| 9.00 | Most |
| 3.00 | St Bernards Regional Med Center-Dialysis |
|---|
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. |
| 57 | Data Available |
| 2 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 5 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | 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 |
| 4,213 | Total |
|---|---|
| 65.83 | Average |
| 0 | Least |
| 340 | Most |
| 236 | Total |
|---|---|
| 78.67 | Average |
| 42 | Least |
| 135 | Most |
| 135 | St Bernards Regional Med Center-Dialysis |
|---|
Number of Patient Months in Summary
| 4,102,316 | Total |
|---|---|
| 677.40 | Average |
| 0 | Least |
| 4,454 | Most |
| 33,743 | Total |
|---|---|
| 527.23 | Average |
| 0 | Least |
| 3,002 | Most |
| 1,779 | Total |
|---|---|
| 593.00 | Average |
| 303 | Least |
| 1,120 | Most |
| 1,120 | St Bernards Regional Med Center-Dialysis |
|---|
Serum Phosphorus
Number of Patients in Serum Phosphorus Summary
| 514,568 | Total |
|---|---|
| 84.97 | Average |
| 0 | Least |
| 524 | Most |
| 4,471 | Total |
|---|---|
| 69.86 | Average |
| 0 | Least |
| 357 | Most |
| 250 | Total |
|---|---|
| 83.33 | Average |
| 43 | Least |
| 144 | Most |
| 144 | St Bernards Regional Med Center-Dialysis |
|---|
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. |
| 57 | Data Available |
| 2 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 5 | Data not reported – Call the facility to discuss this quality measure. |
| 3 | 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 |
| 35,184 | Total |
|---|---|
| 549.75 | Average |
| 0 | Least |
| 3,146 | Most |
| 1,898 | Total |
|---|---|
| 632.67 | Average |
| 318 | Least |
| 1,205 | Most |
| 1,205 | St Bernards Regional Med Center-Dialysis |
|---|
Percentage of Adult Patients with SP Less Than 3.5 mg/dL
| 10.46 | Average |
|---|---|
| 0.00 | Least |
| 44.00 | Most |
| 10.49 | Average |
|---|---|
| 4.00 | Least |
| 32.00 | Most |
| 6.33 | Average |
|---|---|
| 6.00 | Least |
| 7.00 | Most |
| 6.00 | St Bernards Regional Med Center-Dialysis |
|---|
Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl
| 28.52 | Average |
|---|---|
| 0.00 | Least |
| 54.00 | Most |
| 25.77 | Average |
|---|---|
| 13.00 | Least |
| 38.00 | Most |
| 22.00 | Average |
|---|---|
| 21.00 | Least |
| 23.00 | Most |
| 21.00 | St Bernards Regional Med Center-Dialysis |
|---|
Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl
| 31.56 | Average |
|---|---|
| 3.00 | Least |
| 57.00 | Most |
| 31.09 | Average |
|---|---|
| 21.00 | Least |
| 50.00 | Most |
| 25.67 | Average |
|---|---|
| 24.00 | Least |
| 28.00 | Most |
| 28.00 | St Bernards Regional Med Center-Dialysis |
|---|
Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl
| 19.11 | Average |
|---|---|
| 0.00 | Least |
| 48.00 | Most |
| 19.56 | Average |
|---|---|
| 4.00 | Least |
| 34.00 | Most |
| 28.00 | Average |
|---|---|
| 25.00 | Least |
| 30.00 | Most |
| 30.00 | St Bernards Regional Med Center-Dialysis |
|---|
Percentage of Adult Patients with SP Greater Than 7.0 mg/dl
| 10.36 | Average |
|---|---|
| 0.00 | Least |
| 70.00 | Most |
| 13.02 | Average |
|---|---|
| 2.00 | Least |
| 33.00 | Most |
| 18.00 | Average |
|---|---|
| 15.00 | Least |
| 21.00 | Most |
| 15.00 | St Bernards Regional Med Center-Dialysis |
|---|