General Totals
Number of Dialysis Providers
| 6,236 | Nation |
|---|---|
| 79 | Oklahoma |
| 11 | Tulsa, Oklahoma |
| N/A | St Francis Hospital-Dialysis |
Total Number of Dialysis Stations
| 110,108 | Nation |
|---|---|
| 1,241 | Oklahoma |
| 211 | Tulsa, Oklahoma |
| 20 | St Francis Hospital-Dialysis |
Average Number of Dialysis Stations
| 17.66 | Nation |
|---|---|
| 15.71 | Oklahoma |
| 19.18 | Tulsa, Oklahoma |
| N/A | St Francis Hospital-Dialysis |
Services Totals
Total Number Offering Hemodialysis
| 6,236 | Nation |
|---|---|
| 79 | Oklahoma |
| 11 | Tulsa, Oklahoma |
| 1 | St Francis Hospital-Dialysis |
Total Number Offering Peritoneal Dialysis
| 3,114 | Nation |
|---|---|
| 42 | Oklahoma |
| 6 | Tulsa, Oklahoma |
| 1 | St Francis Hospital-Dialysis |
Total Number Offering Home Training
| 1,705 | Nation |
|---|---|
| 25 | Oklahoma |
| 3 | Tulsa, Oklahoma |
| 0 | St Francis Hospital-Dialysis |
Have Shifts after 5pm
| 1,124 | Nation |
|---|---|
| 11 | Oklahoma |
| 4 | Tulsa, Oklahoma |
| 0 | St Francis Hospital-Dialysis |
Total Number of For Profit Facilities
| 5,346 | Nation |
|---|---|
| 76 | Oklahoma |
| 10 | Tulsa, Oklahoma |
| 0 | St Francis Hospital-Dialysis |
Total Number of Non Profit Facilities
| 890 | Nation |
|---|---|
| 3 | Oklahoma |
| 1 | Tulsa, Oklahoma |
| 0 | St Francis Hospital-Dialysis |
Total Number of Chain Owned
| 5,347 | Nation |
|---|---|
| 76 | Oklahoma |
| 10 | Tulsa, Oklahoma |
| 0 | St Francis Hospital-Dialysis |
Total Number of Not Chain Owned
| 889 | Nation |
|---|---|
| 3 | Oklahoma |
| 1 | Tulsa, Oklahoma |
| 0 | St Francis Hospital-Dialysis |
Performance Scores
Total Performance Score
| 81.97 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 82.74 | Average |
|---|---|
| 28.00 | Least |
| 100.00 | Most |
| 81.67 | Average |
|---|---|
| 61.00 | Least |
| 100.00 | Most |
| 79.00 | St Francis Hospital-Dialysis |
|---|
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 | St Francis Hospital-Dialysis |
|---|
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 | St Francis Hospital-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 |
| 9.35 | Average |
|---|---|
| 4.00 | Least |
| 10.00 | Most |
| 9.67 | Average |
|---|---|
| 8.00 | Least |
| 10.00 | Most |
| 10.00 | St Francis Hospital-Dialysis |
|---|
Hemoglobin Score Applied
| 5,241 | Achievement |
|---|---|
| 59 | Improvement |
| 936 | Not Available |
| 60 | Achievement |
|---|---|
| 3 | Improvement |
| 16 | Not Available |
| 8 | Achievement |
|---|---|
| 1 | Improvement |
| 2 | 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 |
| 8.69 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 7.78 | Average |
|---|---|
| 4.00 | Least |
| 10.00 | Most |
| 10.00 | St Francis Hospital-Dialysis |
|---|
URR Score Applied
| 5,034 | Achievement |
|---|---|
| 173 | Improvement |
| 1,029 | Not Available |
| 60 | Achievement |
|---|---|
| 2 | Improvement |
| 17 | Not Available |
| 9 | Achievement |
|---|---|
| 2 | Not Available |
| Improvement |
|---|
Vascular Catheter Measure Score
| 6.26 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.30 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 5.33 | Average |
|---|---|
| 2.00 | Least |
| 10.00 | Most |
| 2.00 | St Francis Hospital-Dialysis |
|---|
Vascular Catheter Score Applied
| 4,992 | Achievement |
|---|---|
| 337 | Improvement |
| 907 | Not Available |
| 58 | Achievement |
|---|---|
| 5 | Improvement |
| 16 | Not Available |
| 9 | Achievement |
|---|---|
| 2 | Not Available |
| Improvement |
|---|
Fistula Measure Score
| 5.69 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 7.29 | Average |
|---|---|
| 1.00 | Least |
| 10.00 | Most |
| 7.44 | Average |
|---|---|
| 4.00 | Least |
| 10.00 | Most |
| 4.00 | St Francis Hospital-Dialysis |
|---|
Fistula Score Applied
| 5,011 | Achievement |
|---|---|
| 297 | Improvement |
| 928 | Not Available |
| 62 | Achievement |
|---|---|
| 17 | Not Available |
| 9 | Achievement |
|---|---|
| 2 | Not Available |
| Improvement |
|---|
Vascular Access Combined Measure Score
| 6.22 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 6.46 | Average |
|---|---|
| 2.00 | Least |
| 10.00 | Most |
| 6.56 | Average |
|---|---|
| 3.00 | Least |
| 10.00 | Most |
| 3.00 | St Francis Hospital-Dialysis |
|---|
Mineral Metabolism Reporting Score
| 9.08 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 8.62 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 8.89 | Average |
|---|---|
| 0.00 | Least |
| 10.00 | Most |
| 10.00 | St Francis Hospital-Dialysis |
|---|
Hospitalization Rate
Hospitalization Rate
| 5,435 | As Expected |
|---|---|
| 54 | Better than Expected |
| 282 | Worse than Expected |
| 465 | Not Available |
| 70 | As Expected |
|---|---|
| 9 | Not Available |
| 9 | As Expected |
|---|---|
| 2 | Not Available |
| 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. |
| 70 | Data Available |
| 5 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 4 | Data not reported – Call the facility to discuss this quality measure. |
| 9 | Data Available |
| 2 | Data not reported – 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. |
Number of Patients Included in Hospitalization Summary
| 440,405 | Total |
|---|---|
| 72.23 | Average |
| 0 | Least |
| 467 | Most |
| 4,716 | Total |
|---|---|
| 62.88 | Average |
| 1 | Least |
| 209 | Most |
| 798 | Total |
|---|---|
| 88.67 | Average |
| 52 | Least |
| 147 | Most |
| 99 | St Francis Hospital-Dialysis |
|---|
Standardized Hospitalization Ratio
| 1.00 | Average |
|---|---|
| 0.07 | Least |
| 3.48 | Most |
| 0.92 | Average |
|---|---|
| 0.46 | Least |
| 1.39 | Most |
| 1.04 | Average |
|---|---|
| 0.84 | Least |
| 1.26 | Most |
| 1.01 | St Francis Hospital-Dialysis |
|---|
Survivability Rate
Survival Rate
| 4,741 | As Expected |
|---|---|
| 462 | Better than Expected |
| 520 | Worse than Expected |
| 513 | Not Available |
| 59 | As Expected |
|---|---|
| 4 | Better than Expected |
| 4 | Worse than Expected |
| 12 | Not Available |
| 7 | As Expected |
|---|---|
| 2 | Better than Expected |
| 2 | Not Available |
| 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. |
| 67 | Data Available |
| 8 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 4 | CMS determined that the percentage was not accurate. |
| 9 | Data Available |
| 2 | CMS determined that the percentage was not accurate. |
| 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 |
| 21,107 | Total |
|---|---|
| 281.43 | Average |
| 3 | Least |
| 978 | Most |
| 3,864 | Total |
|---|---|
| 429.33 | Average |
| 223 | Least |
| 720 | Most |
| 551 | St Francis Hospital-Dialysis |
|---|
Standardized Mortality Ratio
| 1.02 | Average |
|---|---|
| 0.00 | Least |
| 3.29 | Most |
| 1.02 | Average |
|---|---|
| 0.61 | Least |
| 1.76 | Most |
| 0.93 | Average |
|---|---|
| 0.61 | Least |
| 1.20 | Most |
| 0.95 | St Francis Hospital-Dialysis |
|---|
Anemia Management
Patient Transfusions Rate
| 4,983 | As Expected |
|---|---|
| 27 | Better than Expected |
| 358 | Worse than Expected |
| 868 | Not Available |
| 62 | As Expected |
|---|---|
| 2 | Worse than Expected |
| 15 | Not Available |
| 9 | 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. |
| 68 | Data Available |
| 11 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 11 | 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 |
| 0.70 | Average |
|---|---|
| 0.00 | Least |
| 6.00 | Most |
| 0.44 | Average |
|---|---|
| 0.00 | Least |
| 2.00 | Most |
| 0.00 | St Francis Hospital-Dialysis |
|---|
Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL
| 4.99 | Average |
|---|---|
| 0.00 | Least |
| 62.00 | Most |
| 7.41 | Average |
|---|---|
| 0.00 | Least |
| 26.00 | Most |
| 10.44 | Average |
|---|---|
| 0.00 | Least |
| 26.00 | Most |
| 26.00 | St Francis Hospital-Dialysis |
|---|
Standarized Transfusion Ratio
| 1.01 | Average |
|---|---|
| 0.00 | Least |
| 7.15 | Most |
| 0.98 | Average |
|---|---|
| 0.15 | Least |
| 2.76 | Most |
| 0.85 | Average |
|---|---|
| 0.54 | Least |
| 1.17 | Most |
| 0.87 | St Francis Hospital-Dialysis |
|---|
Number of Patients in Summary
| 378,886 | Total |
|---|---|
| 62.56 | Average |
| 0 | Least |
| 349 | Most |
| 4,129 | Total |
|---|---|
| 55.05 | Average |
| 1 | Least |
| 185 | Most |
| 709 | Total |
|---|---|
| 78.78 | Average |
| 48 | Least |
| 133 | Most |
| 88 | St Francis Hospital-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 |
| 50 | Total |
|---|---|
| 0.76 | Average |
| 0 | Least |
| 13 | Most |
| 5 | Total |
|---|---|
| 0.56 | Average |
| 0 | Least |
| 5 | Most |
| 0 | St Francis Hospital-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. |
| 66 | Data Available |
| 8 | 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. |
| 9 | Data Available |
| 2 | Data not reported – 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. |
Patient(s) who had an average hemoglobin value less than 10.0 g/dL
| 70,587 | Total |
|---|---|
| 12.87 | Average |
| 0 | Least |
| 91 | Most |
| 712 | Total |
|---|---|
| 10.79 | Average |
| 0 | Least |
| 29 | Most |
| 92 | Total |
|---|---|
| 10.22 | Average |
| 5 | Least |
| 15 | Most |
| 9 | St Francis Hospital-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. |
| 66 | Data Available |
| 8 | 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. |
| 9 | Data Available |
| 2 | Data not reported – 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. |
Number of Dialysis Patients with Hemoglobin Data
| 275,176 | Total |
|---|---|
| 45.44 | Average |
| 0 | Least |
| 283 | Most |
| 2,956 | Total |
|---|---|
| 39.41 | Average |
| 0 | Least |
| 141 | Most |
| 446 | Total |
|---|---|
| 49.56 | Average |
| 33 | Least |
| 81 | Most |
| 33 | St Francis Hospital-Dialysis |
|---|
Number of Hemoglobin Eligible Patients - Performance Period
| 274,010 | Total |
|---|---|
| 47.04 | Average |
| 0 | Least |
| 274 | Most |
| 2,838 | Total |
|---|---|
| 43.00 | Average |
| 0 | Least |
| 135 | Most |
| 476 | Total |
|---|---|
| 52.89 | Average |
| 36 | Least |
| 85 | Most |
| 38 | St Francis Hospital-Dialysis |
|---|
Number of Hemoglobin Eligible Patients - Baseline Period
| 279,098 | Total |
|---|---|
| 47.91 | Average |
| 0 | Least |
| 317 | Most |
| 2,990 | Total |
|---|---|
| 45.30 | Average |
| 0 | Least |
| 132 | Most |
| 527 | Total |
|---|---|
| 58.56 | Average |
| 37 | Least |
| 101 | Most |
| 50 | St Francis Hospital-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 |
| 98.97 | Average |
|---|---|
| 95.00 | Least |
| 100.00 | Most |
| 99.00 | Average |
|---|---|
| 96.00 | Least |
| 100.00 | Most |
| 100.00 | St Francis Hospital-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. |
| 66 | Data Available |
| 5 | 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. |
| 1 | The facility does not provide hemodialysis. |
| 9 | Data Available |
| 2 | Data not reported – 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 - Urea Reduction Ratio greater than or equal to 65%
| 98.79 | Average |
|---|---|
| 57.00 | Least |
| 100.00 | Most |
| 99.13 | Average |
|---|---|
| 93.00 | Least |
| 100.00 | Most |
| 98.56 | Average |
|---|---|
| 96.00 | Least |
| 100.00 | Most |
| 100.00 | St Francis Hospital-Dialysis |
|---|
Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%
| 97.27 | Average |
|---|---|
| 34.00 | Least |
| 100.00 | Most |
| 95.69 | Average |
|---|---|
| 70.00 | Least |
| 100.00 | Most |
| 97.33 | Average |
|---|---|
| 93.00 | Least |
| 100.00 | Most |
| 98.00 | St Francis Hospital-Dialysis |
|---|
Number of Hemodialysis Patients with URR Data
| 269,264 | Total |
|---|---|
| 44.46 | Average |
| 0 | Least |
| 297 | Most |
| 2,869 | Total |
|---|---|
| 38.25 | Average |
| 0 | Least |
| 111 | Most |
| 421 | Total |
|---|---|
| 46.78 | Average |
| 37 | Least |
| 64 | Most |
| 37 | St Francis Hospital-Dialysis |
|---|
Number of URR Eligible Patients - Performance Period
| 265,552 | Total |
|---|---|
| 45.59 | Average |
| 0 | Least |
| 273 | Most |
| 2,721 | Total |
|---|---|
| 41.23 | Average |
| 0 | Least |
| 111 | Most |
| 447 | Total |
|---|---|
| 49.67 | Average |
| 37 | Least |
| 69 | Most |
| 39 | St Francis Hospital-Dialysis |
|---|
Number of URR Eligible Patients - Baseline Period
| 256,555 | Total |
|---|---|
| 44.04 | Average |
| 0 | Least |
| 283 | Most |
| 2,697 | Total |
|---|---|
| 40.86 | Average |
| 0 | Least |
| 102 | Most |
| 466 | Total |
|---|---|
| 51.78 | Average |
| 35 | Least |
| 75 | Most |
| 49 | St Francis Hospital-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 |
| 89.06 | Average |
|---|---|
| 65.00 | Least |
| 97.00 | Most |
| 89.22 | Average |
|---|---|
| 80.00 | Least |
| 94.00 | Most |
| 80.00 | St Francis Hospital-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. |
| 70 | Data Available |
| 1 | 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. |
| 1 | The facility does not provide hemodialysis. |
| 9 | Data Available |
| 2 | Data not reported – 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. |
Number of Adult HD Patients with Kt/V Data
| 69.74 | Average |
|---|---|
| 0.00 | Least |
| 641.00 | Most |
| 60.40 | Average |
|---|---|
| 0.00 | Least |
| 167.00 | Most |
| 80.22 | Average |
|---|---|
| 56.00 | Least |
| 113.00 | Most |
| 113.00 | St Francis Hospital-Dialysis |
|---|
Number of Adult HD Patient-Months with Kt/V Data
| 507.90 | Average |
|---|---|
| 0.00 | Least |
| 3,182.00 | Most |
| 423.04 | Average |
|---|---|
| 0.00 | Least |
| 1,189.00 | Most |
| 513.56 | Average |
|---|---|
| 388.00 | Least |
| 709.00 | Most |
| 484.00 | St Francis Hospital-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 |
| 84.75 | Average |
|---|---|
| 56.00 | Least |
| 96.00 | Most |
| 81.00 | Average |
|---|---|
| 69.00 | Least |
| 87.00 | Most |
| 69.00 | St Francis Hospital-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. |
| 16 | Data Available |
| 13 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 16 | Data not reported – Call the facility to discuss this quality measure. |
| 34 | The facility does not provide peritoneal dialysis. |
| 3 | Data Available |
| 4 | Data not reported – Call the facility to discuss this quality measure. |
| 4 | The facility does not provide peritoneal dialysis. |
| 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 |
| 6.31 | Average |
|---|---|
| 0.00 | Least |
| 49.00 | Most |
| 11.33 | Average |
|---|---|
| 0.00 | Least |
| 49.00 | Most |
| 31.00 | St Francis Hospital-Dialysis |
|---|
Number of Adult PD Patient-Months with Kt/V Data
| 46.35 | Average |
|---|---|
| 0.00 | Least |
| 1,533.00 | Most |
| 47.11 | Average |
|---|---|
| 0.00 | Least |
| 387.00 | Most |
| 89.78 | Average |
|---|---|
| 0.00 | Least |
| 387.00 | Most |
| 279.00 | St Francis Hospital-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 Francis Hospital-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. |
| 5 | 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. |
| 69 | 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 | Data not reported – Call the facility to discuss this quality measure. |
| 8 | 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 |
| 0.12 | Average |
|---|---|
| 0.00 | Least |
| 5.00 | Most |
| 0.11 | Average |
|---|---|
| 0.00 | Least |
| 1.00 | Most |
| 1.00 | St Francis Hospital-Dialysis |
|---|
Number of Pediatric HD Patient-Months with Kt/V Data
| 0.54 | Average |
|---|---|
| 0.00 | Least |
| 112.00 | Most |
| 0.65 | Average |
|---|---|
| 0.00 | Least |
| 24.00 | Most |
| 0.11 | Average |
|---|---|
| 0.00 | Least |
| 1.00 | Most |
| 1.00 | St Francis Hospital-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 |
| 10.91 | Average |
|---|---|
| 1.00 | Least |
| 23.00 | Most |
| 11.67 | Average |
|---|---|
| 3.00 | Least |
| 19.00 | Most |
| 19.00 | St Francis Hospital-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. |
| 70 | Data Available |
| 2 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 6 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | The facility does not provide hemodialysis. |
| 9 | Data Available |
| 2 | Data not reported – 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 Period - Catheter Rate
| 12.54 | Average |
|---|---|
| 0.00 | Least |
| 63.00 | Most |
| 14.19 | Average |
|---|---|
| 1.00 | Least |
| 34.00 | Most |
| 13.44 | Average |
|---|---|
| 4.00 | Least |
| 20.00 | Most |
| 20.00 | St Francis Hospital-Dialysis |
|---|
Performance Period - Number of Catheter Patient Months
| 2,822,013 | Total |
|---|---|
| 484.47 | Average |
| 0 | Least |
| 2,871 | Most |
| 28,712 | Total |
|---|---|
| 435.03 | Average |
| 0 | Least |
| 1,250 | Most |
| 5,043 | Total |
|---|---|
| 560.33 | Average |
| 415 | Least |
| 757 | Most |
| 415 | St Francis Hospital-Dialysis |
|---|
Baseline Period - Catheter Rate
| 15.13 | Average |
|---|---|
| 0.00 | Least |
| 82.00 | Most |
| 16.22 | Average |
|---|---|
| 0.00 | Least |
| 39.00 | Most |
| 15.89 | Average |
|---|---|
| 6.00 | Least |
| 23.00 | Most |
| 22.00 | St Francis Hospital-Dialysis |
|---|
Baseline Period - Number of Catheter Patient Months
| 2,011,527 | Total |
|---|---|
| 345.33 | Average |
| 0 | Least |
| 2,281 | Most |
| 21,312 | Total |
|---|---|
| 322.91 | Average |
| 0 | Least |
| 867 | Most |
| 3,778 | Total |
|---|---|
| 419.78 | Average |
| 291 | Least |
| 567 | Most |
| 376 | St Francis Hospital-Dialysis |
|---|
Arteriovenous Fistulae
Percentage of Patients with Arteriovenous Fistulae in Place
| 63.16 | Average |
|---|---|
| 0.00 | Least |
| 100.00 | Most |
| 71.16 | Average |
|---|---|
| 56.00 | Least |
| 93.00 | Most |
| 69.44 | Average |
|---|---|
| 56.00 | Least |
| 83.00 | Most |
| 56.00 | St Francis Hospital-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. |
| 70 | Data Available |
| 2 | The number of patients is too small to report. Call the facility to discuss this quality measure. |
| 6 | Data not reported – Call the facility to discuss this quality measure. |
| 1 | The facility does not provide hemodialysis. |
| 9 | Data Available |
| 2 | Data not reported – 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 Period - Fistula Rate
| 62.10 | Average |
|---|---|
| 0.00 | Least |
| 98.00 | Most |
| 68.82 | Average |
|---|---|
| 47.00 | Least |
| 91.00 | Most |
| 69.78 | Average |
|---|---|
| 57.00 | Least |
| 88.00 | Most |
| 57.00 | St Francis Hospital-Dialysis |
|---|
Performance Period - Number of Fistula Patient Months
| 3,060,336 | Total |
|---|---|
| 525.38 | Average |
| 0 | Least |
| 3,083 | Most |
| 31,205 | Total |
|---|---|
| 472.80 | Average |
| 0 | Least |
| 1,344 | Most |
| 5,413 | Total |
|---|---|
| 601.44 | Average |
| 448 | Least |
| 797 | Most |
| 456 | St Francis Hospital-Dialysis |
|---|
Baseline Period - Fistula Rate
| 57.98 | Average |
|---|---|
| 3.00 | Least |
| 100.00 | Most |
| 64.58 | Average |
|---|---|
| 44.00 | Least |
| 87.00 | Most |
| 67.11 | Average |
|---|---|
| 52.00 | Least |
| 87.00 | Most |
| 54.00 | St Francis Hospital-Dialysis |
|---|
Baseline Period - Number of Fistula Patient Months
| 2,906,552 | Total |
|---|---|
| 498.98 | Average |
| 0 | Least |
| 3,197 | Most |
| 30,766 | Total |
|---|---|
| 466.15 | Average |
| 0 | Least |
| 1,242 | Most |
| 5,396 | Total |
|---|---|
| 599.56 | Average |
| 412 | Least |
| 808 | Most |
| 541 | St Francis Hospital-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 |
| 1.35 | Average |
|---|---|
| 0.00 | Least |
| 8.00 | Most |
| 1.33 | Average |
|---|---|
| 0.00 | Least |
| 3.00 | Most |
| 2.00 | St Francis Hospital-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. |
| 71 | Data Available |
| 3 | 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. |
| 9 | Data Available |
| 2 | Data not reported – 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. |
Number of Patients in Summary
| 487,975 | Total |
|---|---|
| 80.58 | Average |
| 0 | Least |
| 494 | Most |
| 4,865 | Total |
|---|---|
| 64.87 | Average |
| 0 | Least |
| 231 | Most |
| 857 | Total |
|---|---|
| 95.22 | Average |
| 46 | Least |
| 141 | Most |
| 129 | St Francis Hospital-Dialysis |
|---|
Number of Patient Months in Summary
| 4,102,316 | Total |
|---|---|
| 677.40 | Average |
| 0 | Least |
| 4,454 | Most |
| 38,894 | Total |
|---|---|
| 518.59 | Average |
| 0 | Least |
| 1,915 | Most |
| 7,009 | Total |
|---|---|
| 778.78 | Average |
| 420 | Least |
| 1,174 | Most |
| 1,133 | St Francis Hospital-Dialysis |
|---|
Serum Phosphorus
Number of Patients in Serum Phosphorus Summary
| 514,568 | Total |
|---|---|
| 84.97 | Average |
| 0 | Least |
| 524 | Most |
| 5,144 | Total |
|---|---|
| 68.59 | Average |
| 0 | Least |
| 231 | Most |
| 848 | Total |
|---|---|
| 94.22 | Average |
| 49 | Least |
| 140 | Most |
| 137 | St Francis Hospital-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. |
| 71 | Data Available |
| 3 | 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. |
| 9 | Data Available |
| 2 | Data not reported – 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. |
Number of Patient Months in Summary
| 4,294,671 | Total |
|---|---|
| 709.16 | Average |
| 0 | Least |
| 4,692 | Most |
| 40,599 | Total |
|---|---|
| 541.32 | Average |
| 0 | Least |
| 1,899 | Most |
| 6,992 | Total |
|---|---|
| 776.89 | Average |
| 441 | Least |
| 1,191 | Most |
| 1,191 | St Francis Hospital-Dialysis |
|---|
Percentage of Adult Patients with SP Less Than 3.5 mg/dL
| 10.46 | Average |
|---|---|
| 0.00 | Least |
| 44.00 | Most |
| 9.49 | Average |
|---|---|
| 5.00 | Least |
| 19.00 | Most |
| 9.78 | Average |
|---|---|
| 7.00 | Least |
| 13.00 | Most |
| 7.00 | St Francis Hospital-Dialysis |
|---|
Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl
| 28.52 | Average |
|---|---|
| 0.00 | Least |
| 54.00 | Most |
| 27.18 | Average |
|---|---|
| 17.00 | Least |
| 37.00 | Most |
| 24.89 | Average |
|---|---|
| 19.00 | Least |
| 30.00 | Most |
| 19.00 | St Francis Hospital-Dialysis |
|---|
Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl
| 31.56 | Average |
|---|---|
| 3.00 | Least |
| 57.00 | Most |
| 31.56 | Average |
|---|---|
| 20.00 | Least |
| 45.00 | Most |
| 31.56 | Average |
|---|---|
| 22.00 | Least |
| 42.00 | Most |
| 24.00 | St Francis Hospital-Dialysis |
|---|
Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl
| 19.11 | Average |
|---|---|
| 0.00 | Least |
| 48.00 | Most |
| 19.25 | Average |
|---|---|
| 5.00 | Least |
| 32.00 | Most |
| 20.44 | Average |
|---|---|
| 11.00 | Least |
| 31.00 | Most |
| 31.00 | St Francis Hospital-Dialysis |
|---|
Percentage of Adult Patients with SP Greater Than 7.0 mg/dl
| 10.36 | Average |
|---|---|
| 0.00 | Least |
| 70.00 | Most |
| 12.55 | Average |
|---|---|
| 5.00 | Least |
| 26.00 | Most |
| 13.33 | Average |
|---|---|
| 10.00 | Least |
| 20.00 | Most |
| 20.00 | St Francis Hospital-Dialysis |
|---|