Levels of Care

Acute Rehabilitation Hospital: Outcomes

WHO WE SERVED

During the fiscal year July 1, 2006 through June 30, 2007, Madonna Rehabilitation Hospital discharged a total of 699 patients on its AR unit. A breakdown of discharges by diagnosis is illustrated below:

Brain Injury 130
Burn 5
Cardiac 90
Orthopedic 208
Neurological* 9
Spinal Cord Injury 58
Stroke 168
Other 31
  • *Neurological includes MS, ALS, Parkinsons, Guillain Barre

OUTCOMES

Madonna Rehabilitation Hospital uses several measurements to assess the outcomes of persons served. These outcomes are compared with national AR benchmarks compiled by the American Medical Rehabilitation Providers Association (AMRPA) database called "erehabdata." The outcomes described below are combined outcomes for all patients discharged from Madonna's ARU between July 1, 2006, and June 30, 2007.

Indicator Madonna ARU E-Rehab Nation E-Rehab Region
Case Mix Index (an indicator of acuity) 1.22 1.24 1.20
Average Age 62 67 67
Discharge to Community Setting 75% 75% 73%
Discharge to Acute Care 9% 11% 11%
Days between Onset and Admission 14 17 16
Average Length of Stay 18 15 16
Admission FIM 69.93 65.37 66.56
Discharge FIM 90.77 86.58 86.94
FIM Change 20.84 21.21 20.38
FIM Change per Day 1.65 1.96 1.72

Madonna discharged the same percentage of patients to community settings as the national benchmark and fewer to acute care despite admitting them, on average, 3 days earlier than the nation. Patients stayed 2-3 days longer in ARU and were able to discharge with higher functional scores (FIM).

Ninety-five percent of patients discharged from ARU rated their overall experience as "Excellent" or "Good". Ninety-seven percent of patients who responded to a telephone survey completed 3 months after discharge said they had maintained the gains they made during their stay at Madonna.

* FIM is a 7-point tool used by rehabilitation hospitals throughout the nation to assess a patient's function in 18 areas, including self-care, bowel and bladder function, transfers, locomotion, communication and cognition. Maximum score on FIM is 126.

Madonna Rehabilitation Hospital
5401 South St. • Lincoln, NE 68506
Phone: (402) 489-7102 • Toll-Free: (800) 676-5448
E-mail: info@madonna.org
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