Levels of Care

WHO WE SERVED

During the fiscal year July 1, 2008 through June 30, 2009, Madonna Rehabilitation Hospital discharged a total of 891 patients on its AR unit. A breakdown of discharges by diagnosis is illustrated below:

Amputation	33
Brain Injury	153
cardiac	91
Orthopedic	173
Neurological*	20
Spinal Cord Injury	99
Stroke	253
Other	69

• *Neurological includes MS, ALS, Parkinsons, Guillain Barre
  
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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, 2008, and June 30, 2009.

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Indicator	Madonna ARU	E-Rehab Region
Case Mix Index (an indicator of acuity)	1.36	1.24
Average Age	63	66
Discharge to Community Setting	69%	69%
Discharge to Acute Care	10%	10%
Days between Onset and Admission	15	15
Average Length of Stay	20	18
Admission FIM	63.4	60.6
Discharge FIM	85.0	81.5
FIM Change	21.6	20.9
FIM Change per Day	1.4	1.7

Madonna's discharge to community rate was the same as the region despite a much higher case mix index, which is an indication of acuity. Patients stayed 2 days longer in ARU and were able to discharge with higher functional scores (FIM).

80% of patients discharged from ARU rated their overall experience as "Excellent" and 98% "Excellent" or "Good". 98% 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.