Levels of Care

WHO WE SERVED

During the fiscal year July 1, 2009 through June 30, 2010, Madonna Rehabilitation Hospital discharged a total of 722 patients on its AR unit. A breakdown of discharges by diagnosis is illustrated below:

Amputation	25
Brain Injury	165
Cardiac	24
Orthopedic	128
Neurological*	14
Spinal Cord Injury	109
Stroke	241
Other	16

• *Neurological includes MS, ALS, Parkinsons, Guillain Barre

• Acute Rehabilitation Hospital Fast Facts

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, 2009, and June 30, 2010.

Indicator	Madonna ARU	E-Rehab Region
Case Mix Index (an indicator of acuity)	1.5	1.2
Average Age	57	69
Discharge to Community Setting	65.1%	65.1%
Discharge to Acute Care	11.2%	11.7%
Days between Onset and Admission	25	17
Average Length of Stay	27.8	19.8
Admission FIM	58.6	56.0
Discharge FIM	82.0	78.6
FIM Change	23.5	22.6
FIM Change per Day	1.3	1.6

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 longer in ARU and were able to discharge with higher functional scores (FIM).

On average, patients achieved 75% of the goals established on admission to ARU.

96.8% of patients discharging from ARU rated their ovreall experience as "Excellent" or "Good".

93.4% 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.