Patient Care

Background: Madonna Rehabilitation Hospital serves a large volume of children, adolescents and adults who have sustained a brain injury. As a result, patients with this diagnosis are treated by a dedicated team of professionals who have training in brain injury, and patients as well as their family members are provided with multiple opportunities to interact with others who have experienced a similar injury but are at various stages of recovery.

Madonna's Brain Injury Rehabilitation Program is designed to meet the needs of persons with both traumatic and non-traumatic brain injury. Examples of non-traumatic brain injury include brain tumor, brain hemorrhage, or encephalitis, such as that caused by West Nile Virus. 83% of patients with brain injury served by Madonna last year had traumatic injuries.

Ages: Madonna serves people of all ages with brain injury. Brain injury does affect a large number of younger people. In fact, last fiscal year 47% of inpatients with BI were under the age of 30 years old and 52 patients with BI (30%) were 18 years old or younger.

Geographic Area: Madonna serves people from a wide region of the Midwest and across the country. Although a majority of inpatient patients live in Nebraska, last year we served 71 patients with brain injury where from out of state including Iowa (17), Kansas (35), Missouri (12), South Dakota (3), Wisconsin (2), Pennsylvania and New York.

Level of Injury: Madonna's multiple levels of care means that we can care for patients with a wide range of severity. We may be able to serve patients who are as low as Level II on the RANCHO Scale or as high as those with concussion or classified with a mild traumatic brain injury.

Volumes: During its most recent fiscal year ending June 30, 2011 Madonna served a total of 228 inpatients with brain injury. A majority of the patients (174) were served on the Acute Rehabilitation Hospital (AR), 47 patients with either primary or secondary diagnosis of brain injury were served on the Long Term Acute Care Hospital (LTACH) and 7 patients were served on the Transitional Care Unit (TCU).

On an outpatient basis, a total of 378 new patients with brain injury were served. Of these, 37 were served in the Rehabilitation Day Program and the rest received services at TherapyPlus, Main Campus.

Many other patients received services as part of the Comprehensive Mild Traumatic Brain Injury Assessment and treatment, while others received single service treatment or were seen in the Brain Injury Clinic.