Outcomes

During the fiscal year July 1, 2008 through June 30, 2009, Madonna Rehabilitation Hospital discharged a total of 170 patients from the Cardiac Advancement through Rehabilitation, Education and Support
(CARES) program.

Several standard measurements are used to assess the outcomes of persons served.

Outcomes: The outcomes of persons served on Acute Rehabilitation level of care are compared with national acute rehabilitation benchmarks compiled by the American Medical Rehabilitation Providers Association (AMRPA) database called erehabdata. There are no national benchmarks for Cardiac Programs on an LTACH level of care. The outcomes described below are for all patients with a primary cardiac diagnosis discharged between July 1, 2008 and June 30, 2009.

Indicator Madonna LTACH Madonna Acute Rehab E-Rehab Region
Discharge to Community Setting 71.4% 74.7% 80%
Discharge to Acute Care 10.4% 8.8% 11.8%
Days between Onset and Admission 13 9 11
Average Length of Stay 19.7 9.9 12.1
FIM Change 24.8 19.9 19.2
FIM Change per Day 1.3 2.2 2.0

Madonna admitted patients to AR 2 days earlier than the region and kept them 2 days less. The percentage of patients discharging to community settings was less than the regional benchmark despite making comparable functional gains suggesting that the reason for non-community discharge was personal/support related rather than function related. A lower percentage of patients on AR were discharged back to acute care than the regional benchmark.

Patients on LTACH were more medically involved and therefore had a longer length of stay and higher return to acute care rate than AR. However, the percentage discharging to acute care was lower than the regional benchmark for AR, and patients made more functional gains.

75% of inpatients rated their overall experience as "Excellent" and 98% as "Excellent" or "Good". 95% 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) 413-3000
Toll-Free: (800) 676-5448