During the fiscal year July 1, 2008 through June 30, 2009, Madonna Rehabilitation Hospital discharged 531 inpatients and admitted tba new outpatients with orthopedic conditions.
Several standard measurements are used to assess the outcomes of persons served.
Inpatient Outcomes: The outcomes below are compared with national acute rehabilitation benchmarks compiled by the American Medical Rehabilitation Providers Association (AMRPA) database called erehabdata. The outcomes described below are for patients with all types of orthopedic conditions discharged from Madonna's Acute Rehabilitation (ARU) and Transitional Care (TCU) Units between July 1, 2008 and June 30, 2009.
| Diagnosis |
Discharge to Community |
FIM Change |
Average Length of Stay |
| Amputation - Madonna |
66.7% |
15.5 |
13 |
| Amputation - E-Rehab Region |
63.7% |
17.3 |
14 |
| Leg Fracture Madonna |
65.8% |
17.0 |
15 |
| Leg Fracture E-Rehab Region |
67.3% |
18.8 |
14 |
| Joint Replacement Madonna |
97.2% |
19.1 |
9 |
| Joint Replacement E-Rehab Region |
93.2% |
21.8 |
9 |
| Multiple Trauma without BI or SCI Madonna |
88.9 |
20.9 |
12 |
| Multiple Trauma without BI or SCI E-Rehab Region |
85.6% |
19.2 |
11 |
| Other Orthopedic Madonna |
80.0% |
15.5 |
13 |
| Other Orthopedic E-Rehab Region |
70.1% |
18.1 |
12 |
| Pain Syndrome Madonna |
87.5% |
19.86 |
11.7 |
| All Orthopedic Madonna |
84.8% |
17.9 |
11 |
| All Orthopedic E-Rehab Region |
74.2% |
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* 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.
Overall, Madonna discharged more patients to community settings and fewer to acute care than the region despite admitting them, on average, 3 days earlier and keeping them the same length of time. The average length of stay was 9 days.
95% of inpatients rated their overall experience as "Excellent" or "Good". 94% 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.
Outpatient Outcomes: There are no national benchmarks for outpatient orthopedic programs. Madonna tracks orthopedic outcomes by looking at the amount of pain reduction as well as functional gain made between admission and discharge. Madonna uses a tool called the OPTIMAL, which was developed by the American Physical Therapy Association (APTA). Patients are rated for areas of function and pain both at admission and at discharge. The outcomes described below are for outpatients who discharged between July 1, 2008 and June 30, 2009.
| Affected Area |
Functional Gain |
Pain Reduction |
| Ankle/Foot |
20.0 |
19.4 |
| Back |
18.4 |
25.5 |
| Elbow |
41.4 |
27.1 |
| Hip |
14.6 |
17.4 |
| Knee |
24.4 |
26.5 |
| Neck |
18.4 |
32.7 |
| Shoulder |
23.0 |
22.6 |
| Wrist/Hand |
21.4 |
19.1 |
| All |
21.3 |
24.8 |
88%% of all outpatients at Madonna rated their overall experience as "Excellent" and 89% strongly agreed they would recommend Madonna TherapyPlus to their friends and family.
