During the fiscal year July 1, 2006 through June 30, 2007, Madonna Rehabilitation Hospital discharged 35 inpatients and admitted 204 new outpatients ages 18 and younger, all with varied diagnoses.
Inpatient and Outpatient pediatric rehabilitation programs across the country use different measurements to describe outcomes, which makes benchmarking impossible. At Madonna, the FIM* tool is used to measure functional improvement in children and adolescents ages 7 years or older on the inpatient side, and the FIM + FAM** is used for the same age of outpatients. Inpatients and outpatients under the age of 7 are measured using the Developmental Assessment for Young Children (DAYC) tool.
Inpatient Outcomes: The outcomes described below are for all inpatients who were 18 years or younger, all diagnoses, discharged from Madonna's Acute Rehabilitation Unit between July 1, 2006 and June 30, 2007.
- 80% of patients were discharged to a community setting, exceeding our goal of 75%
- Children/adolescents ages 7-18 years old gained an average of 20 points on the FIM scale. Children ages 6 and younger made an average of 45 point gain on the DAYC scale
- These functional gains occurred during an average 18 day stay resulting in an average FIM gain per day of 1.75, which is higher than the target of 1.30 and an improvement over last year's rating.
- 93% of inpatients or their family members rated their overall care at Madonna as "Excellent" or "Good".
- 100% of patients/families who responded to a telephone survey completed three months after discharge stated the had maintained the functional gains made during their inpatient rehabilitation program.
* 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.
Outpatient Outcomes: The outcomes described below are outcomes for outpatients 18 years or younger with varied diagnoses discharged between July 1, 2006 and June 30, 2007.
- RDP: Patients made an average FAM** gain of 30.5 points on the FAM** for a total score of 193 of possible 210 (or an average score of 6.4, "modified independent") at discharge.
- Outpatient: Patients made an average gain of 1.75 points on a subscale of FAM items and 14 points on the DAYC.
- Satisfaction: 96% of RDP and traditional outpatients ages 18 years or younger or their family members agreed or strongly agreed they would recommend Madonna to their family or friends.
** FAM is a 7-point tool used by many comprehensive outpatient providers throughout the nation to assess a patient's function. It includes the 18 areas identified in the FIM, including self-care, bowel and bladder function, transfers, locomotion, communication and cognition, plus an additional 12 areas including such things as Employability, Community Re-Entry, and Car Transfers. Maximum score on FAM is 210.
