During the fiscal year July 1, 2006 through June 30, 2007, Madonna Rehabilitation Hospital discharged a total of 178 patients from the Pulmonary Program. Additional patients were served in the Ventilator Assist Unit (VAU) level of care.
Several standard measurements are used to assess the outcomes of persons served.
Outcomes: There are no national benchmarks for Pulmonary Programs on an LTACH level of care. The outcomes described below are for all patients with a primary diagnosis of respiratory disorder - ventilator dependent, respiratory disorder - non-ventilator dependent, or other pulmonary disorders, discharged between July 1, 2006 and June 30, 2007.
* 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.
Ventilator Weaning: 60.4% of patients on LTACH were successfully weaned from their ventilators, exceeding Madonna's goal of 50%. The average number of days to wean was 17, also exceeding Madonna's goal of 20 days.
Satisfaction: 98% of inpatients rated their overall experience as "Excellent" or "Good".
RIMM The Respiratory Independence Measure of Madonna (RIMM) was developed at Madonna and is a unique functional independence measurement tool that focuses specifically on respiratory function. It was developed to evaluate rehabilitation progress in patients with respiratory impairment including tracheostomy and ventilator dependency secondary to acute or chronic respiratory failure. The tool is modeled after the FIM so it can be used along with the FIM and is easily understandable for rehabilitation professionals as both tools are designed from the same conceptual framework and measurement scale. NALTH (the National Association of Long Term Acute Care Hospitals) presented Madonna with the Goldberg Innovation Award for its work developing the RIMM. The Goldberg Innovation Award is given to a facility that presents an innovative process or technology that will help to move the industry forward.