During the fiscal year July 1, 2006 through June 30, 2007, Madonna Rehabilitation Hospital discharged 306 inpatients and admitted 176 new outpatients with stroke. Several standard measurements are used to assess the outcomes of persons served.
Inpatient Outcomes: These outcomes 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 all patients with stroke discharged from Madonna's Acute Rehabilitation Unit between July 1, 2006 and June 30, 2007.
| Indicator |
Madonna ARU |
E-Rehab Nation |
E-Rehab Region |
| Discharge to Community Setting |
66% |
67% |
70% |
| Discharge to Acute Care |
8% |
12% |
8% |
| Days between Onset and Admission |
11 |
12 |
14 |
| Average Length of Stay |
21 |
15 |
17 |
| Admission FIM |
66.50 |
62.14 |
63.85 |
| Discharge FIM |
87.36 |
82.46 |
82.55 |
| FIM Change |
20.86 |
20.32 |
19.50 |
Madonna discharged the same percentage of patients to community settings as the national benchmark and fewer to acute care despite admitting them, on average, a day earlier than the nation. Patients stayed 6 days longer in ARU and were able to discharge with significantly higher functional scores (FIM).
95% of inpatients rated their overall experience as "Excellent" or "Good". 100% 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.
Outpatient Outcomes: There are no national benchmarks for outpatient stroke programs. The outcomes described below are outcomes for patients with stroke discharged between July 1, 2006 and June 30, 2007.
RDP: Patients made an average FAM** gain of 24.19 points in an average of 22 day length of stay, with an average overall functional level, measured by FAM** of 184 of possible 210 (or an average score of 6.1, "modified independent") at discharge.
Outpatient: Patients made an average gain of 2.8 points on a subscale of six FAM items, with an average overall functional level of 37.6 of 42 (for an average score of 6.3, "modified independent") at discharge.
Satisfaction: 98% of RDP and traditional outpatients with brain injury rated their overall experience as "Excellent" or "Good" and 83% strongly agreed they would recommend the program to 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.
