Whittier Rehabilitation Hospital - Outcomes Summary
1st Quarter FY 2010 - Bradford
October 1st - December 31st, 2009
|
WRH-B |
National |
95% CI (expected) |
| Avg. LOS |
29 |
28 |
24-32 |
LOS Efficiency
(FIM change per LOS): |
1.54 |
1.12 |
0.84-1.39 |
| Avg. Age: |
71 |
64 |
60-68 |
| Onset Days: |
13 |
21 |
|
| Total Net Days: |
2,780 |
34,127 |
|
| Avg. Interruption in Days: |
6 |
7 |
|
| Number of Interruptions: |
26 (27%) |
128 (10%) |
|
|
|
|
|
| Avg. Total FIM on Admission: |
60.9 |
58.1 |
54-63 |
| Avg. Total FIM change: |
30.7 |
22.9 |
19.0-26.8 |
| Discharge Disposition: |
|
|
|
| Community (& ALF) |
76% |
55% |
|
| Skilled Nursing Facility |
24% |
25% |
|
| Acute Care Facility |
0% |
11% |
|
| Sub-Acute Care Facility |
0% |
9% |
|
| Primary Payer: |
|
|
|
| Medicare (Non-MCO) |
67% |
39% |
|
| Medicare (MCO) |
4% |
4% |
|
| Commercial |
13%
|
13% |
|
HMO
|
0% |
2% |
|
| Blue Cross |
12% |
9% |
|
| All Others/Unspecified |
4% |
33% |
|
National Data represents 1,199 patients / WRH-Bradford represents 95 patients.
WRH-B continues to have excellent outcomes overall, as well as for our Medically Complex patients. According to our case mix severity adjusted data, these patients have functional outcomes above the expected value range.
The top four impairment groups represents 81% (77 of 95 cases)
of our FY 2010 first quarter patients:
| Impairment Group |
Total Count |
% of patients |
Length of Stay |
Home Discharge (includes ALF) |
Total FIM Change |
LOS
Efficiency |
| Medically Complex |
43 |
45% |
31 |
77% |
34.1 |
1.46 |
|
•Respiratory-
Non Vent
|
19 |
Falls within MC
|
35 |
84% |
38.6 |
1.38 |
•Medical/Surgical Complications
|
11 |
Falls within MC |
27 |
64% |
31.4 |
1.52 |
Pulmonary
|
12 |
12% |
15 |
100% |
26.5 |
1.85 |
Total Stroke
|
11 |
11% |
45 |
36% |
25.0 |
1.00 |
| Orthopaedic |
11 |
11% |
18 |
64% |
28.5 |
2.05 |
LOS Efficiency: The average change in functional status for each day the individual spends in the rehabilitation program. (D/C FIM minus Admit FIM divided by LOS). The higher the number, the better results.
*Statistically Relevant Group comparison Data (group count >30):
Medically Complex:
|
WRH-B |
National |
95% CONF |
| Average Age |
70 |
67 |
62-72 |
| Admit FIM |
62.8 |
61.3 |
54-68 |
| Discharge FIM |
96.9 |
81.1 |
72-90 |
| FIM Change |
34.1 |
19.8 |
13.7-26.0 |
| Onset Days |
16 |
19 |
|
| Average LOS |
31 |
29 |
23-35 |
| LOS Efficiency |
1.46 |
0.89 |
0.48-1.29
|
| Community Discharge |
77% |
54% |
|
| LTCF Discharge |
23% |
25% |
|
| Acute Discharge |
0% |
15% |
|
Whittier Rehabilitation Hospital - Outcomes Summary
FY 2009 - Bradford
October 1st, 2008 - September 30th, 2009
|
WRH-B |
National |
95% CI (expected) |
| Avg. LOS |
28 |
28 |
26-30 |
LOS Efficiency
(FIM change per LOS): |
1.55 |
1.15 |
1.00-1.31 |
| Avg. Age: |
70 |
65 |
63-67 |
| Onset Days: |
13 |
18 |
|
| Total Net Days: |
9,925 |
132,968 |
|
| Avg. Interruption in Days: |
4 |
5 |
|
| Number of Interruptions: |
42 (12%) |
384 (8%) |
|
|
|
|
|
| Avg. Total FIM on Admission: |
64.3 |
59.5 |
57-62 |
| Avg. Total FIM change: |
29.0 |
22.6 |
20.7-24.4 |
| Discharge Disposition: |
|
|
|
| Community (& ALF) |
77% |
62% |
|
| Skilled Nursing Facility |
22% |
23% |
|
| Acute Care Facility |
1% |
9% |
|
| Sub-Acute Care Facility |
0% |
5% |
|
| Primary Payer: |
|
|
|
| Medicare (Non-MCO) |
65% |
46% |
|
| Medicare (MCO) |
7% |
4% |
|
| Commercial |
14%
|
13% |
|
Workman's Comp
|
0% |
3% |
|
| Blue Cross |
13% |
9% |
|
| All Others |
1% |
25% |
|
National Data represents 4,801 patients / WRH-Bradford represents 358 patients.
The top four impairment groups represents 79% (282 of 358 cases)
of our FY 2009 patients:
| Impairment Group |
Total Count |
% of patients |
Length of Stay |
Home Discharge (includes ALF) |
Total FIM Change |
LOS
Efficiency |
| Medically Complex |
177 |
49% |
31 |
80% |
30.7 |
1.38 |
Respiratory-Non Vent
|
66 |
Falls within MC
|
31 |
80% |
31.6 |
1.40 |
Total Stroke
|
39 |
11% |
29 |
56% |
28.6 |
1.46 |
Orthopaedic
|
45 |
13% |
20 |
73% |
27.9 |
2.32 |
| Pulmonary |
21 |
6% |
17 |
90% |
23.4 |
2.26 |
LOS Efficiency: The average change in functional status for each day the individual spends in the rehabilitation program. (D/C FIM minus Admit FIM divided by LOS). The higher the number, the better results.
*Statistically Relevant Group comparison Data (group count >30):
Medically Complex:
|
WRH-B |
National |
95% CONF |
| Average Age |
72 |
69 |
67-71 |
| Admit FIM |
63.5 |
61.3 |
58-65 |
| Discharge FIM |
94.3 |
80.8 |
77-85 |
| FIM Change |
30.7 |
19.5 |
16.9-22.2 |
| Onset Days |
16 |
18 |
|
| Average LOS |
31 |
28 |
25-31 |
| LOS Efficiency |
1.38 |
0.92 |
0.75-1.09
|
| Community Discharge |
80% |
59% |
|
| LTCF Discharge |
20% |
25% |
|
| Acute Discharge |
1% |
11% |
|
Total Stroke:
|
WRH-B |
National |
95% CONF |
| Average Age |
72 |
64 |
59-69 |
| Admit FIM |
56.6 |
49.4 |
43-56 |
| Discharge FIM |
85.2 |
72.9 |
64-82 |
| FIM Change |
28.6 |
23.6 |
18.4-28.7 |
| Onset Days |
13 |
15 |
|
| Average LOS |
29 |
26 |
22-32 |
| LOS Efficiency |
1.46 |
1.18 |
0.82-1.53
|
| Community Discharge |
56% |
51% |
|
| LTCF Discharge |
41% |
31% |
|
| Acute Discharge |
0% |
7% |
|
Orthopedic:
|
WRH-B |
National |
95% CONF |
| Average Age |
68 |
64 |
59-69 |
| Admit FIM |
68.2 |
69.8 |
64-75 |
| Discharge FIM |
96.1 |
93.9 |
87-100 |
| FIM Change |
27.9 |
24.1 |
20.0-28.2 |
| Onset Days |
6 |
10 |
|
| Average LOS |
20 |
24 |
19-29 |
| LOS Efficiency |
2.32 |
1.55 |
1.12-1.99
|
| Community Discharge |
73% |
72% |
|
| LTCF Discharge |
24% |
21% |
|
| Acute Discharge |
2% |
4% |
|
Whittier Rehabilitation Hospital - Outcomes Summary
4th Quarter FY 2009 - Bradford
July 1st - September 30th, 2009
|
WRH-B |
National |
95% CI (expected) |
| Avg. LOS |
31 |
29 |
24-34 |
LOS Efficiency
(FIM change per LOS): |
1.48 |
1.16 |
0.85-1.47 |
| Avg. Age: |
71 |
64 |
60-68 |
| Onset Days: |
15 |
20 |
|
| Total Net Days: |
2,842 |
34,379 |
|
| Avg. Interruption in Days: |
5 |
5 |
|
| Number of Interruptions: |
21 (23%) |
113 (9%) |
|
|
|
|
|
| Avg. Total FIM on Admission: |
61.8 |
59.9 |
55-65 |
| Avg. Total FIM change: |
30.4 |
22.4 |
18.7-26.2 |
| Discharge Disposition: |
|
|
|
| Community (& ALF) |
72% |
58% |
|
| Skilled Nursing Facility |
28% |
22% |
|
| Acute Care Facility |
0% |
13% |
|
| Sub-Acute Care Facility |
1% |
7% |
|
| Primary Payer: |
|
|
|
| Medicare (Non-MCO) |
60% |
40% |
|
| Medicare (MCO) |
10% |
5% |
|
| Commercial |
19% |
12% |
|
Workman's Comp
|
0% |
1% |
|
| Blue Cross |
11% |
10% |
|
| All Others |
0% |
32% |
|
National Data represents 1,188 patients / WRH-Bradford represents 93 patients.
WRH-B continues to have excellent outcomes overall, as well as for our Medically Complex patients. According to our case mix severity adjusted data, these patients have functional outcomes above the expected value range.
The top three impairment groups represents 83% (77 of 93 cases)
of our FY 2009 fourth quarter patients:
| Impairment Group |
Total Count |
% of patients |
Length of Stay |
Home Discharge (includes ALF) |
Total FIM Change |
LOS
Efficiency |
| Medically Complex |
58 |
62% |
33 |
78% |
31.3 |
1.44 |
|
•Respiratory-
Non Vent
|
16 |
Falls within MC
|
35 |
81% |
32.5 |
1.38 |
•Medical/Surgical Complications
|
10 |
Falls within MC |
22 |
90% |
33.0 |
1.79 |
•Other Med Complex
|
14 |
Falls within MC |
30 |
79% |
31.4 |
1.33 |
Total Stroke
|
12 |
13% |
34 |
25% |
29.8 |
1.35 |
| Orthopedic |
7 |
7.5% |
22 |
57% |
25.6 |
1.99 |
LOS Efficiency: The average change in functional status for each day the individual spends in the rehabilitation program. (D/C FIM minus Admit FIM divided by LOS). The higher the number, the better results.
*Statistically Relevant Group comparison Data (group count >30):
Medically Complex:
|
WRH-B |
National |
95% CONF |
| Average Age |
70 |
69 |
65-73 |
| Admit FIM |
60.9 |
30.4 |
54-67 |
| Discharge FIM |
92.1 |
80.3 |
73-88 |
| FIM Change |
31.3 |
19.9 |
15.2-24.7 |
| Onset Days |
17 |
19 |
|
| Average LOS |
33 |
30 |
23-37 |
| LOS Efficiency |
1.44 |
0.89 |
0.56-1.23
|
| Community Discharge |
78% |
56% |
|
| LTCF Discharge |
22% |
22% |
|
| Acute Discharge |
0% |
17% |
|
