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Outcomes Bradford

Whittier Rehabilitation Hospital – Outcomes Summary
FY 2010 – Bradford
October 1st, 2009 – September 30th, 2010


WRH-B National 95% CI (expected)
Avg. LOS 27 28 26-30
LOS Efficiency
(FIM change per LOS):
1.42 1.11 0.97-1.25
Avg. Age: 70 64 62-66
Onset Days: 16 20
Total Net Days: 10,647 136,489
Avg. Interruption in Days: 6 6
Number of Interruptions: 64 (16%) 503 (10%)
Avg. Total FIM on Admission: 62.2 59.0 57-61
Avg. Total FIM change: 26.8 21.8 19.9-23.6
Discharge Disposition:
Community (& ALF) 68% 53%
Skilled Nursing Facility 23% 25%
Acute Care Facility 8% 14%
Sub-Acute Care Facility 0% 8%
Primary Payer:
Medicare (Non-MCO) 63% 42%
Medicare (MCO) 4% 4%
Commercial 17% 13%
HMO
1% 2%
Blue Cross 12% 9%
All Others/Unspecified 3% 30%

National Data represents 4,942 patients / WRH-Bradford represents 396 patients.

The top four impairment groups represents 85% (336 of 396 cases)
of our FY 2010 patients:

Impairment Group Total Count % of patients Length of Stay Home Discharge(includes ALF) Total FIM Change LOS
Efficiency
Medically Complex
238 60% 27 69% 26.2 1.32
•Respiratory – Non Vent
91 Falls within MC 27 74% 27.9 1.35
• Circulatory Disorders
22 Falls within MC 18 77% 22.3 1.51
•Med Surg Complications
51 Falls within MC 29 59% 24.5 1.21
•Skin Disorders
21 Falls within MC 32 76% 23.4 1.15
•Other Med Complex
19 Falls within MC 26 63% 23.8 1.17
Total Stroke
34 8.5% 33 53% 29.1 1.30
Total Brain
16 4% 40 50% 32.9 1.62
Orthopaedic
32 8% 19 75% 27.3 1.99
Pulmonary
16 4% 14 94% 26.5 1.94

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 71 68 66-70
Admit FIM 63.0 61.5 59-64
Discharge FIM 89.2 80.7 77-84
FIM Change 26.2 19.3 16.8-21.7
Onset Days 18 18
Average LOS 27 28 25-31
LOS Efficiency 1.32 0.91 0.73-1.08
Community Discharge 69% 52%
LTCF Discharge 22% 25%
Acute Discharge 8% 17%





Whittier Rehabilitation Hospital – Outcomes Summary
4th Quarter FY 2010 – Bradford
July 1st – September 30th, 2010


WRH-B National 95% CI (expected)
Avg. LOS 22 27 22-32
LOS Efficiency
(FIM change per LOS):
1.64 1.13 0.86-1.40
Avg. Age: 68 63 60-66
Onset Days: 14 18
Total Net Days: 2,273 30,225
Avg. Interruption in Days: 5 5
Number of Interruptions: 13 (12%) 106 (9%)
Avg. Total FIM on Admission: 63.2 60.4 56-65
Avg. Total FIM change: 26.9 21.9 18.2-25.5
Discharge Disposition:
Community (& ALF) 61% 53%
Skilled Nursing Facility 18% 23%
Acute Care Facility 20% 16%
Sub-Acute Care Facility 0% 7%
Primary Payer:
Medicare (Non-MCO) 61% 41%
Medicare (MCO) 4% 4%
Commercial 20% 13%
HMO
1% 2%
Blue Cross 10% 10%
All Others/Unspecified 4% 30%

National Data represents 1,113 patients / WRH-Bradford represents 104 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 84% (87 of 104 cases)
of our FY 2010 fourth quarter patients:

Impairment Group Total Count % of patients Length of Stay Home Discharge(includes ALF) Total FIM Change LOS
Efficiency
Orthopaedic 12 11.5% 21 83% 24.7 1.51
Neurology
6 5.7% 27 33% 17.3 0.67
Total Stroke
10 9% 25 70% 33.2 1.63
Medically Complex
59 66% 26 63% 23.7 1.26
•Respiratory – Non Vent
21 Falls within MC 20 81% 27.8 1.69
•Med Surg Complications
17 Falls within MC 26 53% 20.1 1.17

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 69 68 64-72
Admit FIM 64.3 62.7 57-69
Discharge FIM 90.8 82.0 75-89
FIM Change 26.4 19.3 14.2-24.3
Onset Days 15 17
Average LOS 22 27 20-34
LOS Efficiency 1.63 0.97 0.57-1.36
Community Discharge 73% 48%
LTCF Discharge 22% 26%
Acute Discharge 3% 19%

Total Stroke:

WRH-B National 95% CONF
Average Age 71 65 60-70
Admit FIM 47.5 48.5 42-55
Discharge FIM 76.6 70.9 62-80
FIM Change 29.1 22.4 17.0-27.9
Onset Days 9 17
Average LOS 33 25 19-31
LOS Efficiency 1.30 1.16 0.74-1.58
Community Discharge 53% 45%
LTCF Discharge 41% 32%
Acute Discharge 6% 11%





Whittier Rehabilitation Hospital – Outcomes Summary
3rd Quarter FY 2010 – Bradford
April 1st – June 30th, 2010


WRH-B National 95% CI (expected)
Avg. LOS 26 26 23-29
LOS Efficiency
(FIM change per LOS):
1.30 1.11 0.90-1.33
Avg. Age: 69 65 62-68
Onset Days: 20 19
Total Net Days: 3,478 33,933
Avg. Interruption in Days: 6 6
Number of Interruptions: 19 (14%) 144 (11%)
Avg. Total FIM on Admission: 63.3 60.0 56-64
Avg. Total FIM change: 24.5 21.3 18.1-24.4
Discharge Disposition:
Community (& ALF) 61% 53%
Skilled Nursing Facility 18% 23%
Acute Care Facility 20% 16%
Sub-Acute Care Facility 0% 7%
Primary Payer:
Medicare (Non-MCO) 61% 44%
Medicare (MCO) 4% 4%
Commercial 18% 11%
HMO
2% 2%
Blue Cross 15% 10%
All Others/Unspecified 0% 29%

National Data represents 1,284 patients / WRH-Bradford represents 132 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 84% (111 of 132 cases)
of our FY 2010 third quarter patients:

Impairment Group Total Count % of patients Length of Stay Home Discharge(includes ALF) Total FIM Change LOS
Efficiency
Amputee 6 4.5% 28 67% 21.3 0.90
Total Brain
6 4.5% 38 50% 37.0 1.28
Total Stroke
12 9% 28 58% 28.3 1.34
Medically Complex
87 66% 26 63% 23.7 1.26
•Respiratory – Non Vent
37 Falls within MC 23 68% 24.0 1.34
•Med Surg Complications
16 Falls within MC 30 63% 25.9 1.30
•Circulatory Disorders
11 Falls within MC 22 73% 21.7 1.25

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 71 69 66-72
Admit FIM 63.8 62.1 57-67
Discharge FIM 87.6 81.3 75-88
FIM Change 23.7 19.3 15.0-23.5
Onset Days 23 18
Average LOS 26 28 24-32
LOS Efficiency 1.26 0.92 0.65-1.19
Community Discharge 63% 52%
LTCF Discharge 18% 23%
Acute Discharge 18% 19%





Whittier Rehabilitation Hospital – Outcomes Summary
2nd Quarter FY 2010 – Bradford
January 1st – March 31st, 2010


WRH-B National 95% CI (expected)
Avg. LOS 33 29 22-36
LOS Efficiency
(FIM change per LOS):
1.13 1.07 0.66-1.49
Avg. Age: 72 64 60-68
Onset Days: 15 21
Total Net Days: 2,046 34,286
Avg. Interruption in Days: 6 5
Number of Interruptions: 6 (9%) 119 (10%)
Avg. Total FIM on Admission: 60.6 57.8 52-64
Avg. Total FIM change: 26.2 21.1 16.4-25.8
Discharge Disposition:
Community (& ALF) 69% 52%
Skilled Nursing Facility 31% 25%
Acute Care Facility 0% 14%
Sub-Acute Care Facility 0% 9%
Primary Payer:
Medicare (Non-MCO) 69% 42%
Medicare (MCO) 5% 4%
Commercial 11% 14%
HMO
2% 2%
Blue Cross 11% 7%
All Others/Unspecified 2% 31%

National Data represents 1,243 patients / WRH-Bradford represents 64 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 73% (47 of 64 cases)
of our FY 2010 second quarter patients:

Impairment Group Total Count % of patients Length of Stay Home Discharge(includes ALF) Total FIM Change LOS
Efficiency
Medically Complex 47 73% 34 70% 23.7 0.94
•Respiratory-
Non Vent
14 Falls within MC 37 64% 23.9 0.84

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 75 69 65-73
Admit FIM 60.4 60.3 54-67
Discharge FIM 84.1 79.1 71-88
FIM Change 23.7 18.8 13.4-24.2
Onset Days 16 19
Average LOS 34 30 22-38
LOS Efficiency 0.94 0.87 0.46-1.27
Community Discharge 70% 53%
LTCF Discharge 30% 24%
Acute Discharge 0% 15%

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%


For 2009 FY Outcomes, click here