Outcomes Westborough
ORYX Reports
(All patients compared to the National Data)
Quarter 3 – FY 2010
April 1, 2010 – June 30, 2010
| WRH-West. Mean |
National Benchmark |
Comment | |
| Average Onset Days |
11.0 | 10.8 | WRH-W Average Onset is longer than the nation. |
| LOS | 21.3 | 21.9 | WRH-W LOS is shorter than the nation. |
| D/C FIM | 85.6 | 86.2 | WRH-W D/C FIM is lower than the nation. |
| FIM Change |
20.2 | 21.6 | WRH-W FIM Change is lower than the nation. |
| LOS Efficiency |
1.31 | 1.07 | WRH-W LOS Efficiency is higher than the nation. |
| Motor Score Change |
19.0 | 19.5 | WRH-W Motor Score Change is lower than the nation. |
| Cognition Score Change |
1.2 | 0.9 | WRH-W Cognition Score Change was higher than the nation. |
| % Community Discharges |
52% | 58% | WRH-W % Community D/C’s was lower than the nation. |
| % Acute Care Discharges |
22% | 12% | WRH-W % Acute Care D/C’s is higher than the nation. |
| % Long Term Care Discharges |
26% | 22% | WRH-W % Long Term Care D/C’s is higher than the nation. |
| Mortality Rate |
0% | 3.2% | WRH-W had a lower Mortality Rate than the nation. |
Summary: Patients at WRH-W had a higher LOS efficiency than the nation, meaning they made a higher gain in function per day while at WRH-W. The Discharge FIM and the FIM Change of WRH were lower in scores than the Nation. WRH-W had a higher Cognition Score Change and lower Motor Score Change when compared to the nation. WRH-W discharged a lower percentage of patients to the community than the nation. WRH-W discharged a higher percentage of Acute Discharges than the nation. WRH-W discharged a higher percentage of patients to LTCF than the nation. We had an increase in D/C FIM from Q2 to Q3 from 80.6 to 85.6. There was an increase in FIM Change from Q2 to Q3 from 17.7 to 20.2. We had an increase in LOS Efficiency from Q2 to Q3 from 1.22 to 1.31. Motor Score Change from Q2 to Q3 increased from 17.3 to 19.0. Change in cognition increased from Q2 to Q3 from 0.4 to 1.2. Our % of discharges from Q2 to Q3 increased for Community from 49% to 52% and Acute decreased from 23% to 22%. LTCF discharges decreased from Q2 at 28% to Q3 at 26%. Mortality rate decreased from Q2 to Q3 from 1.1% to 0%.
Whittier Rehabilitation Hospital – Outcomes Summary
FY 2010 (UDS) – Westborough
Quarter 3
April 1, 2010 – June 30, 2010
| WRH-W | National FRG-Adjusted |
|
| Avg. LOS | 21 | 26 |
| LOS Efficiency (FIM change per LOS): |
1.31 | 1.11 |
| Avg. Age: | 68 | 65 |
| Onset Days: | 11 | 19 |
| Total Net Days: | 3,990 | 33,933 |
| Avg. Interruption in Days: | 3 | 6 |
| Number of Interruptions: | 18 | 144 |
| Avg. Total FIM on Admission: | 65.4 | 60.0 |
| Avg. Total FIM change: | 20.2 | 21.3 |
| Discharge Disposition: | ||
| Community (& ALF) | 52% | 53% |
| Long Term Care Facility | 26% | 23% |
| Acute Care Facility | 22% | 16% |
| Primary Payer: | ||
| Medicare (Non-MCO) | 48.1% | 48.5% |
| Medicare (MCO) | 0% | 8.9% |
| Commercial | 25.9% | 11.7% |
| HMO |
0% | 0.8% |
| All Others | 25.9% | 30.2% |
National Data represents 1,342 patients / WRH-Westborough represents 187 patients.
The top four impairment groups represent 86% (161 of 187 cases)
of our FY 2010 Quarter 3 patients:
| Impairment Group | Total Count | % of patients | LOS | Home Discharge(includes ALF) | Total FIM Change | LOS Efficiency |
| Medically Complex |
103 | 55% | 23 | 50% | 20.0 | 1.14 |
| Stroke |
31 | 16.6% | 19 | 48% | 18.9 | 1.46 |
| Orthopedic |
19 | 10.2% | 17 | 63% | 22.4 | 2.07 |
| Debility |
8 | 4.3% | 21 | 25% | 5.3 | 0.22 |
Medically Complex:
| WRH-W | National | |
| Average Age | 69 | 69 |
| Admit FIM | 65.9 | 62.1 |
| Discharge FIM | 85.9 | 81.3 |
| *FIM Change* | 20.0 | 19.3 |
| Onset Days | 13 | 18 |
| Average LOS | 23 | 28 |
| LOS Efficiency | 1.14 | 0.92 |
| Community Discharge | 50% | 52% |
| LTCF Discharge | 24% | 23% |
| Acute Discharge | 25% | 19% |
Stroke:
| WRH-W | National | |
| Average Age | 71 | 64 |
| Admit FIM | 60.3 | 52.2 |
| Discharge FIM | 79.2 | 74.2 |
| *FIM Change* | 18.9 | 22.0 |
| Onset Days | 7 | 14 |
| Average LOS | 19 | 24 |
| LOS Efficiency | 1.46 | 1.24 |
| Community Discharge | 48% | 47% |
| LTCF Discharge | 35% | 27% |
| Acute Discharge | 16% | 14% |
Orthopedic:
| WRH-W | National | |
| Average Age | 59 | 64 |
| Admit FIM | 76.1 | 68.2 |
| Discharge FIM | 98.5 | 91.0 |
| *FIM Change* | 22.4 | 22.8 |
| Onset Days | 5 | 8 |
| Average LOS | 17 | 19 |
| LOS Efficiency | 2.07 | 1.78 |
| Community Discharge | 63% | 65% |
| LTCF Discharge | 16% | 18% |
| Acute Discharge | 21% | 11% |
Debility:
| WRH-W | National | |
| Average Age | 72 | 68 |
| Admit FIM | 55.5 | 64.1 |
| Discharge FIM | 60.8 | 78.8 |
| *FIM Change* | 5.3 | 14.7 |
| Onset Days | 12 | 15 |
| Average LOS | 21 | 24 |
| LOS Efficiency | 0.22 | 0.65 |
| Community Discharge | 25% | 55% |
| LTCF Discharge | 25% | 23% |
| Acute Discharge | 50% | 18% |
ORYX Reports
(All patients compared to the National Data)
Quarter 2 – FY 2010
January 1, 2010 – March 31, 2010
| WRH-West. Mean |
National Benchmark |
Comment | |
| Average Onset Days |
13.2 | 11.8 | WRH-W Average Onset is longer than the nation. |
| LOS | 21.9 | 22.4 | WRH-W LOS is shorter than the nation. |
| D/C FIM | 80.6 | 83.1 | WRH-W D/C FIM is lower than the nation. |
| FIM Change |
17.7 | 21.7 | WRH-W FIM Change is lower than the nation. |
| LOS Efficiency |
1.22 | 1.06 | WRH-W LOS Efficiency is higher than the nation. |
| Motor Score Change |
17.3 | 18.8 | WRH-W Motor Score Change is lower than the nation. |
| Cognition Score Change |
0.4 | 1.1 | WRH-W Cognition Score Change was lower than the nation. |
| % Community Discharges |
49% | 59% | WRH-W % Community D/C’s was lower than the nation. |
| % Acute Care Discharges |
23% | 10% | WRH-W % Acute Care D/C’s is higher than the nation. |
| % Long Term Care Discharges |
28% | 24% | WRH-W % Long Term Care D/C’s is higher than the nation. |
| Mortality Rate |
1.1% | 3.4% | WRH-W had a lower Mortality Rate than the nation. |
Summary: Patients at WRH-W had a higher LOS efficiency than the nation, meaning they made a higher gain in function per day while at WRH-W. The Discharge FIM and the FIM Change of WRH were lower in scores than the Nation. WRH-W had a lower Cognition Score Change and Motor Score Change when compared to the nation. WRH-W discharged a lower percentage of patients to the community than the nation. WRH-W discharged a higher percentage of Acute Discharges than the nation. WRH-W discharged a higher percentage of patients to LTCF than the nation. We had an increase in D/C FIM from Q1 to Q2 from 79.6 to 80.6. There was a decrease in FIM Change from Q1 to Q2 from 19.0 to 17.7. We had an increase in LOS Efficiency from Q1 to Q2 from 1.15 to 1.22. Motor Score Change from Q1 to Q2 increased from 17.2 to 17.3. Change in cognition decreased from Q1 to Q2 from 1.8 to 0.4. Our % of discharges from Q1 to Q2 increased for Community from 44% to 66% and Acute decreased from 26% to 23%. LTCF discharges increased from Q1 at 29% to Q2 at 28%. Mortality rate increased from Q1 to Q2 from 0.6% to 1.1%.
Whittier Rehabilitation Hospital – Outcomes Summary
FY 2010 (UDS) – Westborough
Quarter 2
January 1, 2010 – March 31, 2010
| WRH-W | National FRG-Adjusted |
|
| Avg. LOS | 22 | 29 |
| LOS Efficiency (FIM change per LOS): |
1.22 | 1.07 |
| Avg. Age: | 67 | 64 |
| Onset Days: | 13 | 21 |
| Total Net Days: | 4,024 | 34,286 |
| Avg. Interruption in Days: | 4 | 5 |
| Number of Interruptions: | 18 | 119 |
| Avg. Total FIM on Admission: | 62.9 | 57.8 |
| Avg. Total FIM change: | 17.7 | 21.1 |
| Discharge Disposition: | ||
| Community (& ALF) | 49% | 52% |
| Long Term Care Facility | 28% | 25% |
| Acute Care Facility | 23% | 14% |
| Primary Payer: | ||
| Medicare (Non-MCO) | 44.6% | 43.5% |
| Medicare (MCO) | 0% | 3.5% |
| Commercial | 35.9% | 17.1% |
| HMO |
0% | 2.6% |
| All Others | 19.4% | 33.3% |
National Data represents 1,243 patients / WRH-Westborough represents 186 patients.
The top four impairment groups represent 82% (152 of 186 cases)
of our FY 2010 Quarter 2 patients:
| Impairment Group | Total Count | % of patients | LOS | Home Discharge(includes ALF) | Total FIM Change | LOS Efficiency |
| Medically Complex |
89 | 48% | 23 | 45% | 15.7 | 0.73 |
| Stroke |
22 | 12% | 21 | 33% | 17.3 | 1.28 |
| Orthopedic |
21 | 11.3% | 16 | 76% | 27.3 | 3.57 |
| Debility |
20 | 10.7% | 22 | 55% | 16.4 | 0.95 |
Medically Complex:
| WRH-W | National | |
| Average Age | 70 | 69 |
| Admit FIM | 61 | 60 |
| Discharge FIM | 77.2 | 79.1 |
| *FIM Change* | 15.7 | 18.8 |
| Onset Days | 17 | 19 |
| Average LOS | 23 | 30 |
| LOS Efficiency | 0.73 | 0.87 |
| Community Discharge | 45% | 53% |
| LTCF Discharge | 26% | 24% |
| Acute Discharge | 28% | 15% |
Stroke:
| WRH-W | National | |
| Average Age | 72 | 65 |
| Admit FIM | 49.8 | 45.9 |
| Discharge FIM | 67 | 65.5 |
| *FIM Change* | 17.3 | 19.6 |
| Onset Days | 10 | 20 |
| Average LOS | 21 | 25 |
| LOS Efficiency | 1.28 | 0.99 |
| Community Discharge | 33% | 40% |
| LTCF Discharge | 48% | 34% |
| Acute Discharge | 19% | 14% |
Orthopedic:
| WRH-W | National | |
| Average Age | 59 | 64 |
| Admit FIM | 74.7 | 69.7 |
| Discharge FIM | 102 | 92.7 |
| *FIM Change* | 27.3 | 23.0 |
| Onset Days | 5 | 8 |
| Average LOS | 16 | 20 |
| LOS Efficiency | 3.57 | 1.83 |
| Community Discharge | 76% | 60% |
| LTCF Discharge | 19% | 28% |
| Acute Discharge | 5% | 6% |
Debility:
| WRH-W | National | |
| Average Age | 67 | 66 |
| Admit FIM | 65.6 | 68.0 |
| Discharge FIM | 82.0 | 87.6 |
| *FIM Change* | 16.4 | 19.6 |
| Onset Days | 12 | 19 |
| Average LOS | 22 | 21 |
| LOS Efficiency | 0.95 | 1.07 |
| Community Discharge | 55% | 66% |
| LTCF Discharge | 35% | 24% |
| Acute Discharge | 10% | 7% |
ORYX Reports
(All patients compared to the National Data)
Quarter 1 – FY 2010
October 1, 2009 – December 31, 2009
| WRH-West. Mean |
National Benchmark |
Comment | |
| Average Onset Days |
13.8 | 12.0 | WRH-W Average Onset is longer than the nation. |
| LOS | 23.2 | 23.6 | WRH-W LOS is shorter than the nation. |
| D/C FIM | 79.6 | 81.9 | WRH-W D/C FIM is lower than the nation. |
| FIM Change |
19.0 | 21.8 | WRH-W FIM Change is lower than the nation. |
| LOS Efficiency |
1.15 | 0.99 | WRH-W LOS Efficiency is higher than the nation. |
| Motor Score Change |
17.2 | 18.7 | WRH-W Motor Score Change is lower than the nation. |
| Cognition Score Change |
1.8 | 1.3 | WRH-W Cognition Score Change was higher than the nation. |
| % Community Discharges |
44% | 59% | WRH-W % Community D/C’s was lower than the nation. |
| % Acute Care Discharges |
26% | 11% | WRH-W % Acute Care D/C’s is higher than the nation. |
| % Long Term Care Discharges |
29% | 23% | WRH-W % Long Term Care D/C’s is higher than the nation. |
| Mortality Rate |
.6% | 3.7% | WRH-W had a lower Mortality Rate than the nation. |
Summary: Patients at WRH-W had a higher LOS efficiency than the nation, meaning they made a higher gain in function per day while at WRH-W. The Discharge FIM and the overall FIM Change of WRH were lower in scores than the Nation. WRH-W had a higher cognition score than the Nation. WRH-W had a lower Motor Score Change when compared to the Nation. WRH-W discharged a lower percentage of patients to the community that the nation. WRH-W discharged a higher percentage of Acute Discharges than the nation. WRH-W discharged a higher percentage of patients to LTCF than the nation. We had a decrease in D/C FIM from Q4 to Q1 from 82.4 to 79.6. There was an increase in FIM Change from Q4 to Q1 from 16.0 to 19.0. LOS Efficiency from Q4 to Q1 stayed the same at 1.15. Motor Score Change from Q4 to Q1 increased from 16.2 to 17.2. Change in cognition increased from Q4 to Q1 from 0.6 to 1.8. Our % of discharges from Q4 to Q1 decreased for Community from 66% to 44% and Acute increased from 17% to 26%. LTCF discharges increased from Q4 at 18% to Q1 at 29%. Mortality rate decreased from Q4 to Q1 from 1.1% to 0.6%.
Whittier Rehabilitation Hospital – Outcomes Summary
FY 2010 (UDS) – Westborough
Quarter 1
October 1, 2009 – December 31, 2009
| WRH-W | National FRG-Adjusted |
95% CI (expected) | |
| Avg. LOS | 23.7 | 27.6 | 25.9-29.3 |
| LOS Efficiency (FIM change per LOS): |
0.98 | 1.13 | 1.04-1.23 |
| Avg. Age: | 69.2 | 65.8 | 64.8-66.9 |
| Onset Days: | 14 | 20 | 18-21 |
| Total Net Days: | 3,713 | 34,127 | |
| Avg. Interruption in Days: | 5 | 7 | |
| Number of Interruptions: | 15 | 128 | |
| Avg. Total FIM on Admission: | 62.2 | 60.7 | 60.1-61.3 |
| Avg. Total FIM change: | 16.5 | 22.0 | 20.8-23.3 |
| Discharge Disposition: | |||
| Community (& ALF) | 61.7% | 60.2% | |
| Long Term Care Facility | 24.6% | 23.5% | |
| Acute Care Facility | 13.3% | 10.3% | |
| Primary Payer: | |||
| Medicare (Non-MCO) | 49.1% | 44.6% | |
| Medicare (MCO) | 0% | 3.5% | |
| Commercial | 32.4% | 16.2% | |
| HMO |
0.1% | 2.7% | |
| All Others | 18.4% | 33.0% |
National Data represents 1,244 patients / WRH-Westborough represents 161 patients. National FRG-Adjusted Data is adjusted for case-mix severity.
The top four impairment groups represent 8.8% (140 of 1,244 cases)
of our FY 2010 Quarter 1 patients:
| Impairment Group | Total Count | % of patients | LOS | Home Discharge(includes ALF) | Total FIM Change | LOS Efficiency |
| Medically Complex |
83 | 52% | 24 | 61.3% | 14.4 | 0.79 |
| Stroke |
23 | 14% | 22.6 | 53.4% | 17.3 | 0.90 |
| Debility |
19 | 12% | 24 | 58% | 15.6 | 0.68 |
| Orthopedic |
15 | 9% | 17 | 60% | 24.9 | 1.92 |