Whittier Rehabilitation Hospital - Westborough
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Whittier Rehabilitation Hospital - Westborough
Background
ORYX Reports
(All patients compared to the National Data)
July-September, 2009


Whittier Rehabilitation
Hospital-Westborough
National Data
Average Onset Days
11.7
12.0
Average Length of Stay
21.6
22.2
Total FIM(TM) upon Discharge
82.4
86.3
Total FIM(TM) Change
16.8
22.1
FIM(TM) Change Per Day
1.15
1.04
Motor FIM(TM) Score Change
16.2
19.3
Cognition Score Change 0.6
1.3
Percent of Patients Discharged to Community
66%
65%
ORYX: The name of the Joint Commission’s initiative to integrate performance measures into the accreditation process.

ORYX 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. WRH-W discharged a higher percentage of patients to the community than the nation.



ORYX Reports
(All patients compared to the National Data)
April-June, 2009


Whittier Rehabilitation
Hospital-Westborough
National Data
Average Onset Days
14.1
13.1
Average Length of Stay
24.7
23.6
Total FIM(TM) upon Discharge
76.5
81.4
Total FIM(TM) Change
15.1
21.2
FIM(TM) Change Per Day
0.81
0.93
Motor FIM(TM) Score Change
14.0
18.0
Cognition Score Change
1.1
1.4
Percent of Patients Discharged to Community
68%
63%
ORYX: The name of the Joint Commission’s initiative to integrate performance measures into the accreditation process.

ORYX Summary:
Whittier discharged a higher percentage of patients to the community than the nation.



ORYX Reports
(All patients compared to the National Data)
January-March, 2009


Whittier Rehabilitation
Hospital-Westborough
National Data
Average Onset Days
16.7
13.3
Average Length of Stay
26.1
23.3
Total FIM(TM) upon Discharge
75.3
82.1
Total FIM(TM) Change
15.0
20.6
FIM(TM) Change Per Day
0.72
0.90
Motor FIM(TM) Score Change
13.4
17.8
Cognition Score Change
1.7
1.4
Percent of Patients Discharged to Community
66%
61%
ORYX: The name of the Joint Commission’s initiative to integrate performance measures into the accreditation process.

ORYX Summary:
Whittier discharged a higher percentage of patients to the community than the nation. WRH had a higher cognition score change than the nation.



ORYX Reports
(All patients compared to the National Data)
October-December, 2008


Whittier Rehabilitation
Hospital-Westborough
National Data
Average Onset Days
14.9
13.1
Average Length of Stay
23.8
22.7
Total FIM(TM) upon Discharge
82.1
85.5
Total FIM(TM) Change
17.6
21.7
FIM(TM) Change Per Day
1.10
0.98
Motor FIM(TM) Score Change
16.2
18.8
Cognition Score Change
1.4
1.6
Percent of Patients Discharged to Community
73%
63%
ORYX: The name of the Joint Commission’s initiative to integrate performance measures into the accreditation process.

ORYX Summary:
Whittier's patients had a higher FIM (TM) Change Per Day when compared to the nation along with a higher percentage of patients discharged home.



ORYX Reports
(All patients compared to the National Data)
July-September, 2008


Whittier Rehabilitation
Hospital-Westborough
National Data
Average Onset Days
16.6
12.6
Average Length of Stay
25.0
22.2
Total FIM(TM) upon Discharge
83.1
87.8
Total FIM(TM) Change
17.9
22.5
FIM(TM) Change Per Day
1.05
1.03
Motor FIM(TM) Score Change
16.5
20.0
Cognition Score Change
1.4
1.4
Percent of Patients Discharged to Community
81%
64%
ORYX: The name of the Joint Commission’s initiative to integrate performance measures into the accreditation process.

ORYX Summary:
Whittier's patients had a higher FIM (TM) Change Per Day when compared to the nation along with a higher percentage of patients discharged home.



ORYX Reports
(All patients compared to the National Data)
April-June, 2008

Whittier Rehabilitation
Hospital-Westborough
National Data
Average Onset Days
16.3
13.5
Average Length of Stay
25.6
22.9
Total FIM(TM) upon Discharge
86.8
87.6
Total FIM(TM) Change
21.5
21.7
FIM(TM) Change Per Day
1.15
0.98
Motor FIM(TM) Score Change
19.7
19.3
Cognition Score Change
1.8
1.4
Percent of Patients Discharged to Community
65%
63%
ORYX: The name of the Joint Commission’s initiative to integrate performance measures into the accreditation process.

ORYX Summary:
Whittier's patients had a higher FIM (TM) Change Per Day when compared to the nation along with a higher cognitive score change. WRH discharged a higher percentage of patients home.



ORYX Reports
(All patients compared to the National Data)
January-March, 2008

Whittier Rehabilitation
Hospital-Westborough
National Data
Average Onset Days
16
14.5
Average Length of Stay
22.4
20.7
Total FIM(TM) upon Discharge
90.9
91.5
Total FIM(TM) Change
20.3
21.5
FIM(TM) Change Per Day
1.37
1.06
Motor FIM(TM) Score Change
19.1
19.4
Cognition Score Change
1.1
1.1
Percent of Patients Discharged to Community
64%
66%
ORYX: The name of the Joint Commission’s initiative to integrate performance measures into the accreditation process.

ORYX Summary:
Whittier's patients had a higher FIM (TM) Change Per Day when compared to the nation along with a higher cognitive score change.


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ORYX Summary:
Whittier continues to take patients sooner than the nation and continues to discharge them with higher FIM (TM) scores. Whittier continues to be higher than the nation in all FIM (TM) areas, except cognitive scores. Our discharges continue to be the same as the nation also.

GLOSSARY OF TERMS:
Average Onset Days: The average number of days between Date of Onset and Admit Date (i.e. the number of days spent in an acute hospital setting prior to transferring to a rehab setting)

Average Length of Stay: is calculated excluding the day of discharge in keeping with Medicare practice.

FIM(TM): (Functional Independence Measure) is the most widely accepted functional assessment measure in use in the rehabilitation community. The FIM(TM) is an 18-item ordinal scale, used with all diagnoses within a rehabilitation population. It is viewed as most useful for assessment of progress during inpatient rehabilitation. Within the 18 categories, the FIM(TM) score ranges from 1 to 7, with 1 (Total Assistance) being the worst possible score and 7 (Complete Independence) being the best possible score.

Total FIM(TM) upon Discharge: This is the combined average score of the FIM(TM) items from the discharge assessment.

Total FIM(TM) Change: The average change in total FIM(TM) scores from Admission to Discharge.

FIM(TM) Change Per Day: The average of the change in FIM(TM) total from admission to discharge divided by the length of stay. This is calculated by first subtracting total admission FIM(TM) from total discharge FIM(TM) for each assessment. The FIM(TM) change is then divided by LOS for each assessment. The calculated FIM(TM) change per day for each assessment is then averaged over the selected time period.

Motor FIM(TM) upon Discharge: This is the combined average score of the motor FIM(TM) items from the Discharge assessment.

Motor FIM(TM) Change: The average change in the motor FIM(TM) scores from Admission to Discharge.

Cognition Score Change: The average change in the cognitive FIM(TM) scores from Admission to Discharge.

Percentage of Patients Discharged to Community: The count of patients whose Discharge Destination was either Home, Room and Board, Transitional Living, Intermediate Care, or Assisted Living Residence.
FIM(TM) is a trademark of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

 

 

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