2006 BRAIN INJURY PROGRAM
see chart key below
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Admissions:

68

Admission FIM: goal is 45-55 58.42
Length of Stay (days): goal is less than 20 days 21.0
Length of Stay Efficiency: goal is greater than or equal to 1.75

2.08

Community Discharge: goal is greater than or equal to 72%

77.8%

Patient Satisfaction: goal is greater than or equal to 89%

84.3%

Follow Up Gains: goal is greater than or equal to 20

15.77

Brain Injury Program Summary
Our Brain Injury Program is CARF Accredited and consists of team members specializing in Brain Injury Rehabilitation including 5 Certified Brain Injury Specialists.  In 2006, we served 68 patients who suffered a traumatic or non-traumatic brain injury. Our average length of stay of 21.01 days is higher than the national average of 15.73 days. However, our average number of days from acute hospital onset to rehabilitation admission was 16.1 days compared to the national average of 21.38 days. Overall, the total hospitalization for our patients is comparable to that of the nation. Despite the fact our patients were more functionally dependent than the nation, our length of stay efficiency was 2.08 compared to the national average of 1.91. Our community discharge rate of 77.8% surpassed our goal of 72%. Our patient satisfaction rating of 84.3% was less than our goal of 87.8%. However, our patients felt they were adequately prepared for discharge, as reflected by an adequate discharge preparation score of a 6.94 out of a possible 7.0. We feel it is vital to educate both patients and their families and give them both the tools, as well as resources, for continued success in their independence after discharge from our program. This success is reflected by the fact that our patients continued to make an average of 15.77 FIM gains after discharge from our program. Our rehabilitation center provides a virtually restraint-free environment for our patients and utilizes other safety alternatives, such as a patient-sitter program, bed and wheelchair alarms, and a wander-guard system. This has been extremely successful in providing safety for our patients in a respectful and therapeutic manner.

 

Enhancements to the Brain Injury Program

Patient – Family Centered Care Standards were developed to enhance the patient -family rehabilitation experience. Further refinements were made to the Evening Ambulation Program, as well as the development of an Evening Activity of Daily Living Kardex to enhance the 24-hour rehabilitation environment. Our ADL board format was changed to enhance the 24-hour rehab environment. Our Cognitive-Communication Program was enhanced with refinements to the Patient Organizer, which includes the patient’s schedule, memory aides, and activities for the patient to do throughout the day. Our patients enjoy and benefit greatly from our Cognitive-Communication groups. Initiatives were developed to optimize the involvement of patients in community outings and evening activities.

 

For more specific information regarding your unique case, please contact the Admissions Coordinator at the Miller-Dwan Rehabilitation Center.

Outcome Chart Key
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Admission FIM = Measure of functional independence at time of admission. The lower the score, the more dependent the individual.

Length of Stay = Number of days patient is in Miller Dwan's Rehabilitation Center   

Length of Stay Efficiency = This measure reflects the amount of FIM points gained per day of stay at Miller Dwan's Rehab Center.

Community Discharge = Percentage of individuals discharged from Miller Dwan's Rehab Center to community living.

Patient Satisfaction = This measure is taken from the total amount of points possible of questionnaires that patients are asked to complete and return following discharge. 

Follow Up Gains = Reflects the amount of FIM points gained from the time a patient was discharged to the time of follow up.