Spinal Cord System of Care Program Summary
Our Spinal Cord System of Care is CARF Accredited and consists of team members specializing in Spinal Cord Rehabilitation, including Certified Registered Rehabilitation Nurses and a Physiatrist who is Board Certified in Spinal Cord Injury Medicine. In 2006, we served 81 patients with spinal cord injuries, both traumatic and non-traumatic, and patients with other neurological diseases such as Guillain-Barre and Multiple Sclerosis. Our average length of stay is similar to that of the nation at 20.35 days. Our average number of days from acute hospital onset to rehabilitation admission is 16.6 days compared to the national average of 24.88 days. Overall, the total hospitalization for our patients was significantly less than the national average. Despite the fact that our patients were more functionally dependent than the nation, we were able to help our patients achieve a higher level of function in a shorter amount of time as demonstrated by our length of stay efficiency of 1.75 in comparison to the national average of 1.36. Our community discharge rate of 73% is less than our goal of 81%. Our patient satisfaction rating is 86.5%. However, our patients felt they were adequately prepared for discharge, as reflected by an adequate discharge preparation score of a 6.82 out of a possible 7.0. We are satisfied that we improved their quality of life as well their ability to manage their activities of daily living. A number of our patients come from rural areas and community resources are difficult to find in these outlying areas. We feel that it is important to provide both the patient and family with education during the rehab stay in order to make their discharge to the community a successful one. We also help them build community resources prior to discharge. We work with the patient and family to give them knowledge and tools that they can use well beyond their inpatient rehab stay as rehab is a lifelong process.
Enhancements to the Spinal Cord System of Care 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. A Patient Organizer was developed to enhance the patient’s rehabilitation programming. A bowel and bladder algorithm was developed to enhance the management of the patient’s elimination program. 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.
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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.
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