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2010 Neurological Institute Outcomes - Cleveland Clinic

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34<br />

Cerebrovascular Disease<br />

Inpatient Rehabilitation for Stroke<br />

Length of Stay Efficiency for Stroke Inpatient Rehabilitation<br />

2007 – <strong>2010</strong><br />

Change in FIM Score/LOS<br />

2.5<br />

2.0<br />

1.5<br />

1.0<br />

N =<br />

2007<br />

449<br />

2008<br />

478<br />

2009<br />

482<br />

<strong>2010</strong><br />

474<br />

<strong>Cleveland</strong> <strong>Clinic</strong><br />

National Average<br />

<strong>Outcomes</strong> are shown for all stroke patients at <strong>Cleveland</strong> <strong>Clinic</strong> Rehabilitation Hospitals using the Uniform Data System<br />

for Medical Rehabilitation (UDS-MR) data set (Rehabilitation Impairment Category/RIC Group 01). Length of stay (LOS)<br />

efficiency compares the functional improvement (FIM) gains made during the rehab stay with the length of stay required<br />

to make the gains (FIM change/LOS). Data are aggregated from <strong>Cleveland</strong> <strong>Clinic</strong> Rehabilitation Hospitals at Fairview<br />

(25 beds), Lakewood (15 beds) and Euclid (46 beds) hospitals, compared to the national average, and are case-mix<br />

adjusted by the UDS-MR database. Case mix values for each unit are: 1.51 at Euclid, 1.31 at Fairview and 1.4 at<br />

Lakewood. Data suggest that <strong>Cleveland</strong> <strong>Clinic</strong> Rehabilitation Hospitals return patients to a higher level of function in a<br />

shorter time than the national average.<br />

<strong>Outcomes</strong> <strong>2010</strong>

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