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Programs and Outcomes 2016 DATA
Programs and Outcomes
2016 DATA
The Rehabilitation Hospital of Fort Wayne is accredited by two organizations. The Joint Commission is responsible for
evaluating and accrediting hospitals that voluntarily submit for inspection using specific standards for quality and safety.
The Commission on Accreditation of Rehabilitation Facilities (CARF) accredits organizations based on quality of care
and services and values dedication to continuous quality improvement. CARF-accredited programs represent the gold
standard in rehabilitation facilities. Rehabilitation Hospital is licensed by the Indiana State Department of Health and is
Medicare approved.
ACCREDITATIONS
At a Glance
Choosing Your Next Level of Care
Comprehensive Inpatient Medical Rehabilitation
Stroke Rehabilitation
Special Diagnosis: Brain Injury
Special Diagnosis: Spinal Cord Injury
Special Diagnosis: Amputation
Driver Rehabilitation Program
What to Expect at Rehabilitation Hospital
Patient Information
Frequently Asked Questions
Rehabilitation Terms
2016 Overall Patient Satisfaction
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Table of contents
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73DISCHARGED
HOME
11DAYS
AVERAGE STAY
13UNPLANNED DISCHARGE TO ACUTE HOSPITAL
%
%
PATIENTS646
IN 2016
The Rehabilitation Hospital of Fort Wayne is the region’s only hospital dedicated solely to
physical medicine and rehabilitation. Patients age 14 and older who have experienced a
disabling injury or illness receive focused care from an interdisciplinary team whose goal
is to help patients maximize their functional potential.
• A rehabilitation physician visits patients at least three times per week and other
specialists follow patient progress based on individual needs.
• Physical, occupational and speech therapists provide intensive services in a
structured environment that allows patients to set and meet goals, increase their
thinking and communication skills, gain greater physical endurance and become
more confident and independent.
• Registered nurses provide care and education 24/7.
• A clinical psychologist helps patients deal with emotional and cognitive disability-
related issues.
• Case managers coordinate team efforts and discharge planning.
Our team cares for patients in a free-standing, 36-bed comprehensive rehabilitation facility
that includes:
• private and semi-private rooms
• a large therapy gym
• an activities-of-daily-living area
• a transitional living apartment
• an outdoor mobility courtyard
• a heated indoor therapy pool
with lift-assist entry
• a private therapy room
• an overhead track and harness
system to help patients walk or
practice balance activities without
fear of falling
At a Glance
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Choosing Your Next Level of CareReady to be discharged, but not quite ready to go home? The Rehabilitation Hospital
provides the level of care needed to help patients reach their goals. As the area’s only
hospital dedicated solely to physical medicine and rehabilitation, the benefits of our
comprehensive inpatient program include:
Medical Management } Our full-time medical director manages each patient’s rehabilitation
} A rehab physician meets with patients at least three times a week
} Other specialists follow patients’ progress as needed
Intensity of Service } Each patient receives therapy a minimum of three hours a day at least five days
a week
} The 15 hours of weekly therapy can be spread out based on a patient’s condition
} Registered nurses are available 24/7
Length of Stay } The average length of stay for Rehabilitation Hospital patients is 11 days
} Upon discharge, 73 percent of patients return to their home versus an extended
care facility
Discharge Planning } Case managers and nurses coordinate post-discharge care, including appointments,
outpatient therapy sessions and home health care
} A staff member will call a few days after discharge to home and again two months
after discharge for an update and to answer any questions
Qualified Staff } Rehabilitation physician
} Certified rehabilitation registered nurses
} Physical, occupational and speech therapists
} Certified brain injury specialists
PROGRAMS• Comprehensive inpatient medical
rehabilitation program
• Stroke specialty program
• Driver rehabilitation program
CONDITIONS TREATED• Stroke
• Neurological disorders
• Traumatic brain injury
• Trauma injuries
• Spinal cord injuries
• Acute and chronic diseases
• Amputations
• Back and neck injuries
• Cardiac and vascular disorders
• Fractures
• General weakness and debility
• Joint replacements
• Multiple sclerosis
• Orthopedic disorders
• Pain
• Other
SERVICES• Assistive technology
• Case management/social work
• Clinical psychology
• Diabetes education
• Dialysis (hemo and peritoneal)
• Dietary
• Discharge planning
• Intravenous therapy
• Laboratory
• Nursing
• Nutritional counseling
• On-site rehabilitation physician
• Orthotics and prosthetics
• Pastoral care
• Pharmacy
• Physical, occupational and speech therapy
• Physician specialty consultations
• Radiology
• Respiratory therapy
• Wound care management
Additional services available on a consulting basis.
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* See Rehabilitation Terms (page 14)
MEDICAL REHABILITATION PROGRAM
OUTCOMES331 PATIENTS
Age range: 15–94 I Average age: 65
Unplanned discharge to acute hospital: 15%
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10
11
82
73
67
DAYS
DAYS
DAYS
AVERAGESTAY
AVERAGESTAY
AVERAGESTAY
DISCHARGEDHOME
DISCHARGEDHOME
DISCHARGEDHOME
%
%
%
• Providing comprehensive, individualized, interdisciplinary care
• Maximizing the independence of patients with physical, cognitive, and psychosocial impairments
• Minimizing or removing barriers to participation in daily activities through rehabilitative techniques, compensatory strategies and adaptation
• Educating patients and caregivers in rehabilitation techniques, as well as planning strategies for the next level of care
THE INPATIENT REHABILITATION SCOPE OF SERVICES INCLUDES:
The comprehensive inpatient medical rehabilitation program serves
individuals who have complex medical, surgical or neurologic conditions.
To qualify for admission, patients must be medically stable, require
intensive physician monitoring and require an intensive interdisciplinary
team approach to care provided by physicians, nurses, therapists and
case managers.
Common conditions treated include burns, cardiac issues, orthopedic
traumas, fractures, transplants, debility, traumas, multiple sclerosis and
Parkinson’s disease.
Comprehensive InpatientMEDICAL REHABILITATION
PROGRAM FEATURES
• Rehabilitation physician
• Interdisciplinary team approach*
• Weekly team conferences
• Certified rehabilitation registered nurses*
• Home evaluations*
• Community re-entry program*
• Dialysis support and treatment
• Orthotics and prosthetics
• Warm-water pool
• Assistive technology
• Outdoor mobility courtyard
• Body-weight supported gait trainer
• Transitional living apartment
• Ventricular assist device trained caregivers
ORTHOPEDICtraumas, hip fractures,
back surgeries, etc.
DEBILITY
NEUROLOGICmultiple sclerosis,
Parkinson’s, polyneuropathy, etc.
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PROGRAM FEATURES
• Rehabilitation physician
• Certified rehabilitation registered nurses*
• Interdisciplinary team approach*
• Dynavision™
• Weekly team conferences
• Home evaluations*
• Community re-entry program*
• Dialysis support and treatment
• Driver rehabilitation (outpatient)
• Warm-water pool
• Assistive technology
• Outdoor mobility courtyard
• Body-weight supported gait trainer
• Transitional living apartment
• Diabetes education
• Spasticity management
• Warfarin education
• Advanced functional electrical stimulation
• Overhead track support system
• Providing comprehensive, individualized, interdisciplinary care
• Providing education related to the recognition and prevention of stroke, as well as the promotion of lifestyle changes to help reduce the risk of stroke recurrence
• Maximizing independence for patients with physical, cognitive and psychosocial impairments
• Minimizing or removing barriers for participation in daily activities through rehabilitative techniques, compensatory strategies and adaptation
• Encouraging and enabling participation in community-level activities and life roles
THE STROKE REHABILITATION PROGRAM SCOPE OF SERVICES INCLUDES:
No two strokes are the same, so each patient’s challenges are unique.
Rehabilitation Hospital’s CARF-accredited stroke rehabilitation program,
the first in the region, is designed to meet the individual needs of patients
who suffered a recent embolic or hemorrhagic stroke. Patients admitted to
the program must be medically stable, require intensive physician monitoring
and require an intensive interdisciplinary team approach to care.
Stroke rehabilitation in an inpatient rehab facility (IRF) will provide the best outcomes, according to the American Heart Association/American Stroke Association.
STROKE REHABILITATION
STROKE REHABILITATION PROGRAM
OUTCOMES174 PATIENTS
Age range: 25–103 I Average age: 67
Unplanned discharge to acute hospital: 11%
ALL STROKES
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14
64
67
63
DAYS
DAYS
DAYS
AVERAGESTAY
AVERAGESTAY
AVERAGESTAY
DISCHARGEDHOME
DISCHARGEDHOME
DISCHARGEDHOME
RIGHT STROKEleft side affected
LEFT STROKEright side affected
%
%
%
* See Rehabilitation Terms (page 14)
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12
14
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77
74
86
DAYS
DAYS
DAYS
AVERAGESTAY
AVERAGESTAY
AVERAGESTAY
DISCHARGEDHOME
DISCHARGEDHOME
DISCHARGEDHOME
%
%
%
BRAIN INJURYOUTCOMES
77 PATIENTS
Age range: 14–93 I Average age: 52
AMPUTATION OUTCOMES21 PATIENTS
Age range: 43–84 I Average age: 65
TRAUMATIC & NONTRAUMATIC SPINAL CORD INJURY
OUTCOMES43 PATIENTS
Age range: 17–83 I Average age: 54
The loss of a limb can result in physical and emotional challenges. The goal
at the Rehabilitation Hospital is to provide support as patients learn to
manage those challenges and gain confidence. Treatment for upper- and
lower-extremity amputations at all levels may include preprosthetic through
prosthetic training. Rehabilitation Hospital accepts patients with amputations
from trauma or disease processes who require an intensive interdisciplinary
team approach to care.
Special Diagnosis:AMPUTATION
A spinal cord injury, such as those caused by trauma and conditions such
as tumors, can leave an individual with a variety of significant functional
limitations. The rehabilitation team focuses on maximizing remaining
function in an effort to help patients reach the highest level of independence
possible. Rehabilitation Hospital accepts patients with all levels of spinal
cord injury, both complete and incomplete, who do not require mechanical
ventilation and require an intensive interdisciplinary team approach to care.
Special Diagnosis:SPINAL CORD INJURY
A brain injury can impact physical, cognitive and psychosocial function for
years after an injury. That’s why finding the best qualified rehabilitation
program immediately after injury is so important. Rehabilitation Hospital
has a team of certified brain injury specialists who treat patients age 14 and
older who have suffered a recent traumatic or nontraumatic brain injury, such
as a brain tumor, an anoxic or hypoxic event or infectious disease. Program
participants must score a Rancho Los Amigos Scale* of at least four to be
accepted.
Special Diagnosis:BRAIN INJURY
43DRIVER
EVALUATIONS
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• Specially trained occupational therapists
• Same-day recommendations provided to physician and patient
• Evaluations performed in specially equipped vehicle
• Additional driver’s training services
PROGRAM FEATURES
Regaining independence often means learning how to drive again. Rehabilitation Hospital’s
driver rehab program includes a comprehensive evaluation and recommendations on
patients’ ability to resume driving. Therapists use a two-part evaluation process that begins
with a clinical assessment of vision, cognition, strength and range of motion to determine
driving potential. Based on results, clinicians may proceed to an on-the-road assessment,
during which patients’ driving skills — vehicle control, visual scanning, safety awareness,
judgment and traffic safety — are tested using a specially equipped training vehicle.
Specialized Outpatient Service: DRIVER REHABILITATION PROGRAM
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What to Expect at Rehabilitation HospitalThe first few days at the Rehabilitation Hospital are all about getting to know patients and their preferences
and may look something like this:
DAY 1 } Early to late afternoon arrival
} Nursing assessment
} Tour of facility
} Initial visit with physician, therapist and
case manager, depending on their availability
DAY 2 } Evaluation by rehab physician, if not performed Day 1
} Evaluation by case manager, if not performed Day 1
} Evaluations by physical and occupational therapists
} Evaluation by speech therapist, if needed
} Ongoing nursing assessment
} Meeting with registered dietitian
} Meeting with clinical psychologist, if needed
TYPICAL SCHEDULEAt Rehabilitation Hospital, we do our best to make the schedule as close to a normal day as possible.
6 – 8 a.m. Bathe and dress for the day
Early occupational therapy session (by preference)
8 – 8:30 a.m. Breakfast in the Gallery Café
Speech therapy session, if needed
8:30 a.m.– Noon Morning therapy sessions (physical, occupational and speech therapy)
Noon – 1 p.m. Lunch at the Gallery Café and rest or socialize
1 – 4:30 p.m. Afternoon therapy sessions
5 – 6 p.m. Dinner at the Gallery Café
6 – 10 p.m. Late occupational and/or physical therapy sessions (by preference)
Rest, socialize and get ready for bed
DISCHARGE CRITERIAPatients are discharged or transitioned to a different level of care when:
} The patient has achieved the established functional rehabilitation goals.
} The patient has care needs exceeding the acute rehabilitation level of care.
} The patient has reached a functional plateau and the determination has been made that further progress
is unlikely in a reasonable timeframe.
} The patient no longer needs at least two therapy services to increase functional performance.
} The patient no longer requires 24-hour medical or nursing supervision/treatment.
} The patient requests discharge.
} The patient and/or support system are no longer willing to be active participants in the program.
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Patient Information
Admission DocumentsPatients are asked to bring the following items at the time of admission:
} Insurance card, including Medicare and/or Medicaid cards
} Power of Attorney for the patient, if applicable
} Healthcare representative form, if applicable
} Living will or advance directive, if applicable
These items will be copied and the originals returned. Patients unable to sign for themselves must be accompanied
by a family member or responsible party.
ClothingPatients at Rehabilitation Hospital wear their own clothing. Patients need comfortable shirts and slacks, shoes,
undergarments and nightwear. A warm sweater or jacket is also recommended. Clothes should fit loosely — so that
exercise is unrestricted — and be easy to put on and take off. The following is recommended:
} Five casual shirts/blouses
} Five pairs of loose-fitting slacks/shorts
} Four to five changes of undergarments, including socks or hosiery
} One to two pairs of shoes with good support and rubber soles
} Pajamas, robe and house slippers (hospital gowns are available)
} Grooming and toiletry items (toothbrush, toothpaste, razors, deodorant, cosmetics, shampoo and incontinence
briefs)
} Seasonal outerwear
} Favorite pillow or blanket (marked with the patient’s name)
} Personal reminders of home (pictures, photo albums, books, etc.)
Corrective DevicesPatients are asked to bring corrective devices and/or equipment, including glasses, hearing aids, prostheses, braces
and other items to help them participate fully in rehabilitation programs.
Discharge PlanningUpon discharge, case managers and nursing staff help patients schedule follow-up physician appointments,
outpatient therapy and/or home health services. Patients receive a phone call from a Rehabilitation Hospital team
member a few days after discharge to home and again within two months after discharge to check on their status
and answer any questions.
InsuranceRehabilitation Hospital accepts funding from a variety of sources including Medicare, Medicaid, private insurance,
HMO/PPO and self-payors. Case managers will help patients who are uninsured or unable to pay apply for the
appropriate level of financial assistance. Patients are responsible for all deductibles and co-pays at the time of
service unless other arrangements have been made.
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LaundryThe hospital does not provide laundry services and asks that patients arrange for a family member or friend to
handle laundry needs every other day. Patients should have three to four changes of clothing available at the
hospital at any given time.
MealsThe dietary staff provides a variety of fresh, home-cooked meals daily. Patients eat their meals in the dining room,
unless there is a medical reason they need to stay in their room and/or bed. Family members and friends may eat
with patients at a modest cost. Patients with dietary restrictions should check with the dietitian before eating or
drinking any food or beverage that is not part of their regular meal.
MedicationsPhysicians need to know which drugs patients are currently taking, including prescription and over-the-counter
medications, herbs and vitamins. Patients admitted to Rehabilitation Hospital from another facility will continue
their medications as ordered by the transferring physician. Patients admitted from home should bring current
medications to the hospital for their nurse to review. Home medications will be sent home with a family member
after the review. Pharmacy will provide prescribed medications for patients while they are in the hospital.
NondiscriminationAll patients receive comprehensive, individualized, interdisciplinary care regardless of their race, cultural
background, religion, gender or sexual orientation.
Patient RoomsEach spacious room has a large window, television, closet with plentiful drawer space, bedside telephone and a
wheelchair-accessible bathroom with ample space for showering.
TelephoneTo call a patient room directly from outside the hospital:
} Dial (260) 435-6116, 5 + room number + bed number.
} Outside callers must have the patient’s room and bed number in hand.
} To avoid missed calls, patients should inform family and friends of their therapy and activity times.
ValuablesValuables and/or cash should be sent home with a family member. If this is not possible, arrangements can be
made to lock items in the safe in administration.
VisitorsVisiting hours are 8 a.m.– 8 p.m. In order to ensure patients’ well-being, the care team has discretionary authority
regarding the number of visitors and the length of time for each visit. Rehabilitation Hospital is located on the
Lutheran Hospital campus, which is a tobacco-free campus.
FACILITY CHARACTERISTICS LTACH IRF SNF/TCU/CCU Home Health Outpatient
Able to manage complex medical conditions
Average length of stay in days 25+ 11 25+ Varies Varies
Rehab nursing
Skilled nursing
Minimum of 15 hours of therapy per week
Able to provide physical, occupational and speech therapy
Physician visits at least 3 times per week
Interdisciplinary care provided
Multidisciplinary care provided
Case management services available
LONG-TERM ACUTE CARE HOSPITAL (LTACH)
INPATIENT REHABILITATION FACILITY (IRF)(Ex. The Rehabilitation Hospital of Fort Wayne)
SKILLED NURSING FACILITY (SNF)
TRANSITIONAL CARE UNIT (TCU)
CONTINUING CARE UNIT (CCU)
OUTPATIENT REHABILITATION
HOME HEALTH CARE
COM
PLEXITY OF PATIEN
T ILLNESS
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Frequently Asked Questions
How does an inpatient rehabilitation facility compare to other care options?The charts below illustrate five different types of care and the characteristics of each.
Did you know? Stroke rehabilitation in an inpatient rehab facility (IRF) will provide the best outcomes, according to the American Heart Association /American Stroke Association.
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How do I know if I am eligible for services at Rehabilitation Hospital?The first step is to contact your case manager or social worker and ask him or her to make a referral to
Rehabilitation Hospital for an evaluation. An evaluation can also be requested by a patient or family member
by calling the admissions office at (260) 435-6121. A nurse liaison from Rehabilitation Hospital will evaluate you
to see if you meet admission guidelines based on Medicare or your insurance guidelines. A physician will also
review your evaluation to determine appropriateness for admission.
Can I schedule a tour of Rehabilitation Hospital to see if it is right for me or my loved one?Yes! Please call the admissions office at (260) 435-6121 to schedule a tour, or stop by anytime.
Will I be able to tolerate an intensive rehabilitation program?Our program is designed to provide a minimum of three hours of therapy a day at least five days a week.
For some patients, the 15 hours of therapy may be spread out over seven days. In either case, the program
is tailored to meet each patient’s unique needs. Studies show that early intensive therapies result in better
outcomes.
Will I have therapy on the weekend?The program is designed to provide at least three hours of therapy per day at least five days per week. Some
patients may have medical tests or procedures that limit therapy time during the week. To ensure each patient
receives the full benefits of the program, lost time may be made up over the weekend. Most patients have
weekend therapy at some point during their stay. The need for weekend therapy is based on individual need
and the interdisciplinary team’s recommendation.
Can my loved one stay with me and participate in my therapy?We encourage family and caregiver participation in the rehabilitation process. This means family members
and caregivers are encouraged to stay and help patients adjust to their new environment. Family members
and caregivers are encouraged to help patients complete the training required to ease back into living at
home. There are also times when patients may need a more focused approach without distractions. The
interdisciplinary care team will help make this determination.
When can I go home?Each patient’s diagnosis and functional progress varies. The interdisciplinary team will complete an initial
evaluation and work with patients to develop treatment goals and determine an estimated discharge date.
The team will meet weekly to make adjustments to the plan based on patient progress. Just before discharge,
the case manager and nurse help coordinate additional care needs, such as physician appointments and
ongoing therapy.
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Rehabilitation Terms
CERTIFIED BRAIN INJURY SPECIALIST
A clinician with advanced knowledge of brain injury evidenced
by clinical experience, completion of a certification examination
and annual education.
CERTIFIED REHABILITATION REGISTERED NURSE (CRRN)
A registered nurse with at least two years of experience in
rehabilitation who has demonstrated advanced rehabilitation
knowledge by passing a certification examination and
maintaining certification.
COMMUNITY RE-ENTRY
A therapeutic outing into the community designed to return
patients to their prior level of function.
HOME EVALUATION
The process in which therapists visit a patient home to assess
the physical space and make recommendations that will allow
the patient to safely return home.
Rehabilitation Hospital accepts funding from a variety of sources, including
private insurance, Medicare, Medicaid, HMO/PPO and self-pay. Case managers
are available to help the uninsured apply for funding assistance. Patients are
responsible for all deductibles and co-pays at the time of service unless prior
arrangements have been made.
Sources: Rehab Metrics Report, Jan. 2016 – Dec. 2016; 2016 Quarterly Data,
HealthStream Data Research
INTERDISCIPLINARY TEAM
A team of healthcare professionals that coordinates efforts
to reach a common patient goal.
RANCHO LOS AMIGOS SCALE
An evaluation scale that identifies patterns of recovery for
people with a brain injury.
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** Based on “Definitely yes” and “Probably yes” responses to the question, “Would you recommend Rehabilitation Hospital of Fort Wayne?” from the 2016 quarterly
HealthStream surveys.
2016 Overall Patient Satisfaction
This is the best stay in any medical facility that I have ever been in.
They just excel at everything … They were all just superb and I had a good
rapport with some of the patients, which I really enjoyed.
All of the nurses and staff were great … They worked with me to get
better and they weren’t easy on me, but seemed very concerned. I’ve got to be
honest — everybody there was super. I’d recommend the facility to anybody.
I had a day where I was experiencing quite a bit of anxiety. Multiple staff
members set aside time to spend time with me at my bedside … Everybody
was fabulous, always wanting to know if there was more they could do for
me, if there was more care they could provide for me. Always being very
sensitive and very compassionate to the trouble I was going through.
More than 97% of patients would recommend Rehabilitation Hospital of Fort Wayne.**
Rev. 05/2017
Rehabilitation Hospital is owned in part by physicians.
Patient results may vary. Consult your physician.
LutheranHealth.net/Rehab
Admissions: (260) 435-6121 | Switchboard: (260) 435-6100
Rehabilitation Hospital | Lutheran Medical Park
7970 W. Jefferson Blvd. | Fort Wayne, IN 46804
• Ask a social worker or case manager for a referral, or
• Ask a physician for a referral, or
• Call (260) 435-6121 and request an evaluation
Choosing Rehabilitation Hospital I How to refer
