Clinical outcome measurements are an important part of the Rehabilitation Institute of Montana’s overall process to continually monitor and improve the success of the rehabilitation program. RIM has key rehabilitation services measured on a quarterly basis and compares results provided on a regional and national level.
Community medical Center’s RIM continues to be the most respected and longest-standing accredited rehabilitation program in Montana. RIM has been recognized by two of the leading organizations that set the standard for facilities serving people with disabilities. The Commission on Accreditation of Rehabilitation Facilities (CARF) has recognized RIM’s contribution to rehabilitative medicine since 1975. In addition, RIM has been recognized by The Joint Commission, receiving its Quality Distinction for high standards of care.
Outcomes from last year April 1, 2007 to March 31, 2008
| | Rehabilitation Institute | Regional Dtata | National Data |
|---|---|---|---|
| Number of Patient Served | 291 | 12,487 | 414,358 |
| Average Age | 65 | 65 | 69 |
| Patient Satisfaction | 92.31% | n/a | n/a |
No. of hours of therapy daily | >3 | n/a | >3 |
| FIM: Functional Independence Measure * | 23.1 | 27.7 | 25.6 |
Discharge: Home | 230 (79%) | 9,748 (79%) | 309,142 (75%) |
Discharge: Skilled Nursing Facility | 25 (9%) | 592 (5%) | 21,482 (5%) |
| Discharge: Long-Term Care Facility | 14 (5%) | 1,051 (8%) | 37,690 (9%) |
| Discharge: Acute Hospital | 20 (7%) | 949 (8%) | 41,223 (10%) |
| Average Length of stay (days) | 13 | 15 | 14 |
*The FIM(TM)* (Guide for the Uniform Data Set for Medical Rehabilitation, 1996) 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.
At admission to CMC’s RIM, each person is assessed by the nursing and therapy staff to develop an individual plan of treatment. Standardized measures, used industry-wide and adopted by Medicare, indicate the person’s level of independence at admission and at discharge. These 18 measures of common daily activities are labeled on the graph below, i.e., eating, bathing, etc.
The scale ranges from ‘1,’ which means total assistance is needed for that function, to ‘7,’ which means the person is completely independent in performing that function. The light blue area of the graph shows the rating at admission and the magenta color shows increase in function at discharge.
