July 2017–June 2018

Bryn Mawr Rehab Hospital was the first facility in the United States to earn accreditation by the Commission on Accreditation for Rehabilitation Facilities (CARF) for our Amputee Rehabilitation Program. Our patient-centered program focuses on physical, cognitive and behavioral skills and helps our patients achieve the highest level of independence possible.

We provide a continuum of care including acute inpatient care, outpatient services, community re-entry and return to work goals, as well as support groups for current and former patients and their family members.

Our patients receive a minimum of three hours of combined physical and occupational therapy at least five out of seven days. Additional services, such as higher intensity physical and occupational therapy, speech pathology, psychology, cognitive retraining, recreational therapy and other services are provided based on our assessment of each patient’s individual needs.

For more information about this report or our Amputee Rehabilitation Program, please call 484.596.5566.

Statistics

Discharges

94 patients

Average age

60.4 years old

Number of adolescents

0

Adolescents age range

N/A

Average length of stay

13.6 days

Percent of patients evaluated within one day of referral to Bryn Mawr Rehab

70 percent

Results

Functional outcomes

On average, at the time of admission, patients who require an amputation of the lower extremity require moderate to minimal assistance to complete activities of daily living, including getting dressed, walking and getting in and out of bed. They are able to complete one-half or more of the tasks themselves and require assistance to complete the remaining tasks.

On average upon discharge, our patients require only supervision to complete the tasks involved in daily life. This means our patients can complete most of the physical work, but they need someone with them to make sure they are safe and able to complete the tasks.

Result: 80 percent of our patients met 5+ of their goals at discharge.

Functional improvement

Result: Patients achieve overall functional improvement in our program.

Levels of FIM scoring:
126 –          Independent
108–125 –  Modified independent
90–107 –    Supervision
72–89 –      Minimal assistance
54–71 –      Moderate assistance
36–53 –      Maximal assistance
under 36 –  Dependent

Discharge

Most patients who receive intensive, inpatient therapy as part of our comprehensive Amputee Rehabilitation Program at Bryn Mawr Rehab Hospital are admitted from an acute care hospital where they stayed following their amputation. Other patients are admitted from home or skilled nursing facilities when they are ready to begin training with a newly obtained artificial limb. On average, patients are ready for prosthetic training three months after their initial surgery. Prior to their amputation, most individuals were living at home, some worked and some were retired.

Following discharge from Bryn Mawr Rehab Hospital, 72.3 percent of our patients were able to return home; 20.2 percent required ongoing care at a skilled nursing facility; and 7.4 percent were re-admitted to an acute care hospital due to complications.

Patient satisfaction

The primary focus of our Amputee Rehabilitation Program is to provide the highest quality, personalized clinical patient care. There are many factors that contribute to success, including our outstanding clinical care team of physicians, nurses and therapists, as well as a calming, healing environment.