- Knapp serves an average of 300 inpatients per year. Patients ages 13 and above are admitted to the comprehensive and specialty brain injury programs; patients ages 18 and above are admitted to the stroke specialty program.
- The overall length of stay for all inpatients is an average of 15 days, for Stroke is average 17 days and for Brain Injury the average length of stay is 14 days.
- In 2013, 80% of inpatients were discharged to their home community. Some patients come into the hospital without homes or families to assist them. Patients may also be discharged to a homeless shelter or a sub-acute rehabilitation facility.
- During an over-the-phone survey, 98% of patients were satisfied with the care they received at Knapp Rehabilitation Center (2013).
2014 Inpatient Statistics
During the inpatient rehabilitation program at Knapp, patients receive a minimum of 3 hours of therapy per day or a total of 15 hours each week. The therapies include Physical Therapy, Occupational Therapy, and Speech Language Pathology. Other services provided include Clinical Psychology, Neuropsychology, Therapeutic Recreation, and Social Work. Rehabilitation nursing is provided on a 24 hour, 7 day per week basis. Each person's rehabilitation program is outlined and directed by a rehabilitation physician. Other physician specialists are available to manage the care and treatment as needed. Families are welcomed and included in the program. The rehab team's goals center around transferring the care and independence training from us to the person served and their family.
The Functional Independence Measure (FIM) represents 18 areas including activities of daily living such as getting dressed, moving about either walking or in a wheelchair and speech abilities. Patients receive scores based on their abilities when they enter the rehab program and then when they are discharged from Knapp. the difference between the admission and discharged scores is averaged and compared with the scores of rehab patients across the nation whose centers also score those abilities with the FIM. The numbers above show the progress or functional gain patients achieved from admission to discharge based on those scores.
In 2014, Knapp Rehab discharged 296 patients, 76% of them were able to go home from the program. Most of those discharged home continued their therapy as outpatients on a less than daily basis. The national average during the same year was 77% of the patients went home. Other individuals who completed the Knapp inpatient rehab program needed more therapy in a long term care facility where the therapy sessions could be provided on a daily basis before they were able to go home. Together, discharges to home and discharges to a second rehab setting represented 90% of the patients that were served at Knapp Rehab.
2014 Brain Injury Outcomes
This brain injury information includes traumatic brain injuries and non-traumatic brain injuries or conditions such as encephalopathies caused by loss of oxygen to the brain or tumors. Combined the traumatic and non traumatic brain injured individuals represented 26% of the persons served at Knapp Rehab in 2014. The average age of patients served at Knapp with brain injury is 48. The average age of brain injured persons nationally served in facilities that Knapp is compared with is 64 years old. We served 3 adolescents between the ages 13 and 17 in 2014 for brain injury rehabilitation.
The individual's abilities representing 18 daily living functions are scored at the beginning of the rehab program and at time of discharge. Examples of the abilities scored include getting dressed, toileting, and walking. Persons who have experienced impairments of thinking as a result of a brain injury or brain condition require a consistent, coordinated approach to their rehabilitation. The persons who participated in the Knapp program made progress between admission and discharge as shown on this bar graph compared with rehab centers in the nation who participate in the same scoring system.
Overall brain injury patients participated in the Knapp program an average of 16 days and 88% were discharged to home. Most of the patients who were discharged to home received outpatient therapy to continue progress. Some were discharged to a subacute rehabilitation setting in long term care facilities to continue therapy on a daily basis until they were able to go to their homes.
2014 Stroke Outcomes
33% of the patients served in 2014 at Knapp Rehad had a stroke. Nationally, the percent of stroke patients treated in rehabilitation centers Knapp is compared with was 23%. Average age of those we serve with stroke is 60 compared with the national average age of stroke patients in compared facilities of 69 years.
The functional abilities for stroke patients is measured on admission and when discharge occurs. The difference in those numbers is the functional gain. Knapp's average score in this area compares closely with the national average.
Individuals with stroke stay in the program an average of 18 days which is longer than the average of all the patients in the program. The impairments as a result of stroke limit activities that are common to daily living. A coordinated program of therapy and nursing care is required. 89% of the patients discharged from Knapp either return home with a schedule of outpatient therapies (63%) or transfer to a less intensive facility to continue rehabilitative therapy until they can return home (26%).
Data Source: UDSmr- Standard Facility Report: Volume 28, Quarter 4, January 2014 - December 2014