- 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).
2013 Inpatient Statistics
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 patient's rehabilitation program is outlined and directed by a rehabilitation physician. Other physician specialists are available to manage care as needed.
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.
In 2013, Knapp Rehab discharged 290 patients, 80% 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 subacute rehab facility where the therapy sessions could be provided on a daily basis. Together, discharges to home and discharges to a second rehab setting represented 91% of the patients that were served at Knapp Rehab.
2013 Brain Injury Outcomes
This brain injury information includes traumatic brain injuries and not-traumatic brain injuries or conditions. Combined they represented 24% of the persons served at Knapp Rehab in 2013.
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 14 days and 80% 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 to continue therapy on a daily basis.
2013 Stroke Outcomes
28% of the patients served in 2013 at Knapp Rehab had a stroke. Nationally, the percent of stroke patients treated in rehabilitation centers Knapp is compared with was 22%.
The functional abilities from admission to discharge 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 17 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. 96% of the patients discharged from Knapp either return home with a schedule of outpatient therapies (69%) or transfer to a less intensive facility to continue therapy until they can return home (21%).
Data Source: UDSmr- Standard Facility Report: Volume 27, Quarter 4, January 2013 - December 2013