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2008 IOM Report

In 2008 Schuylkill Rehabilitation Center implemented a new information and outcomes management data collection tool which has national benchmarks and was one of the four outcome systems named by CMS for rehabilitation. The IOMS Committee researched several of these recommended programs. This research also included an onsite visit to a large outpatient CARF accredited rehabilitation program in Allentown, Pa. and an onsite presentation by the company. It is called Focus on Therapeutic Outcomes or FOTO. It was unanimously agreed that all of the systems lacked the detailed patient specific information that our “home made” IOMS system offered, but without the national benchmarks our program was of little value to match with other organizations and the possible future payment structure.

The data is received quarterly and provides information on all of the patients who participated in the computer generated survey. The requirements are that the patient completes a survey at admission and at one other point in treatment. The last survey is used if the patient completed more than one. The therapist must also complete a discharge status survey. Once these elements are completed FOTO will include their data in the functional status report.

During this year, numerous issues may have contributed significantly to the data not meeting the national benchmarks. All of these issues are related to the implementation of the information into our system not the care of the patient. The performance measurement outcomes were reviewed with plans for follow up. In addition, it should be noted that certain categories are statistically small in the number of patients’ data recorded.

Patient Satisfaction is reviewed at discharge with FOTO as well as a SRC generated survey and a SRC survey 90 days after discharge. A full annual report on patient satisfaction is completed separately. The 2008 patient satisfaction data demonstrates outstanding levels of satisfaction at all points of times.

The follow up information on the durability of services is completed in a survey to the patient 90 days after discharge. In the survey, questions are asked regarding their overall functional status and specific areas of function. The 2008 report shows that SRC has a high level of durability of services. In summary, 71% of the patients improved and 23% stayed at the same functional level since their discharge from SRC.