How effective is our Brain Injury/Neurology Program? Gains are made by patients across all areas of functioning, such as eating, using the restroom, and bathing. For persons who have had a brain injury or suffer from a neurological disorder, notable gains were achieved in getting dressed and walking / using wheelchair. Gains are measured with a standardized rehabilitation tool called the Functional Independence Measure (FIM™) on a scale of one to seven (1 to 7) complete independence. D

Gains in Getting Dressed Gains in Walking/Using Wheelchair

7 7

6 6

5 5

4 4

3 3

2 2

1 1

0 0 Admission Discharge Admission Discharge

What if I have more questions? G Talk to your doctor, nurse, therapist, Welcome to the 7 How satisfied were patients? or any other team member if you Satisfaction with| MedStar| MGSH| | 3|Months| after| Discharge have questions, concerns, comments, 1=Very DissatisfiedČ ČtoČ 4=VeryČ Satisfied or feedback. Your team is available Brain Injury/Neurology =MGSH Brain Injury =Nation Brain Injury to help you. You have a right to ask questions about your care. Program 3.7 3.7 For more information: • Call the admissions office at In partnership with 443-444-4701 • Visit MedStar National Rehabilitation Hospital MedStarGoodSam.org/InpatientRehab

Inpatient Rehabilitation Kritis Dasgupta, MD, MBA, MSc, Chair of Physical Medicine and Rehabilitation 5601 Loch Raven Blvd. Baltimore, MD 21239 A Year in Review Living with a brain injury or neurological disorder We cared for 64 patients with brain injuries or neurological disorders during the fiscal year ended 6/30/18. What did our patients look like? The team at MedStar Good Samaritan Patients should generally be medically Hospital’s Comprehensive Integrated stable and able to participate in three Patient Age Inpatient Rehabilitation Program (CIIRP) hours of combined physical therapy Patient Gender 30 cares for individuals suffering disability with occupational therapy and/or following brain injury. The program also speech-language treatment five days a helps those with neurological conditions, week or 15 hours over a seven-day 20 52% 48% such as multiple sclerosis acute flareup, period. They also should be able to Parkinsonism, polyneuropathy, and meet their inpatient rehabilitation 10

Guillain-Barre’ syndrome. We have program goals in a reasonable Number of Patients specialized staff, including physical timeframe and have a viable discharge medicine and rehabilitation physicians and plan. Patients without significant 0 Female Male 18-30 31-45 46-55 56-65 66-75 76-85 85+ psychologists, rehabilitation nurses, agitation or other severe behavioral years years years years years years years physical and occupational therapists, problems following brain injury are speech-language pathologists, social appropriate for MedStar Good workers, and nurse case managers. Samaritan Hospital’s CIIRP. Where do our patients go after MedStar GSH? The team is able to provide intensive Our clinical staff works together as an 64% rehabilitation and medical management, interdisciplinary team to design a 79% as well as guidance through the personalized rehabilitation program for Home continuum of care, for patients with mild each patient. The team helps patients 17% to moderate cognitive dysfunction. attain their highest level of functioning % of MGSH Brain Injury patients Skilled Nursing This program is particularly well-suited and independence. 11% % of Brain Injury patients in Maryland for individuals who*: Facility • Need help with mobility and balance. * 19% What will a typical day be like? • Need help with activities of daily 9% • You will be busy. Hospital living. • You will receive a daily schedule. • Need help with memory and thinking • You will be out of bed and involved problems. How long did patients stay at MedStar GSH? in therapy, meals, and other Length of Stay (LOS) • Need help with swallowing and activities as much as possible communication problems. 100 every day. *Maryland average LOS=12 days • In the fiscal year ended 6/30/18, • Are able to follow directions and 75 have the ability to learn and improve. patients in the program received

an average of 3.6 hours of therapy 50 * These criteria roughly correspond to ČČ (PT, OT, ST) a day for a minimum Level VI of the Rancho Los Amigos Scale. of five days per week. 25 Nu mber of Patients • Most patients participate in individual therapy with occasional 0 group interaction 1 Čweek Č2 weeks 3 weeksČ 4 weeksČ 4+Č weeks ČČ

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