Registered hospitals include AHA member hospitals as well as nonmember hospitals. Other special hospitals include obstetrics and gynecology; eye, ear, nose, and throat; rehabilitation; orthopedic; and other individually described specialty services. Community hospitals include academic medical centers or other teaching hospitals if they are nonfederal short-term hospitals. Excluded are hospitals not accessible by the general public, such as prison hospitals or college infirmaries.
Inpatient knee replacement rehab: To investigate inpatient rehabilitation rates after private total knee replacements TKRs in Australia since ; to quantify the contributions of hospital- surgeon- and patient-related factors to predicting inpatient rehabilitation.
Retrospective cohort study; multivariate linear regression analysis of linked, de-identified Medibank administrative claims data and hospital casemix protocol data, adjusted for patient-related characteristics.
Hospital inpatient rehabilitation rate; relative contributions of patient- and provider-related characteristics to variation in inpatient rehabilitation rates. Patient-related characteristics explained little of the variation in rates between hospitals.
Inpatient rehabilitation after TKR has increased in private health care during the past 8 years. Substantial variation in inpatient rehabilitation rates is not explained by patient-related factors, suggesting that some inpatient rehabilitation is low value care.
Interhospital variation in rates persisted after adjusting for patient-related factors, suggesting that some inpatient rehabilitation is low value care. Provider-related factors were three times as important as patient factors for predicting inpatient rehabilitation.
The rate of total knee replacement TKR in Australia is among the highest in the world. The Australasian Rehabilitation Outcomes Centre https: As an alternative approach, Duckett and colleagues 11 have promoted analysis of variation for similar patients at the hospital level; variation at this level that persists after adjusting for patient factors may indicate low value care.
Our study had three aims. The first was to investigate changes since in the rate of inpatient rehabilitation after TKR in Australia, and to quantify the degree to which any change might be explained by patient-related factors demography, comorbid conditions, complications of surgery or reducing the average acute length of stay in hospital LOS.
The second was to identify potentially low value care by quantifying hospital inpatient rehabilitation rates, adjusted for patient characteristics. Third, we quantified the relative contributions of hospital- and surgeon-related factors and of patient-related characteristics to variation in inpatient rehabilitation rates.
Methods Dataset We analysed de-identified Medibank administrative claims data and hospital casemix protocol data for 35 patients aged 40—89 years who had not previously undergone hip or knee replacement, who had received an acute primary, unilateral TKR during January — December Patient information included age, sex, socio-economic status Index of Relative Socio-economic Advantage and Disadvantage, IRSAD 12living alone, smoking, comorbid conditions as evaluated with the Charlson comorbidity index 13and hospital claims during the 12 months preceding surgery.
LOS data for the acute TKR procedure and the associated inpatient rehabilitation admission were also included. Provider information included unique identifiers for each of the hospitals in which the surgery was performed and the surgeons who performed the TKRs further details in the online Appendixtable 1.
All patient- surgeon- and hospital-related data were de-identified prior to analysis.
Statistical analysis All analyses were conducted in Stata Five linear probability regression models were generated Box 1 ; online Appendixtable 2. The proportion of patients who underwent inpatient rehabilitation was the dependent variable in all models.
Data were adjusted for patient and surgical complexity using the socio-demographic and surgical factors listed above. All adjusted rates were computed relative to the covariate means with the margins, atmeans Stata command. Funnel plots of the outcome rate hospital inpatient rehabilitation rate against the sample volume or population hospital TKR volume highlighted variation between hospitals in inpatient rehabilitation rates.
Two sets of hospital data were included in each funnel plot. The first set depicted the inpatient rehabilitation rate and TKR volume for each hospital during the study period. As the rate would be higher for hospitals that received relatively large proportions of patients more likely to require inpatient rehabilitation eg, older patients; people with comorbid conditionswe also plotted hospital rates adjusted for patient-related factors by econometric modelling; that is, the estimated rate for each hospital had they received an average mix of patient types.
At higher TKR volumes, it is less likely that variations are due to chance.On the basis of end use, the rehabilitation devices market is segmented into hospitals & clinics, rehab centers, home care settings, and physiotherapy centers.
Hospitals accounted for the largest share of nearly % in HealthSouth Corp (HLS) SWOT Analysis Profile HealthSouth Corporation, founded in , provides inpatient rehabilitation services in the United States and Puerto Rico. Headquartered in Birmingham, Alabama, HealthSouth Corporation operates plus inpatient rehabilitation hospitals, long-term acute care hospitals, outpatient .
Inpatient Rehabilitation Hospitals Select Medical's highly regarded rehabilitation hospitals provide comprehensive physical medicine, as well as rehabilitation programs and services that optimize patient health, function and quality of life.
with polio, Roosevelt Warm Springs Rehabilitation and Specialty Hospitals has expanded its mission to serve as a comprehensive rehabilitation center dedicated to service, technological advancement, program diversity and continuing education on behalf of persons with disabilities.
A SWOT analysis is useful for hospitals, medical groups, and individuals in private practice—it helps focus your marketing in areas that harbor the strongest benefits. Here are a few ideas to maximize the value and generate effective strategies from this exercise.
The American Hospital Association conducts an annual survey of hospitals in the United States. The data below, published in , are a sample from the AHA Annual Survey (FY ).
edition. The definitive source for aggregate hospital data and trend analysis, AHA Hospital Statistics includes current and historical data on.