For select patient populations, particularly patients with stroke and hip fractures, studies suggest that the more intensive rehabilitation provided in inpatient rehabilitation facilities (IRFs) lead to better outcomes than in other settings.[1]

Additional research highlights that IRFs treat patients with more severe medical and functional profiles on admission.[2] One study concluded that patients with a stroke whose post-acute care trajectory included IRF achieved greater functional gains in mobility, daily activity and applied cognition than those who received treatment in a SNF.

According to a recent scientific statement and guidelines from the American Heart Association/American Stroke Association, “whenever possible stroke patients [should] be treated at an in-patient rehabilitation hospital.”[3]  The association recognizes the unique clinical value of IRFs for patients who require hospital-level care and intensive rehabilitation after an illness, injury or surgery, and the intensive, multidisciplinary treatment that only inpatient rehabilitation hospitals provide.

Value in Partnerships

Kindred Healthcare engages in joint venture (JV) arrangements with some of the nation’s leading health systems, such as UC Davis, UW Health, University Hospitals in Cleveland, Dignity Health, and Mercy Health Network, in order to drive efficiencies and clinical integration in inpatient rehabilitation hospitals. These partnerships continue to produce strong quality performance with optimal clinical outcomes and strong patient engagement.

As demonstrated below, Kindred JV IRFs treat more clinically complex patients that have a lower functional independence measure than national competitors. Despite a sicker patient profile, Kindred’s expertise delivers clinical outcomes that outperform national benchmarks in key areas including gains in functional independence measures (FIMs), greater patient discharge to their home or community and significantly fewer rehospitalizations.  With greater length of stay efficiencies (shorter stays) and better patient improvement, Kindred is able to create more Medicare savings than its competitors.

IRF Clinical Indicators (1H 2018): Kindred vs. UDS Nation

IRF Clinical Indicators (1H 2018): Kindred vs. UDS Nation

Clinical Indicators   Kindred JV IRFs  UDS Nation  Variance % Variance 
Case Mix Index  1.42  1.34  0.08  6.0%
Qualifying Comorbid Condition  63.3%  57.9%  5.4%  9.3%
Admission FIM Score   54.5  55.5  (1.0)  (1.8%)
FIM Gain  36.5  32.7  3.8  11.6%
LOS Efficiency  3.42  2.81  0.61  21.7%
Discharge to Community  79.3%  75.4%  3.9%  5.2%
Discharge to SNF  11.0%  13.9%  (2.9%) (20.9%) 
Transfer To Acute Care  9.7%  10.6% (0.9%)   (8.5%)
IRF Clinical Indicators (1H 2018): Kindred vs. UDS Nation 

Additionally, Kindred’s JV IRF partnerships have been recognized among the highest quality, most patient-centered rehabilitation hospitals in the Country. In 2017, 13 of our 19 JV IRFs were ranked in the top 20 percentile of all IRFs nationwide. 

The freestanding IRFs developed through these JV relationships bring significant job creation to local communities.

For more information about KHRS and how we can partner with your hospital to help drive even better quality performance, contact us today.

*Uniform Data Set for Medical Rehabilitation: A national leader in medical rehabilitation outcomes with a repository of data for more than 80% of all IRF users in the United States.

[1] Buntin et al. Medicare Spending and Outcomes after Post-Acute Care for Stroke and Hip Fracture. Med Care. 2010.

[2] DeJong G et al. Joint replacement rehabilitation outcomes on discharge from skilled nursing facilities and inpatient rehabilitation facilities. Arch Phys Med Rehabil

[3] AHA/ASA Newsroom, “In-patient rehab recommended over nursing homes for stroke rehab” (News Release, May 4, 2016).
By Kindred Hospital Rehabilitation Services