Comprehensive Integrated Inpatient Rehabilitation Program (CIIRP)
Comprehensive Integrated Inpatient Rehabilitation Program (CIIRP) provides comprehensive therapy to maximize functional independence, enhance quality of life, and assist Veterans to return to societal roles.
PROGRAM DESCRIPTION
Based on the individual medical and rehabilitation assessment/needs of the person served, both pre-admission and during admission, services provided on CIIRP include an interdisciplinary team led by a board-certified Physical Medicine and Rehabilitation Physician.
Inpatient rehabilitative services are available for eligible Veterans 17 years of age or older who are medically stable and require 24-hour rehabilitation nursing care. Clients treated on the CIIRP floor may have any of the following impairments: stroke, other neurological disorders, limb amputations, arthritis, other orthopedic conditions, and other disabling impairments.
Staff members of the CIIRP team include dedicated specialists in the following areas: Physical Therapy, Occupational Therapy, Speech Language Pathology, Aquatic Therapy including Underwater Treadmill Training, Recreation Therapy, Vocational Rehabilitation, Neuropsychology, Optometry, Audiology, Vision Rehabilitation, Driver Training and Evaluation, Rehabilitation Psychology, Social Work/Case Management Services, Nursing Clinical Care Coordinators, Rehabilitation Nursing, and Registered Dieticians. Personnel in each area have achieved specialized education and certification in their specific discipline.
Intensity and frequency of services provided are based on the individual needs of the patient. Typically, Physical Therapy and Occupational Therapy is provided for a minimum of one hour five times per week. The remainder of services are delivered on an as needed basis, depending on individualized patient assessment and patient goals.
Education of the person served, and family/support system takes place throughout the patient’s stay, individualized to the person’s needs and medical conditions. On site access to comprehensive medical and surgical services is available. Discharge planning begins from the time of admission and is targeted to patient and family/support system goals.
Average number of hours of therapy typically received in CIIRP
Patients receive 1-2 hours of physical therapy on weekdays, which may include physical therapy on the Rehab-3-unit, Aquatic therapy, or Neurology Gait and Balance physical therapy.
Patients receive a minimum of one hour of occupational therapy on weekdays.
Entry, Exit, and Transition Criteria for CIIRP
Admission Criteria for CIIRP:
Clients may be admitted to the CIIRP for any of the following reasons:
(1) Physical impairments limiting functional activity.
(2) Functional impairments requiring assistance in mobility, activities of daily living, cognition, use of adaptive equipment, application of safety techniques, or energy conservation.
(3) Medical complications resulting in regression of functional status (physical, cognitive, psychosocial).
(4) Limited or no previous access to a full range of comprehensive rehabilitation services specific to rehabilitation impairment or disability.
(5) Undetermined potential for functional gain from participation in comprehensive, inpatient rehabilitation.
(6) Clients must be medically stable, non-ventilator dependent, require 24-hour rehabilitation nursing care and be able to be managed safely on the Inpatient Rehabilitation Unit.
(7) Clients must have the potential to participate in and benefit from a Comprehensive Interdisciplinary Program offering a minimum of 2-3 hours of rehabilitation therapy per day or have the potential to benefit from a comprehensive rehabilitation evaluation with outcome recommend
Discharge/Transition Criteria from CIIRP:
a. When the patient has met his/her established treatment goals or reached a plateau in functional status.
b. When the patient is not able to participate physically, emotionally, or cognitively in rehabilitation and requires placement.
c. When the patient is unwilling or refuses participation in rehabilitation.
d. When the patient is medically or surgically unstable and requires an admission to Medica-Surgical units or ICU.
PATIENT SATISFACTION DURING FISCAL YEAR 2022 (October 2021-September 2022)
PATIENT SATISFACTION DURING FISCAL YEAR 2022 (October 2021-September 2022)
(Calculated using MedTel data, obtained 3 months after discharge)
The following scores are calculated based on agreement with the following statements:
4 very satisfied, 3 somewhat satisfied, 2 somewhat dissatisfied, 1 very dissatisfied.
| Measured Response | Stroke | Orthopedic | Amputation Lower Limb | ||||
|---|---|---|---|---|---|---|---|
| Measured Response | “Average satisfaction” | Stroke | 3.9 | Orthopedic | 3.9 | Amputation Lower Limb | 4 |
| Measured Response | “The rehabilitation program prepared me for going home” | Stroke | 3.6 | Orthopedic | 3.6 | Amputation Lower Limb | 3.5 |
| Measured Response | “The rehabilitation program improved my quality of life | Stroke | 3.6 | Orthopedic | 3.6 | Amputation Lower Limb | 3.7 |
CIIRP OUTCOMES DURING FISCAL YEAR 2022 (October 2021-September 2022)
CIIRP OUTCOMES DURING FISCAL YEAR 2021 (October 2021-September 2022)
(Calculated using Uniform Data System Statistics data)
| Measured Response | Stroke | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | Amputation Lower Limb | ||||
|---|---|---|---|---|---|---|---|
| Measured Response | Number of Persons Served | Stroke | 26 | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | 36 THA 86 TKA | Amputation Lower Limb | 25 |
| Measured Response | Average Age in years | Stroke | 61 | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | 70 THA 64 TKA | Amputation Lower Limb | 64 |
| Measured Response | Male | Stroke | 85% | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | 89% THA 90% TKA | Amputation Lower Limb | 92% |
| Measured Response | Female | Stroke | 15% | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | 11% THA 10% TKA | Amputation Lower Limb | 8% |
| Measured Response | Average onset days to admission | Stroke | 51 | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | 3 THA 3 TKA | Amputation Lower Limb | 58 |
| Measured Response | Average length of stay in days | Stroke | 47 | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | 10 THA 11 TKA | Amputation Lower Limb | 19 |
| Measured Response | Average number of treatment hours per day | Stroke | 3-4 hours per day | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | Amputation Lower Limb | ||
| Measured Response | Number of unplanned transfers to acute care | Stroke | 0 | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | 2 | Amputation Lower Limb | 2 |
| Measured Response | Percentage of patients discharged to the community | Stroke | 92% | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | 96% THA 100% TKA | Amputation Lower Limb | 96% |
| Measured Response | FIM (Functional Independence Measure) Change (indicating improved functional status) | Stroke | 25.5 | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | 18.6 (THA) 16.8 (TKA) | Amputation Lower Limb | 18.6 |
| Measured Response | FIM Efficiency (Functional Independence Measure) = FIM change/Length of Stay | Stroke | 0.7 | Orthopedic (Total joint replacement – hip (THA) and knee (TKA)) | 2.07 (THA) 1.72 (TKA) | Amputation Lower Limb | 1.03 |
| Additional information regarding persons served is available upon request. |
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Comprehensive Integrated Inpatient Rehabilitation Program (CIIRP)
813-972-2000, ext. 6149
Location: Building 38, Polytrauma, 3rd Floor