Neurological Institute Outcomes

The medical acuity of patients admitted to CCRH remained high in 2022. In acute inpatient rehabilitation, case mix group (CMG) is an indication of the complexity of an individual patient and is determined by primary diagnosis, comorbidities, age, and functional assessment upon admission. A rehabilitation hospital’s case mix index (CMI) is the cumulative measure determined by its patients’ individual CMGs. The higher the CMI, the more complex the patient population. CCRH’s overall CMI remained relatively stable in 2022 at 1.58, compared with 1.56 in 2021.

The number of patients discharged from CCRH in 2022 was stable at 4093, compared to 4021 the year prior. Fewer patients in CCRH were admitted with general medical or surgical diagnoses (765 compared to 868), perhaps due to a decline in patients with COVID-19 or other severe respiratory illnesses. Otherwise, mild increases were seen across other major diagnostic groups. Inpatient rehabilitation facilities play an important role in helping patients transition to the community by ensuring that patients suffering from the consequences of any function-limiting disease or injury receive necessary physical rehabilitation.

The Centers for Medicare and Medicaid require the completion and reporting of standardized functional assessment scores for all post-acute care settings using Form GG of the Continuity Assessment Record and Evaluation (CARE). At Cleveland Clinic Rehabilitation Hospitals, patients make steady improvements in both mobility and self-care across all major diagnostic groups.