Rehabilitation, Mental Health and Chronic Pain



Director: Professor John Olver


Services​

 

Epworth HealthCare is recognised as a leading provider of rehabilitation in Australia. In 2015 there were more than 5,500 patients admitted for rehabilitation following various impairments or surgical procedures. Rehabilitation is delivered by a multidisciplinary team of clinicians who cooperatively participate in the care of patients, developing individualised programs and setting recovery goals. The primary aim of our rehabilitation programs is to return individuals to the highest possible level of function to maximise quality of life.

 

Activity


​        ​FY2014             FY2015

Services Admissions
Bed days
Admissions Bed days

Pain management 396 507 657 1,121
Psychiatry 1,039 4,091 2,712 9,692
Rehabilitation 5,436
75,816
5,530
77,704

Conditions treated include:

  • Acquired brain injury
  • Amputation and limb loss
  • Amyotrophic lateral sclerosis (ALS)
  • Cardiac events
  • Cauda equina syndrome
  • Cerebral palsy
  • Cerebral tumour
  • Chronic pain
  • Chronic fatigue
  • Cognitive and memory Issues
  • Fibromyalgia
  • Guillain barre syndrome
  • Hip pain
  • Hypoxic brain damage
  • Insomnia
  • Joint replacement
  • Knee arthritis
  • Knee ligament injuries Multiple Sclerosis
  • Multiple Sclerosis
  • Muscular dystrophy
  • Myopathy
  • Neurogenic bladder
  • Neurogenic bowel
  • Narcolepsy
  • Paraplegia
  • Parkinsons Disease
  • Patellofemoral pain syndrome
  • Peripheral nerve problems
  • Periodic limb movement disorder
  • Plantar fasciitis
  • Post polio syndrome
  • Running injuries
  • Sleep disorders
  • Spasticity
  • Spinal cord injuries and disorders
  • Spinal stenosis
  • Spondylolysis / spondylolisthesis
  • Shoulder injuries
  • Stress fractures
  • Stroke
  • Torticollis 
  • Traumatic brain injury


Highlights


The Epworth Monash Rehabilitation Medicine Unit (EMReM) is designated as the medical research arm of Epworth Rehabilitation. Led by Medical Director of Rehabilitation (Professor John Olver), this unit is focussed on conducting innovative research on outcomes following injuries requiring rehabilitation (namely traumatic brain injury, stroke or orthopaedic injury). Research includes: monitoring the long-term outcomes of patients post stroke or measuring the nature of sleep of patients in the acute stages following traumatic brain injury. Such research assists the rehabilitation sector to provide quality care based on high quality evidence with an overall aim to improve patient’s outcomes and return them to pre-injury levels of function. EMReM also regularly audits primary indicators of rehabilitation outcome (including length of stay and functional status). This allows Epworth HealthCare to monitor and improve our standard of care in line with benchmark averages.


Our performance

Functional Independence Measure

 

Functional status represents a patient's ability to perform activities of daily living. This is calculated using the Functional Independence Measure (FIM), a standardised scale which incorporates various aspects of physical and mental function including mobility, stair-climbing, self care, eating, transfers, memory and social interaction.

To evaluate patient outcomes we compare FIM change (the difference in a patient’s functional ability from admission to discharge) against similar private hospitals (our benchmark) and national averages (including both public and private hospitals). These outcomes can fluctuate depending on patient demographics and injury characteristics such as age, severity of injury and impairment type. Benchmarking is provided by the Australasian Rehabilitation Outcomes Centre (AROC).


Please note: All the following graphs are based on the latest AROC data.

 

Brain injury


 

Higher numbers mean better functional outcomes for patients. On average, for patients with brain injury impairment, Epworth provides better outcomes than the national benchmarks.


Orthopaedic replacements


 

Higher numbers mean better functional outcomes for patients. On average, for patients with orthopaedic replacements, Epworth provides better outcomes than the national benchmarks.


Cardiac


 

Higher numbers mean better functional outcomes for patients. On average, for patients with cardiac conditions, Epworth provides better outcomes than the national benchmarks.


Pain


 

Higher numbers mean better functional outcomes for patients. On average, for patients with pain conditions, Epworth provides better outcomes than the national benchmarks.


Stroke


 

Higher numbers mean better functional outcomes for patients. On average, for patients with stroke conditions, Epworth provides better outcomes than the national benchmarks.



Length of stay


We also measure the rehabilitation length of patient stay and compare these to benchmarks provided by Australasian Rehabilitation Outcomes Centre (AROC).​

 

Lower numbers indicate a shorter length of stay. This is more beneficial for the patient, allowing them to continue their recovery in the comfort of their own home. Epworth Rehabilitation may provide ongoing support and care, as needed.

 
 

Combined stroke

 

 
Lower numbers mean shorter length of stay whilst maintaining increased functional outcome. For all patient groups, Epworth provides patients with better outcomes than the national benchmarks.

Brain injury (trauma)




Lower numbers mean shorter length of stay whilst maintaining increased functional outcome. For all patient groups, Epworth provides patients with better outcomes than the national benchmarks.


Orthopaedic replacements


 

Lower numbers mean shorter length of stay whilst maintaining increased functional outcome. For all patient groups, Epworth provides patients with better outcomes than the national benchmarks.


Pain




Lower numbers mean shorter length of stay whilst maintaining increased functional outcome. For all patient groups, Epworth provides patients with better outcomes than the national benchmarks.



Cardiac




Lower numbers mean shorter length of stay whilst maintaining increased functional outcome. For all patient groups, Epworth provides patients with better outcomes than the national benchmarks.


Queries

If you have any queries regarding the data on this page, please email ClinicalProfile@epworth.org.au



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