Case Study: Johns Hopkins Medicine
Background
Headquartered in Baltimore, Johns Hopkins Medicine is home to six academic and community hospitals, four suburban health care and surgery centers, over 40 patient care locations, a home care group and an international division, and offers an array of health care services. 1
Problem
Physical Medicine and Rehabilitation and Neurology leaders at Johns Hopkins Hospital were concerned with the inpatient rehabilitation consultation process, specifically overutilization for those patients with no impairment in activity or mobility, with consequent diminished acute inpatient rehabilitation treatment frequency for those with greatest need. The goal of this multidisciplinary quality improvement initiative was to better direct rehabilitation resources for neurology inpatients.2