METHODOLOGY

→ America’s “Best Physical Rehabilitation Centers 2020” highlights the nation’s top physical rehabilitation facilities based on quality of care, quality of service, quality of follow-up care and accommodation & amenities relative to in-state competition. Facilities in the 20 states with the highest number of physical rehabilitation centers, according to the Centers for Medicare & Medicaid Services (CMS), were included in the survey.

• Inpatient physical rehabilitation centers are included. Centers that only offer outpatient physical rehabilitation services were excluded. The physical rehabilitation centers were identified according to the definition of Inpatient Rehabilitation Facilities (IRF) by the CMS. IRFS are free-standing rehabilitation hospitals and rehabilitation units in acute care hospitals. They provide an intensive rehabilitation program and patients who are admitted must be able to tolerate three hours of intense rehabilitation services per day. CMS collects patient assessment data only on Medicare Part A fee-forservice patients.

• The Top 15% of facilities per state were awarded (140 nationwide). This number is based on the amount of facilities within the specific state that meet the aforementioned scope of requirements, and therefore varies among the individual states.* The state of Texas had the most physical rehabilitation centers awarded with 21, while Colorado is represented with four physical rehabilitation centers.

In cooperation with Newsweek, Statista invited thousands of medical experts (physicians, therapists, medical doctors, administration & staff working in physical rehabilitation facilities) to an online survey.

Additionally, experts from all over the U.S. were able to participate in the survey of the Best Physical Rehabilitation Centers by State on newsweek.com. It was mandatory to perform an email verification and self-recommendation was not possible (e.g. a recommendation of the physical rehabilitation centers someone worked for was not counted in the evaluation).

Participants were asked to name up to five of the best physical rehabilitation centers in their respective home state. They were asked to recommend physical rehabilitation facilities by considering the quality of care, quality of service, quality of follow-up care and accomodations & amenities.

Additionally, participants were asked to rate the facilities in four quality dimensions which influence the quality of rehabilitation facilities. Participants were asked to differentiate between these variables:

• Quality of care (e.g. treatments/ therapies, consultation with doctor/therapist)

• Quality of service (e.g. meals, leisure activites)

• Quality of follow-up care

(e.g. outpatient therapies)

• Accommodation & Amenities (e.g. size of room, quality of furnishing)

The U.S. Centers for Medicare & Medicaid Services (CMS) provides KPI data for physical rehabilitation centers. The KPIS related to the quality of treatment and medical conditions are reported by CMS as risk-standardized measures, allowing for a comparison of facilities, even if the patient groups are varying in terms of comorbidities, demographics, etc.

The overall rating is the weighted average of the reputation score and the KPI data score. The weight for the reputation score is 50% and the CMS based KPI data score is weighted equally with 50% toward the total score of each facility. Subsequently facilities were ranked within their respective state based on their total score achieved.

For the full description of the methodology, go to www.newsweek.com/bprc-2020. *For states where ranking the top 15% of facilities would result in fewer than four facilities, the top four facilities were awarded, resulting in a maximum share of 19% per state.