Collage Rehab’s philosophy and approach drive clinical outcomes and long-term cost reductions – two things that we believe go hand in hand.


The Mayo-Portland Ability Index

The Mayo-Portland Ability Index (MPAI-4) is the cornerstone of our outcome measurement system because of its focus on function rather than impairment. The MPAI has a total of 29 items assigned to 3 subscales: Abilities (e.g., mobility, communication, memory, problem solving, etc.), Adjustment (e.g., anxiety, depression, anger, pain, awareness, etc.), and Participation (e.g., individual’s ability to care for themselves, to participate socially, work, manage leisure time, manage money, initiate activities, etc.). Each item measures how much that impairment is impacting their everyday functioning that drives the rating. A Total Score is also calculated by combining all 29 items.

For those clients in our intensive Neurorehabilitation and Neurobehavioral programs, the goal is to demonstrate progress, reflected by a decrease in scores (the higher the score, the greater the impairment). A decrease in T-score on the three subscales and/or the Total Score means improvement which ultimately means cost savings.  Our T-scores results show that on average the people we serve, while often having suffered complex and severe injuries, upon discharge show marked improvement.

We know that early, intensive rehabilitation with individualized therapy, greater focus on independence, while building life skills yield a successful outcome and considerable cost savings over the life of the claim.

For individuals served in our Supported Living programs our goal is to create a meaningful life while maintaining medical, cognitive and behavioral stability. The health and wellness of our Supported Living clients is closely monitored through:

  • early intervention protocols (including pulmonary vests, hydration flushes and antibiotic initiation with concurrent culture and sensitivities) mitigate likelihood of hospitalization*
  • wellness programs (e.g., healthy eating, smoking cessation, exercise, etc.) that keep our clients healthy and engaged in maintaining their health so that they can remain active
  • vocational/avocational and meaningful leisure activities that keep our clients engaged in life and serve to help them maintain or improve their level of cognitive functioning and mood


Vocational Outcomes

Return to work is a common goal among the people we serve and our teams embrace this challenge. Once a client is ready to begin the process of community re-entry, vocational planning becomes critical.  Return to work is complex and success is correlated with a number of things including severity of injury, pre-injury employment type, age of worker, behavioral and cognitive barriers, family and community support, and available employment opportunities.  Successful return to work relies on an individual’s ability to utilize strategies, work independently, follow nonverbal cues, as well as, motor control and ambulation, and self-awareness related to deficits, abilities, job selection and performance.  It also relies on the availability of a rehabilitation team with expertise in return to work for individuals with brain injury.



Our Quality Management Team monitors satisfaction of the people we serve, their families and funders through a variety of surveys that are implemented at certain points during and individual’s treatment. Surveys include questions with a 1 to 5 point rating scale as well as open ended questions which provide us with detailed information, suggestions and testimonials about the treatment we provide.