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Physical Medicine and Rehabilitation Annual Report 2012

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Physical Medicine and Rehabilitation Annual Report 2012 Physical Medicine and Rehabilitation Annual Report 2012 Genesis Health System exists to provide compassionate, quality health service to all those in need. Table of Contents Introduction 3 Inpatients Served 4 Inpatient Program Discharge Data 5 Day Rehabilitation 6 Brain Injury Program-Inpatient 7 Earning Recognition for Brain Injury Programs 8 Brain Injury Program-Outpatient 9 Constraint Induced Movement Therapy 10 Spinal Cord System of Care - Inpatient 11 Spinal Cord System of Care - Outpatient 12 Professional Development Program 13 GOPEDS-Pediatric Program 14 Outpatient Service Locations 15 Power Sports Performance 16 Medical Services 17 New Program - Concussion Management 18 New Program - Wheelchair Clinic 19 Awards/Certifications 20 2 Introduction The Genesis Physical Medicine and Rehabilitation Service Line continues to offer the largest and most complete inpatient rehabilitation program in the State of Iowa. The only CARF accredited Outpatient Brain Injury Program and Spinal Cord System of Care Program is offered at Genesis. In addition, the Inpatient Brain Injury Program is one of only two CARF accredited programs in the State to offer services to adult, adolescent and pediatric patients who have experienced a brain injury. During FY 2012, referrals to the inpatient program increased by nearly seven percent with the majority of the increase coming from outside referral sources such as the University of Iowa. Our Outpatient Pediatric Program, “Go Peds”, saw a 32% increase as compared to the previous year. These continued increases year after year, attest to the fact that the Genesis physical medicine and rehabilitation programs are highly valued. Reflecting back on FY 2012 we see many improvements to our programs. Following is a list of key accomplishments. • The establishment of the Genesis Day Rehabilitation Program which was designed to allow patients to leave the hospital sooner but still receive a full complement of therapy services, as well as access to a certified rehabilitation registered nurse and a physician, who is specialized in physical medicine and rehabilitation, known as a physiatrist. • Development and expansion of a wheelchair clinic to include Iowa and Illinois sites. Introduction • The addition of a fifth physiatrist, Dr. Joseph Brooks, allowing for expanded physician clinic services. • Development and implementation of a concussion management program geared toward brain injury prevention in the young athlete. • Implementation of a Professional Development Program for clinical rehabilitation therapists as a means to recognize and reward direct care providers for expert knowledge and skill. • Implementation of Constraint Induced Movement Therapy (CIMT) aimed to improve function of a person’s weaker limb after experiencing a stroke, brain injury, or similar illness. • Addition of new equipment such as the Solo Step and Vital Stim used to aid the recovery of functional loss following a catastrophic illness or injury. A special honor bestowed on the Genesis Physical Medicine and Rehabilitation Program in 2012 was being recognized as the “Organization of the Year” by the Brain Injury Association of Iowa. The Genesis program was recognized specifically for ‘its physicians, nursing staff, therapists and other team members for providing compassionate and technically excellent care’. While the Genesis inpatient rehabilitation program remains relatively stable amid reimbursement changes, the outpatient programs continue to expand in both size and service. We are Conway Chin, DO Janet M. King proud of our talented and dedicated physicians and staff. Our Medical Director MBA RN CRRN, mission remains to provide compassionate, quality services that will Director maximize independence and facilitate the achievement of individual goals of all those in need of physical medicine and rehabilitation serv - ices. This would not be possible without the continued support of the Genesis Administrative Team and the Genesis Health System Board. 3 2012 Illinois Iowa Carroll 1 Adams 1 Hancock 1 Cedar 13 Henderson 1 Clinton 34 Henry 7 Delaware 1 Lee 2 Des Moines 3 Mercer 5 Inpatients Jackson 10 Rock Island 44 Served Johnson 3 Whiteside 21 2012 Jones 1 Lee 1 Louisa 3 Other States Muscatine 39 Kansas 1 Polk 1 Ohio 1 Scott 346 Oklahoma 1 Warren 1 Texas 1 Washington 1 Total 544 4 Inpatient Discharge Data 2012 Characteristics of Patients Average age 67 Gender Male 55% Female 45% Satisfaction of Services Provided Satisfied to Very Satisfied 97% Average Hours of Therapy per Day (5 of 7 days) 3+ hours Average Length of Stay 15.7 days Achieving Predicted Outcomes Goal Attainment 83% Goals Achieved/Goals Written 1279/1543 Returned to Productive Activity 84% Percentage of Patients Discharged to the Community as Compared to National Programs Genesis Medical Center National* Stroke 68% 68% Brain Injury 65% 71% Spinal Cord Injury 63% 72% Orthopedic 80% 80% Neurological 74% 75% General Rehab/Medical 69% 74% Returned to Acute Care Unit 12% 10% Number of Pediatric Patients Served 8 *Data from eRehab Data. A product of the American Medical Rehabilitation Providers Association 5 Day Rehabilitation Program The first in Iowa Gary Castel almost died twice after he had a The program That’s when Gary began to make some stroke last May. He survived huge odds, only progress, she says, and a home health to face a new and frustrating fight in his The Day Rehabilitation Program at Genesis fills therapist told her about the opening of the recovery. a much-needed gap between inpatient and new Genesis Day Rehabilitation Program. He needed intensive physical rehabilitation, traditional outpatient rehabilitation services. “Gary has made excellent gains,” Bode but insurance would not cover his stay at an Located in a newly renovated area on the West says. “When he came here, he wasn’t walking inpatient rehabilitation unit. He had already Campus hospital’s second floor, the program at all with a walker. Currently, he’s using a left spent two months in a North Dakota hospital has a sunlit open gym area, exam rooms for platform rolling walker and progressing to a after suffering a hemorrhagic stroke last May nursing and physician care, a kitchen to learn quad cane. The goal is for him to be able to while working on the railroad. activities of daily living and a courtyard for walk in his home with just the assistance of his “I wanted him in Genesis Rehab because I outdoor therapy. wife. had always heard such wonderful things,” says “The program is for people who can live at Bode adds, “Mary has been a great his wife, Mary Castel. “But when we finally flew home but still need the intensive therapies of advocate for him. Another aspect of the Day him home in late summer, insurance denied more than one discipline and also require Rehabilitation Program is to train and educate our request for inpatient rehabilitation.” nursing care and the oversight of a physician,” the family with skills that they can carry over Her 58-year-old husband, who couldn’t says physical therapist Susan Bode, who helps at home. Mary is very eager to learn and to walk, talk or eat on his own, was deemed lead the program. encourage him to do as much as he can.” “bedridden” -- a label that seemed defeating “Patients tend to be happier if they can for the once strong and independent man she stay at home, and their rehabilitation process QC Times had married. She had faith he would no longer tends to go better. Plus, there’s a substantial December 16, 2011 be bedridden, if only he had therapy. cost-savings to the hospital and payers.” “I believed in Gary. My family believed in Patients with neurological diagnoses, such him. It felt like the rest of the world had given as brain injury, stroke, spinal cord injury, tumor up on him,” Mary says. resections and multiple sclerosis, comprise The solution came in November with the about 57 percent of the patients served by opening of the new Day Rehabilitation Genesis Physical Medicine and Rehabilitation. Program at Genesis Medical Center, West These are the same patients best served by Central Park, in Davenport. day rehabilitation programs. The program, the first in Iowa and the only Once patients like Gary no longer need this one in the Quad Cities region, serves as a intensity of rehabilitation services, they will bridge for patients who no longer require transition to a traditional outpatient clinic. hospitalization but still need intensive, regular “We call it ‘Going to Class,’” Mary Castel rehabilitation after a serious illness or injury. says of her husband’s trips to day rehabilitation. Patients continue the necessary level of ther - “Now, Gary has a future. Instead of wasting apy during the day, and then return home at away in bed, he’s up and moving. He’s going night and to daily life. places. He’s getting the intensive treatment he The program would fit Gary Castel’s needs. would have had with the inpatient program, And best of all, insurance would cover it. but he gets to go home at night. Thanks to his therapies and the nursing care he receives, we A transformation can also accomplish more while he’s at home.” Gary, who is tired but optimistic after three In just several weeks at the Genesis Day hours of intense therapy, agrees: “I like the Rehabilitation Program, Gary has undergone program. It will help me get back on my feet.” a dramatic transformation after months of “wasting away in bed,” his wife says. Renewed hope For three hours a day, several days a week, he receives physical therapy, occupational With emotion, Mary Castel describes the utter therapy, speech therapy and therapeutic hopelessness she felt when her husband recreation, in addition to nursing care and the returned to Davenport after two months in oversight of a physician who specializes in the North Dakota hospital. With no other physical medicine and rehabilitation.
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