2 Message from Administration The Rehabilitation Unit at Meritus Medical Center has enjoyed the use of great new equipment, a wonderful new space and opportunities to revise and renew our programs. The rehabilitation team members have used all the new spaces to their patients advantage to assist in their recovery and emotional well-being. We continue to use a holistic approach to the care of our patients and focus on the patient and family goals to achieve improved chances to return to as independent a level as is possible. Our staff of experienced healthcare professionals are experts at helping people return to their lives after trauma, injury or illness. Our comprehensive programs of physicians, nursing and therapy address the unique needs of our patients. We hope you will find this report useful as it demonstrates our commitment to help patients with a variety of diagnoses regain strength, build new skills and achieve their highest potential. Khrysti L. Davis, PT Program Manager Total Rehab Care Meritus Medical Center
3 Meritus Health s Total Rehab Care With two locations, Meritus Health s Total Rehab Care is the largest comprehensive rehabilitation center in the region. At Meritus Medical Center, we are located on the third floor rehabilitation unit. We also have an outpatient facility at Robinwood Professional Center, suite 201. We work as a team with our medical director, nursing staff, therapists, social workers and program managers to offer the finest rehabilitative services in the tri-state region by providing cutting edge treatment in a comfortable and caring environment. Total Rehab Care offers a full range of rehabilitation programs, including comprehensive adult inpatient rehabilitation, outpatient pediatric and adult services, traumatic brain injury rehab and our nationally recognized inpatient joint replacement program. As the area s premier provider of inpatient rehabilitation services, Total Rehab Care inpatient rehabilitation unit is certified to meet national rehabilitation standards as set forth by the Commission on Accreditation of Rehabilitation Facilities (CARF). Data for Fiscal Year 2014 Annual Report Meritus Health s Total Rehab Care continually measures patient experience, quality, and safety outcomes to ensure we are providing the best service and care. Outcomes for inpatients are measured by reports generated from Uniform Data System for Medical Rehabilitation, which compares our facility to national outcomes. With this data, we are able to focus our efforts as needed in order to provide excellent patient care to our community. In 2014, the Total Rehab Care s inpatient rehabilitation unit welcomed 542 patients. The average age of patients was 70, ranging in age from 16 to 100. There were an equal amount of men and women. Whether patients arrive to us from Meritus Medical Center or other facilities, they tend to come in sooner than across the nation, arriving within five days of their hospitalization, compared to eleven days. Patients come to our rehabilitation facility requiring various levels of physical and/or cognitive assistance. Generally speaking, patients improve one to two functional levels while here. For example, from a lot of help to walk, to little/no help to walk with a walker or device.
4 Inpatient Rehabilitation Inpatient Rehabilitation Services provides highly specialized care for patients recovering from a wide range of injuries and diagnoses, including but not limited to orthopedic conditions, stroke, deconditioning, multiple trauma, amputation, and recovery after surgery. Inpatient Rehabilitation Services offers a team approach to treatment to personalize and customize care. Our goal is to help each patient regain optimum function so that they can lead independent and fulfilling lives. A specialized schedule of daily care is created for each patient and includes individualized and group therapy sessions, nursing treatment time to complete patient teaching, social work services for a coordinated discharge process and time for rest periods, if needed to build up endurance. Each patient receives a minimum of three hours of rehabilitation therapy five days per week. Unique to the rehabilitation standard of care is the opportunity for the patients and/or family to test out their skills in the Activities of Daily Living Apartment on the hospital campus.
5 Who We Serve Total Rehab Care provides care to patients with many diagnoses, with most of our patients recovering from orthopedic conditions, stroke and medically complex conditions. Percentage of Patients by Diagnosis Number of Days by Diagnosis While the average number of days on the rehabilitation unit is eight, some patients may have shorter or longer stays depending on their progress. National Averages Orthopedic: 11 days Stroke: 11 days Medical Complex: 12 days Debility: 12 days Brain Injury: 14 days Neurological: 13 days Pain: 10 days Cardiac: 11 days Multiple Trauma: 16 days Spinal Cord: 17 days Amputee: 13 days
6 Discharge Setting More than 80% of our patients return to the community, compared to 77% across the nation. Some patients require additional hospitalization for medical care and other patients transition to other levels of care for continued rehabilitation services.
7 Focus on Top Diagnoses While the range of rehabilitation needs varies from person to person, this information is a summary of the patient s we welcomed in 2014 with the top three diagnoses. Orthopedic Conditions (examples: bone fractures, joint replacements) Days of hospitalization prior to arrival Average stay Discharge home Discharge to Long-term care Return to hospital Self-Care at Discharge Walking at Discharge 5 days 7 days 83% 8% 8% Supervision A little help with a walker Stroke Days of hospitalization prior to arrival Average stay Discharge home Discharge to Long-term care Return to hospital Self-Care at Discharge Walking at Discharge Communication Thinking skills 4 days 11 days 72% 17% 10% A little help A little help Supervision Supervision Medically Complex (examples: Infection, Pneumonia, Surgery) Days of hospitalization prior to arrival Average stay Discharge home Discharge to Long-term care Return to hospital Self-Care at Discharge Walking at Discharge Communication Thinking skills 9 days 7 days 84% 4% 12% Supervision A little help Almost Independent Almost Independent
8 Patient Experience Feedback and Follow-Up Preparing for going home after a rehabilitation stay is crucial to ensure patients feel safe and are ready for discharge. Feedback from patients and families relate that Total Rehab Care s staff is in the nation s top 10 percent for preparing patients to return home. How often did staff talk to me about help I would need after leaving the hospital? 98% 91% Total Rehab Care 2014 Nation s Top 10% Once home, patients are continuing to improve and are returning to activities that they value. During follow-up phone calls three months after leaving, 95% of patients responding say that they are leaving the house on a regular basis for community involved activities, and they continued to improve once they returned home.
9 Community and Professional Outreach Brain Injury Community Outreach Council This council is made up of individuals with brain injuries, family members and professionals who work in brain injury. The purpose is to promote public awareness, increase prevention efforts and improve services and supports for those living with brain injury. Internship Program Meritus Health s Total Rehab Care is committed to professional growth and development of students and provides internship affiliations for physical therapy, occupational therapy, speech therapy, social work and nursing students. Student affiliations vary from observation rotations to hands-on rotations, lasting up to six months for some university professional degree programs. Internship programs are preparing students for associates, bachelors, masters, and doctorate degrees. Most of Total Rehab Care s students are from the following schools: Allegheny College of Maryland, Loyola University, Penn State University, Shenandoah University, Shepherd University, Towson University, University of Maryland and West Virginia University. Community Volunteers The staff of Total Rehab Care live and work in the same areas where our patients do. As community members, they offer their time as volunteers to the organizations that support living in the tri-state area. Volunteer areas include: American Heart Association Walk Celebrate Recovery an addictions recovery group Church groups Athletic league coaches Juvenile Diabetes Walk March for Babies Reach cold weather shelter School parent volunteers Therapeutic Riding Center Volunteer Fire Department
10 Accessibility Committee Fiscal Year 2014 Report The Accessibility Committee meets monthly and is made up of 12 Meritus staff members, 1 Meritus volunteer, and 1 external member. The committee works toward the removal of barriers that impact the person served. A barrier to accessibility can be defined as anything that prevents a person with a disability from fully taking part in society because of that disability. During fiscal year 2014, the committee focused on: Architectural accessibility issues with bathrooms and registration areas in the lobby and Same-Day Surgery area Way-finding throughout Robinwood and Meritus Medical Center Improvement plans to be more pro-active with Accessibility issues to avoid costly re-work. Action Plans / Actions Completed Community member on the committee worked with other committee members to assess the accessibility issues for the following areas: Bathrooms off the Meritus Medical Center main lobby Bathrooms located outside the dining room -1st floor Meritus Medical Center Bathrooms located by the Patient Advocate office in The Link Registration offices in Meritus Medical Center lobby Registration area in Same Day Surgery Automatic door openers were installed in each of the 6 bathrooms listed above Cost proposals to re-configure the same-day surgery registration desk to make it wheelchair accessible, and to build-out a Family Restroom off of the lobby were secured and submitted for Budget Fiscal Year Submitted a Fiscal Year 2015 budget proposal for: Accessibility training for designated Meritus Medical Center staff. The trainings would be conducted using the 2010 Americans with Disabilities Act Standards and the Maryland Accessibility Code. This training would expand staff s knowledge about accessibility such that those staff would be vigilant about accessibility issues and requirements. This would reduce the need for re-work and promote the safest and most accommodating access to our customers that is financially feasible.
11 Accessibility Committee Fiscal Year 2014 Report The committee worked with the Robinwood Condo Association and Meritus Corporate Communications department extensively on ways to improve way-finding on the Robinwood campus. These efforts were minimally successful as we were unable to reach consensus with condo management. The committee recommended that additional wheelchairs were needed for the various Robinwood entrances. These were purchased by Healthmed to increase the availability of wheelchairs. TDD machines were secured and placed at the front entrance to Meritus Medical Center and at the entrance to the Emergency Department. The committee started planning for the First Disability Awareness Fair to be held at Meritus Medical Center in October 2014 to increase awareness of disability services available in Washington County. A shelter (hut) was placed to the left of the front entrance to Meritus Medical Center to provide shelter from the weather for people using the County Commuter. The bus schedule, in English and Spanish, is posted in the hut for easy access.
12 MeritusHealth.com/rehab Meritus Medical Center Medical Campus Road Hagerstown, Maryland MeritusHealth.com
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