Valerie MacDonald RN BSN MSN ONC Janet McMullan, RN, BScN, MN Rhona McGlasson PT MBA

Size: px
Start display at page:

Download "Valerie MacDonald RN BSN MSN ONC Janet McMullan, RN, BScN, MN Rhona McGlasson PT MBA"

Transcription

1 Valerie MacDonald RN BSN MSN ONC Janet McMullan, RN, BScN, MN Rhona McGlasson PT MBA

2 Bone and Joint Decade: : countries Key strategies: Raise awareness of growing burden of MSK disorders Empower patients to participate in own care Promote cost-effective prevention and treatment Advance research to improve prevention and treatment 2

3 Significance of Problem ~ 30,000 Canadians hospitalized each year for hip fractures: Most are over 65 years - 502/100,000 seniors Significant mortality (18-36% within 1 year), co-morbidity and loss of independence (CIHI Health Indicators Report, 2007; Wiktorowicz et al., 2001)) 3

4 Cost to healthcare system: $27,000/patient/per year Long acute care stays (19 to 24 days) Long term care (LTC) cost $44K vs $21K (CIHI Health Indicators Report, 2007; Wiktorowicz et al., 2001)) 4

5 National Hip Fracture Video Conference (December 2010): Towards a National Hip Fracture Model of Care and Toolkit: Bringing Partners/Stakeholders Together ½ day video conference 9 Expert Speakers in aspects of Hip Fracture Care from across Canada 49 sites across Canada Funded CIHR Musculoskeletal Health & Arthritis (MHA) Planning and Dissemination Grant $10,000 5

6 National Hip Fracture Strategy Phases I, II and III (2011): Identify leaders across the continuum to summarize evidence. Develop Knowledge Translation Network in each province Leaders review/revise content with Network. Funded Canadian Orthopaedic Care Strategy Group (COCSG) $45,000 6

7 Dr. Jim Wasdell Orthopaedic Surgery Dr. Lauren Beaupre- Rehabilitiation Valerie Zellemeyer Preop/OR Dr. Nick Lo Anaesthesiology Valerie MacDonald Immediate postop Dr. Joanie Sims Gould Care Transitions Janet McMullen geriatric focus Osteoporosis Canada Rhona McGlasson- Bone & Joint Canada 7

8 National Model of Care for Hip Fracture PATIENT /FAMILY SELF CARE Hip Fracture HOME With Follow-up 10% Non Weight Bearing 5% Often >28 days post op COMMUNITY Home/ Retirement Setting Independent Living SURGERY Pre-op Medical Stability Hip Fracture Fixation for wt. bearing IMMEDIATE CARE Acute care Post Op Medical Stabilization Early mobilization FUNCTIONAL RECOVERY Inpatient active rehabilitation: Acute /sub-acute care Inpatient Rehab Geriatric program Other COMMUNITY Home/Retirement setting with follow-up care: Homecare Outpatient Long term care LONG TERM CARE <48 Hours 0-5 days post op 5-28 days post op 75% Pts return to pre living LONG TERM CARE 20% Slow Stream Rehab 15% Often >28 days post op Adapted from BJHN 2008, Mahomed et al., 2008; McGilton et al., 2009; BOA, 2007; SIGN, 2002 PREVENTION, DETECTION AND MANAGEMENT OF RISK PREVENTION OF FUTURE FRACTURE - OSTEOPOROSIS, FALLS MANAGEMENT 8

9 National Hip Fracture Strategy Multiple interdisciplinary Teleconferences. Consensus on Core Model of Care; Synthesis of Toolkit Funded Canadian Orthopaedic Care Strategy Group (COCSG) $45,000 9

10

11 Phase IV ( ): Two National Meetings Implementation of best practice initiative in 10 provinces Final report for submission April 2013 Funded Health Canada $1,800 for ; $7,200 for & MHA Planning and Dissemination Grant $19,000 11

12 Released June 2011 Best practice Evidence based Consensus where evidence not available Focus Discharge Home Covers the continuum of care Pre operative (ED) Surgery Post operative Functional recovery (rehabilitation) 12

13 Timely OR is a moral and financial imperative. LOS, complications and mortality increase after 24 hours. Hommel, 2011

14 Age related changes Co-morbid conditions Coping strategies Care Supports Environment

15 Staff need to be both geriatric & orthopaedic surgery experts. Adverse events postop are foreseeable & often preventable. Proactive focus to prevent, detect & manage risks/problems is essential. Optimize function & build family care giver capacity for timely return home. Apply care transitions model start in ER.

16

17 Often medically unstable in the first 72 hrs postop. Geriatric ortho medical coverage & nurses with high acuity skills best suited to meet care needs. Adequate nutrition, frequent mobility & toileting, starting Day 0 or 1, are essential for rapid recovery. Interdisciplinary rehab focus & care assist staffing for workload.

18 PATIENT Optimal function, minimize adverse events, timely return home Prepared Proactive Practice Team Data tracked & reported to team Geri ortho proactive focus Decision supports Staffing Model Care Transitions

19

Functional recovery of hip fracture patients

Functional recovery of hip fracture patients Functional recovery of hip fracture patients Lauren Beaupre July 7, 2011 ABSTRACT Hip fractures are common in the older population and are associated with loss of independence as well as high morbidity

More information

Project Plan to Rehabilitation Service

Project Plan to Rehabilitation Service Project Plan to Rehabilitation Service Connecting and Collaborating in the Continuity of Care in Rehabilitation Presented By: Arlene Whitehead, May 31, 2011 Rehabilitation Collaborative Overview OUTLINE

More information

TOTAL JOINT REPLACEMENT GUIDELINE IMPLEMENTATION

TOTAL JOINT REPLACEMENT GUIDELINE IMPLEMENTATION 1 Communique 1: TOTAL JOINT REPLACEMENT GUIDELINE IMPLEMENTATION Toronto Central LHIN MSK/Stroke Implementation Group COMMUNIQUE 1: TOTAL JOINT REPLACEMENT GUIDELINE IMPLEMENTATION 1 IN DECEMBER 2012,

More information

Total Joint Arthroplasty Patient Education:What Should Be Taught and When? Conflict of Interest. Objectives

Total Joint Arthroplasty Patient Education:What Should Be Taught and When? Conflict of Interest. Objectives Total Joint Arthroplasty Patient Education:What Should Be Taught and When? Jack Davis, MSN, RN, ONC Manager, Patient Education Programs Hospital for Special Surgery Conflict of Interest No financial affiliation

More information

The fall and fall of the femoral empire

The fall and fall of the femoral empire The fall and fall of the femoral empire A/Prof Lyn MARCH Victorian Quality Council Sustainability Symposium Melbourne, 2007 Institute of Bone and Joint Research, University of Sydney Dept of Rheumatology,

More information

Quality Improvement Project Enhanced Recovery and Rehabilitation for Fracture Neck of Femur

Quality Improvement Project Enhanced Recovery and Rehabilitation for Fracture Neck of Femur Quality Improvement Project Enhanced Recovery and Rehabilitation for Fracture Neck of Femur Borders General Hospital Implementing Enhanced Recovery in Process Outcomes Food for thought Orthopaedics Summarise

More information

Complex Continuing Care Restorative Care (Combined Functional Enhancement and Restorative Care Programs)

Complex Continuing Care Restorative Care (Combined Functional Enhancement and Restorative Care Programs) Complex Continuing Care Restorative Care (Combined Functional Enhancement and Restorative Care Programs) Description: The Restorative Care program provides a moderate to low intensity goal-oriented rehabilitation

More information

Transitions in Care, Community & Residential Care

Transitions in Care, Community & Residential Care September 29, 2015 Transitions in Care, Community & Residential Care Dr. Marilyn Macdonald Professor, Associate Director, Graduate Programs TVN Theme Lead School of Nursing Dalhousie University Overview

More information

Fiona D Costa-Box, RN, BA(Hons),BScN, MScN Orthopaedic Case Manager Cabrini Malvern Hospital

Fiona D Costa-Box, RN, BA(Hons),BScN, MScN Orthopaedic Case Manager Cabrini Malvern Hospital My patient is Non Weight Bearing. Discharge planning issues and concerns with respect to the Non Weight Bearing Orthopaedic Patient: An Orthopaedic Case Manager s Perspective Fiona D Costa-Box, RN, BA(Hons),BScN,

More information

Evolving New Practices in Hip & Knee Arthroplasty: It Takes A Team! CCHSE National Healthcare Leadership Conference June 11-12, 2007 Toronto

Evolving New Practices in Hip & Knee Arthroplasty: It Takes A Team! CCHSE National Healthcare Leadership Conference June 11-12, 2007 Toronto Evolving New Practices in Hip & Knee Arthroplasty: It Takes A Team! CCHSE National Healthcare Leadership Conference June 11-12, 2007 Toronto Focus of Presentation Toronto Central LHIN is developing a new

More information

Best Practice Recommendations for Inpatient Stroke Care: Rationale and Evidence for Integrated Stroke Units in North Simcoe Muskoka LHIN

Best Practice Recommendations for Inpatient Stroke Care: Rationale and Evidence for Integrated Stroke Units in North Simcoe Muskoka LHIN Best Practice Recommendations for Inpatient Stroke Care: Rationale and Evidence for Integrated Stroke Units in North Simcoe Muskoka LHIN Physician Education Session May 24, 2013 Dr. Mark Bayley,, Cheryl

More information

Stroke Rehabilitation

Stroke Rehabilitation Stroke Rehabilitation Robert Teasell MD FRCPC Professor and Chair-Chief Dept Physical Medicine and Rehabilitation Schulich School of Medicine University of Western Ontario Lawson Health Research Institute

More information

BEYOND ACUTE CARE: NEXT STEPS IN UNDERSTANDING ALC DAYS

BEYOND ACUTE CARE: NEXT STEPS IN UNDERSTANDING ALC DAYS BEYOND ACUTE CARE: NEXT STEPS IN UNDERSTANDING ALC DAYS MARCH 19, 2008 1.0 EXECUTIVE SUMMARY In its continued efforts to improve the delivery of and access to rehabilitation services, the GTA Rehab Network

More information

Communiqué 2: STROKE GUIDELINE IMPLEMENTATION. Toronto Central LHIN MSK/Stroke Implementation Group COMMUNIQUÉ 2: STROKE GUIDELINE IMPLEMENTATION 1

Communiqué 2: STROKE GUIDELINE IMPLEMENTATION. Toronto Central LHIN MSK/Stroke Implementation Group COMMUNIQUÉ 2: STROKE GUIDELINE IMPLEMENTATION 1 2 Communiqué 2: STROKE GUIDELINE IMPLEMENTATION Toronto Central LHIN MSK/Stroke Implementation Group COMMUNIQUÉ 2: STROKE GUIDELINE IMPLEMENTATION 1 IN DECEMBER 2012, THE TORONTO CENTRAL LHIN (TCLHIN)

More information

AGS REHABILITATION/ POST-HOSPITAL CARE OF THE GERIATRIC FRACTURE PATIENT. Egan Allen, MD University of Rochester

AGS REHABILITATION/ POST-HOSPITAL CARE OF THE GERIATRIC FRACTURE PATIENT. Egan Allen, MD University of Rochester AGS REHABILITATION/ POST-HOSPITAL CARE OF THE GERIATRIC FRACTURE PATIENT Egan Allen, MD University of Rochester THE AMERICAN GERIATRICS SOCIETY Geriatrics Health Professionals. Leading change. Improving

More information

Enhanced recovery programme after TKA through multi-disciplinary collaboration

Enhanced recovery programme after TKA through multi-disciplinary collaboration Enhanced recovery programme after TKA through multi-disciplinary collaboration ChanPK(1), ChiuKY(1), FungYK(6), YeungSS(7), NgT(8), ChanMT(5), LamR(4), WongNY(3), ChoiYY(3), ChanCW(2), NgFY(1), YanCH(1)

More information

Stakeholder s Report. 2525 SW 75 th Ave Miami, Florida 33155 305.262.6800 www.westgablesrehabhospital.com

Stakeholder s Report. 2525 SW 75 th Ave Miami, Florida 33155 305.262.6800 www.westgablesrehabhospital.com 212 Stakeholder s Report 2525 SW 75 th Ave Miami, Florida 33155 35.262.68 www.westgablesrehabhospital.com PROFILE REPORT For more than 25 years, West Gables Rehabilitation Hospital has made a mission of

More information

Stroke Rehab Across the Continuum of Care in Quinte Region

Stroke Rehab Across the Continuum of Care in Quinte Region Stroke Rehab Across the Continuum of Care in Quinte Region Adrienne Bell Smith Manager of Rehab Therapies QHC Karen Brown Manger Client Services, Hospital Access South East CCAC Disclosure of Potential

More information

Rehabilitation. Care

Rehabilitation. Care Rehabilitation Care Bruyère Continuing Care is the champion of well-being for aging Canadians and those requiring Continuing Care, helping them to become and remain as healthy and independent as possible

More information

Rehab Realities. Sharing the Scoop on Alternative Rehabilitation Services with Nicholas Nilest, Dustin McArthur and Jacque Roberts

Rehab Realities. Sharing the Scoop on Alternative Rehabilitation Services with Nicholas Nilest, Dustin McArthur and Jacque Roberts Rehab Realities Sharing the Scoop on Alternative Rehabilitation Services with Nicholas Nilest, Dustin McArthur and Jacque Roberts [Jody Joseph Marmel] Due to a vast array of medical conditions, rehabilitation

More information

Maximizing Post-Acute Value by Leveraging the Physician's Role Susan Quirk, MBA, president, Susan Douglass and Associates, Colorado Springs, Colo.

Maximizing Post-Acute Value by Leveraging the Physician's Role Susan Quirk, MBA, president, Susan Douglass and Associates, Colorado Springs, Colo. Maximizing Post-Acute Value by Leveraging the Physician's Role Susan Quirk, MBA, president, Susan Douglass and Associates, Colorado Springs, Colo.; and Mike Soisson, senior vice president, Vibra Healthcare,

More information

Contemporary Orthopedic Care: The O.R. Through Rehabilitation

Contemporary Orthopedic Care: The O.R. Through Rehabilitation Session Descriptions and Objectives: The Impact of Orthopaedic Care, Michael West, CPA, MBA, CEO, Rothman Institute This session will provide an overview of the Health Care Reform. Conference participants

More information

A Registered Nurses Place in Affordable Healthcare Barbara Mayer, RN, PhD Director of Nursing Quality Stanford Health Care Stanford, California

A Registered Nurses Place in Affordable Healthcare Barbara Mayer, RN, PhD Director of Nursing Quality Stanford Health Care Stanford, California A Registered Nurses Place in Affordable Healthcare Barbara Mayer, RN, PhD Director of Nursing Quality Stanford Health Care Stanford, California People in Health Care January 29, 2015 San Diego, California

More information

How many RCTs in Stroke Rehab?

How many RCTs in Stroke Rehab? Evidence Based Stroke Rehabilitation: Maximizing Recovery and Improving Outcomes Robert Teasell MD FRCPC Professor and Chair Chief Physical Medicine & Rehabilitation St. Joseph s Health Care London University

More information

Orthopedic NPs Exploring Specialty Care Career & Education Opportunities. Jackson Orthopaedic Foundation www.jacksonortho.org

Orthopedic NPs Exploring Specialty Care Career & Education Opportunities. Jackson Orthopaedic Foundation www.jacksonortho.org Orthopedic NPs Exploring Specialty Care Career & Education Opportunities Jackson Orthopaedic Foundation A.J. Benham, DNP & Kathleen Geier, DNP Jackson Orthopaedic Foundation 3317 Elm Street, Suit 201 Oakland,

More information

Fall 2013. A progress report on improving rehabilitative care in Waterloo Wellington

Fall 2013. A progress report on improving rehabilitative care in Waterloo Wellington Fall 2013 A progress report on improving rehabilitative care in Waterloo Wellington The Waterloo Wellington Rehabilitative Care Council Improving rehabilitative care in Waterloo Wellington, fall 2013,

More information

Inpatient Rehab Referral Guidelines

Inpatient Rehab Referral Guidelines Inpatient Rehab Referral Guidelines Table of Contents Introduction.. 3 Inpatient Rehab Referral Guidelines - Quick Reference Guide. 4 Inpatient Rehab Referral Guidelines: Determining if a patient is a

More information

GENERAL ADMISSION CRITERIA INPATIENT REHABILITATION PROGRAMS

GENERAL ADMISSION CRITERIA INPATIENT REHABILITATION PROGRAMS Originator: Case Management Original Date: 9/94 Review/Revision: 6/96, 2/98, 1/01, 4/02, 8/04, 3/06, 03/10, 3/11, 3/13 Stakeholders: Case Management, Medical Staff, Nursing, Inpatient Therapy GENERAL ADMISSION

More information

THE IMPACT OF MOVING TO STROKE REHABILITATION BEST PRACTICES IN ONTARIO FINAL REPORT

THE IMPACT OF MOVING TO STROKE REHABILITATION BEST PRACTICES IN ONTARIO FINAL REPORT THE IMPACT OF MOVING TO STROKE REHABILITATION BEST PRACTICES IN ONTARIO FINAL REPORT Matthew Meyer, Christina O Callaghan, Linda Kelloway, Ruth Hall, Robert Teasell, Samantha Meyer, Laura Allen, Erik Leci;

More information

CURRENT AND FUTURE TRENDS IN POST ACUTE CARE The Value and Role of Acute Inpatient Rehab

CURRENT AND FUTURE TRENDS IN POST ACUTE CARE The Value and Role of Acute Inpatient Rehab CURRENT AND FUTURE TRENDS IN POST ACUTE CARE The Value and Role of Acute Inpatient Rehab Robert S. Djergaian, M.D. Medical Director Banner Good Samaritan Rehabilitation Institute Stewardship Profitability

More information

Adult CCRN/CCRN E/CCRN K Certification Review Course: Integumentary and Musculoskeletal

Adult CCRN/CCRN E/CCRN K Certification Review Course: Integumentary and Musculoskeletal Adult CCRN/CCRN E/CCRN K Certification Review Course: Integumentary and Musculoskeletal Carol Rauen RN BC, MS, PCCN, CCRN, CEN Integumentary IV infiltration Pressure ulcers Wounds Infectious Surgical Trauma

More information

Central LHIN Health Service Needs Assessment and Gap Analysis: Appendix O: Analysis on Hospital Rehab Services. November, 2008

Central LHIN Health Service Needs Assessment and Gap Analysis: Appendix O: Analysis on Hospital Rehab Services. November, 2008 Central LHIN Health Service Needs Assessment and Gap Analysis: Appendix O: Analysis on Hospital Rehab Services November, 2008 Canadian Hospital Rehab Statistics and Highlights Nationally, the vast majority

More information

Comparison of Discharge Functional Status Rehabilitation: Hip Fracture Repair. Trudy Mallinson, PhD, OTR/L

Comparison of Discharge Functional Status Rehabilitation: Hip Fracture Repair. Trudy Mallinson, PhD, OTR/L Comparison of Discharge Functional Status Rehabilitation: Hip Fracture Repair Trudy Mallinson, PhD, OTR/L Acknowledgements Co-authors Anne Deutsch, PhD, CRRN Jillian Bateman, OTD, OTR/L Hsiang-Yi Tseng,

More information

Integrated Comprehensive Care Bundled Care

Integrated Comprehensive Care Bundled Care Integrated Comprehensive Care Bundled Care Health Council of Canada National Symposium on Integrated Care Oct 10, 2012 C. Gosse, K. Ciavarella St. Joseph s Health System SJHS is one of Canada s largest

More information

Behaviour Management: Partnering To Bridge The Continuum. Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP.

Behaviour Management: Partnering To Bridge The Continuum. Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP. Behaviour Management: Partnering To Bridge The Continuum Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP Objectives Review some of the behaviours exhibited by patients with

More information

Health Systems in Transition: Toward Integration

Health Systems in Transition: Toward Integration Leading knowledge exchange on home and community care Health Systems in Transition: Toward Integration A. Paul Williams, PhD. Full Professor & CRNCC Co-Director, University of Toronto El Instituto Nacional

More information

Your Life Called. It Wants You Back.

Your Life Called. It Wants You Back. Your Life Called. It Wants You Back. Duke Raleigh Orthopaedic and Spine Center Duke Raleigh Orthopaedic and Spine Center A quick trip to the grocery store. A walk to the mailbox. A hug from a grandchild.

More information

Sam Berman Dr. Kim Ferguson Samantha Dalby NP

Sam Berman Dr. Kim Ferguson Samantha Dalby NP Sam Berman Dr. Kim Ferguson Samantha Dalby NP CE LHIN Total population = 1,463,801 Estimated Family Physician shortage of 55 110 Unattached patient estimate of 86,000 Purpose was to provide unattached

More information

Canadian Best Practice Recommendations for Stroke Care. (Updated 2008) An Introduction

Canadian Best Practice Recommendations for Stroke Care. (Updated 2008) An Introduction Canadian Best Practice Recommendations for Stroke Care (Updated 2008) An Introduction Today s Discussion Overview of the Canadian Stroke Strategy Overview of the Canadian Best Practice Recommendations

More information

Patient Experience Data and Patient Reported Outcome Measures in Canada

Patient Experience Data and Patient Reported Outcome Measures in Canada Patient Experience Data and Patient Reported Outcome Measures in Canada Current state and future plans OECD HCQI Expert Meeting 7-8 th of November, 2013 Jeanie Lacroix Canadian Institute for Health Information

More information

Dedicated Stroke Interprofessional Rehab Team. Mixed Rehab Unit. Dedicated Rehab Unit

Dedicated Stroke Interprofessional Rehab Team. Mixed Rehab Unit. Dedicated Rehab Unit Outpatient & Community I n p a t I e n t Stroke Rehab Definition Framework Institutional Setting Inpatient Rehab in Acute Care or Rehab Hospitals* Acute Care Integrated Specialized Units Transitional Care

More information

High Rehospitalization Rates: Evaluation and Impact

High Rehospitalization Rates: Evaluation and Impact High Rehospitalization Rates: Evaluation and Impact May 29, 2009 Denise Remus, PhD, RN Chief Quality Officer, BayCare Health System BayCare Health System BayCare is the largest full-service, community-based

More information

ISSUED BY: TITLE: ISSUED BY: TITLE: President

ISSUED BY: TITLE: ISSUED BY: TITLE: President CLINICAL PRACTICE GUIDELINE PROFESSIONAL PRACTICE TITLE: Stroke Care Rehabilitation Unit DATE OF ISSUE: 2005, 05 PAGE 1 OF 7 NUMBER: CPG 20-3 SUPERCEDES: New ISSUED BY: TITLE: Chief of Medical Staff ISSUED

More information

Prevention of Falls and Fall Injuries in the Older Adult: A Pocket Guide

Prevention of Falls and Fall Injuries in the Older Adult: A Pocket Guide INTERNATIONAL AFFAIRS & BEST PRACTICE GUIDELINES Prevention of Falls and Fall Injuries in the Older Adult: A Pocket Guide 2 Introduction to the Pocket Guide This pocket guide resource has been summarized

More information

Case Management Department

Case Management Department Hospital for Special Surgery Case Management Department Will Strive Through Careful Planning And Coordination to Ensure the Highest Quality Patient Services Utilizing Appropiate Resources to Maximize Patient

More information

Redesigning Care for the BPCI Initiative

Redesigning Care for the BPCI Initiative Redesigning Care for the BPCI Initiative September 26, 2012 Before Care Redesign Patient responsible for coordinating: Joint Replacement Class Complete Lengthy Paperwork Pre- op testing Physical Therapy

More information

Medical Necessity & Charting Guidelines

Medical Necessity & Charting Guidelines Medical Necessity & Charting Guidelines 1 In most cases we are told the rules up front - or will be told if we ask Like most games, the one who knows the rules the best WINS 4 2 Nationally Recognized Industry

More information

Elim Park Health Care Center. Clinical Excellence and Quality Report

Elim Park Health Care Center. Clinical Excellence and Quality Report 2014 Elim Park Health Care Center Clinical Excellence and Quality Report Welcome to Elim Park Health Care Center s 2014 Clinical Excellence and Quality Report. We have been providing patient focused quality

More information

Comprehensive Cardiac Care Program

Comprehensive Cardiac Care Program PrograM Comprehensive Cardiac Care Program Empowering you to strengthen your heart. Trust In Our Care. Trust in Our Care The Comprehensive Cardiac Care Program is physician directed and focused on assisting

More information

Advanced Practice Nursing in

Advanced Practice Nursing in Advanced Practice Nursing in Singapore Clinical i l Outcomes Tan Siok Bee RN, BHSc(N), CCNC, MN, APN, DipHT, CH What is an Outcome? That which h represents the goal of all treatments: t t to make the patient

More information

Rehabilitation Following Major Trauma in the North West

Rehabilitation Following Major Trauma in the North West Rehabilitation Following Major Trauma in the North West Acute / early rehabilitation Community based rehabilitation, including vocational aspects Acute / Early Rehabilitation Following Major Trauma Dr

More information

Alternatives to Hospital: Models of Integrated Care

Alternatives to Hospital: Models of Integrated Care Alternatives to Hospital: Models of Integrated Care Tom Bowen The Balance of Care Group www.balanceofcare.com IMA Health 2007, London, UK 2 April 2007 Projects taking whole systems approach Sheffield Designed

More information

Alberta Hip Fracture Restorative Care Pathway

Alberta Hip Fracture Restorative Care Pathway Alberta Hip Restorative Care Pathway Purpose: to provide hip fracture patients with safe, evidence informed care, including an emphasis on achieving an optimal level of function, good quality of life,

More information

Patient s Handbook. Provincial Rehabilitation Unit ONE ISLAND HEALTH SYSTEM ONE ISLAND FUTURE 11HPE41-30364

Patient s Handbook. Provincial Rehabilitation Unit ONE ISLAND HEALTH SYSTEM ONE ISLAND FUTURE 11HPE41-30364 Patient s Handbook Provincial Rehabilitation Unit ONE ISLAND FUTURE ONE ISLAND HEALTH SYSTEM 11HPE41-30364 REHABILITATION EQUIPMENT USED ON UNIT 7 During a patient s stay on Unit 7, various pieces of

More information

Outpatient Rehab Process Maps for Total Knee and Total Hip Replacements

Outpatient Rehab Process Maps for Total Knee and Total Hip Replacements Outpatient Rehab Process Maps for Total Knee and Total Hip Replacements Separate process maps for Total Knee and Total Hip Replacements have been developed to schematically describe the processes that

More information

Importance of Integrating Stroke Rehabilitation Across the Continuum of Care

Importance of Integrating Stroke Rehabilitation Across the Continuum of Care Importance of Integrating Stroke Rehabilitation Across the Continuum of Care Dori Tooke, MHA, PT, CSCS Manager-Inpatient Rehab Program St. Luke s Medical Center Milwaukee, WI Disclosure Nothing to disclose

More information

Orthopaedic trends in major osteoporotic fractures. Suthorn Bavonratanavech M.D. President AO Foundation

Orthopaedic trends in major osteoporotic fractures. Suthorn Bavonratanavech M.D. President AO Foundation Orthopaedic trends in major osteoporotic fractures Suthorn Bavonratanavech M.D. President AO Foundation Outlines of this presentation What s about the outcome of patient? What re consequence from bone

More information

Stroke Rehabilitation Intensity Frequently Asked Questions

Stroke Rehabilitation Intensity Frequently Asked Questions Stroke Rehabilitation Intensity Frequently Asked Questions 1) What is the provincial definition of Rehabilitation Intensity? Rehabilitation Intensity 1 is: The amount of time the patient spends in individual,

More information

Aaisha Ghauri Savvas Amber Curry

Aaisha Ghauri Savvas Amber Curry The CATCH Program Aaisha Ghauri Savvas, Manager, Complex Continuing Care & Outpatient Rehab Services Amber Curry, Manager, Inpatient Surgery, ACU, Pre- Admit & Fracture clinic Copyright RVHS 2012 1 Objectives

More information

General Practitioner

General Practitioner Palliative Care/End of Life Related Fees Service Type Fee code When to use General Practitioner Palliative Care Planning 14063 Once a patient living in the community (own or family home or assisted living;

More information

Long-Term Acute Care Hospitals

Long-Term Acute Care Hospitals Long-Term Acute Care Hospitals What are they? What services do they offer? Presented by: Maxi Adams MBA, BSN, RN LTACH STACH LTACH = Long-Term Acute Care Hospital STACH = Short-Term Acute Care Hospital

More information

Transitioning to a System of Rehabilitative Care in Waterloo Wellington

Transitioning to a System of Rehabilitative Care in Waterloo Wellington Transitioning to a System of Rehabilitative Care in Waterloo Wellington Presented to the WWLHIN Board of Directors January 31, 2013 Item 20.0 Agenda Stroke and Rehabilitative Care System Initiatives..

More information

What do these stories illustrate about ER/ALC issue?

What do these stories illustrate about ER/ALC issue? What do these stories illustrate about ER/ALC issue? Maximizing the Impact of Rehab on Provincial Priority Issues Mark Bayley, MD, FRCPC Medical Director, Neuro Rehabilitation Program, Toronto Rehab and

More information

What to know if Medicare denies coverage

What to know if Medicare denies coverage What to know if Medicare denies coverage What Medicare covers Necessary post-hospital extended care for up to 100 days Extended care: nursing care and rehab provided to a Medicare beneficiary who is an

More information

Connect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM

Connect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM Connect4 Patients CCCM Primary Care Community Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM September 17, 2015 Objectives: Describe innovative care management

More information

Vertebral Fragility Fracture

Vertebral Fragility Fracture CLINICAL PATHWAY Musculoskeletal Health Vertebral Fragility Fracture Vertebral Fragility Fracture Table of Contents (tap to jump to page) INTRODUCTION 1 Key Points of the Vertebral Fragility Fracture Pathway

More information

Timing it Right to Support Families as they Transition

Timing it Right to Support Families as they Transition Timing it Right to Support Families as they Transition Jill Cameron, PhD Canadian Institutes of Health Research New Investigator Assistant Professor Adjunct Scientist, Toronto Rehabilitation Institute

More information

How to Build a Case Management System that Leads to Success

How to Build a Case Management System that Leads to Success How to Build a Case Management System that Leads to Success PRESENTED BY SHARON M. LITWIN, RN, BS, MHA, HCS D SENIOR MANAGING PARTNER, 5 STAR CONSULTANTS AND SHERYL BELLINGER, MA, BSN, RN, CHCA, ADMINISTRATOR,

More information

THE REHAB PAG SUMMARY TEMPLATES AND MODEL

THE REHAB PAG SUMMARY TEMPLATES AND MODEL THE REHAB PAG SUMMARY TEMPLATES AND MODEL July 6, 2009 Lynn Corbey Bettyann DeRonde Dr. David Harvey Jennifer Kodis Kathryn Leatherland Dr Rick McMillan Chuck McRae Wendy Robb Jane Rufrano Kanwal Shankardass

More information

Hospice Care in The Nursing Home. Perspectives of a Medical Director Carole Baraldi, M.D.

Hospice Care in The Nursing Home. Perspectives of a Medical Director Carole Baraldi, M.D. Hospice Care in The Nursing Home Perspectives of a Medical Director Carole Baraldi, M.D. Evolution of Nursing Facilities Alms houses began over 1000 years ago Historically serve older people who can no

More information

HEALTH CARE COSTS 11

HEALTH CARE COSTS 11 2 Health Care Costs Chronic health problems account for a substantial part of health care costs. Annually, three diseases, cardiovascular disease (including stroke), cancer, and diabetes, make up about

More information

Current State Review of Outpatient Rehabilitation Services in Ontario 2

Current State Review of Outpatient Rehabilitation Services in Ontario 2 Current State Review of Outpatient Rehabilitation Services Available at Ontario Acute and Rehabilitation Hospitals and Recommendations to Optimize the System October 2011 Contents Executive Summary...

More information

Navigation and Cancer Rehabilitation

Navigation and Cancer Rehabilitation Navigation and Cancer Rehabilitation Messina Corder, RN, BSN, MBA Manager, MWHC Regional Cancer Center Regina Kenner, RN Cancer Navigator, MWHC Regional Cancer Center Cancer Action Coalition of Virginia

More information

SAM KARAS ACUTE REHABILITATION CENTER

SAM KARAS ACUTE REHABILITATION CENTER SAM KARAS ACUTE REHABILITATION CENTER 1 MEDICAL CARE Sam Karas Acute Rehabilitation The Sam Karas Acute Rehabilitation Center is a comprehensive and interdisciplinary inpatient unit. Medical care is directed

More information

in LOVE with LIFE CaroMont Health s Path to Accountable Care: A Pathway to Health

in LOVE with LIFE CaroMont Health s Path to Accountable Care: A Pathway to Health CaroMont Health s Path to Accountable Care: A Pathway to Health Betty Herbert, Director Managed Care May 17, 2011 CaroMont Health System Gaston Memorial Hospital, with 435 beds Courtland Terrace, a 96-bed

More information

Priority Projects Active - On The Go Integrated Health Service Plan (IHSP) Action Items

Priority Projects Active - On The Go Integrated Health Service Plan (IHSP) Action Items Priority Projects Active - On The Go Integrated Health Service Plan (IHSP) Action Items Consensus on CE LHIN ESRD/Dialysis issues, next steps. Priority Project - Timely Discharge Information System Aboriginal

More information

Organization of Rehabilitation and Post-Acute Care

Organization of Rehabilitation and Post-Acute Care Organization of Rehabilitation and Post-Acute Care Inaugural Meeting of NECC Boston, MA - September 13, 2006 Janet Prvu Bettger, ScD University of Pennsylvania Department of Physical Medicine and Rehabilitation

More information

Health and Health Care for an Aging Population

Health and Health Care for an Aging Population Health and Health Care for an Aging Population May 2013 Policy Summary of The Canadian Medical Association December 2013 December 2013 Page 1 1) Introduction and Context: In 2010, 14% of Canada s population

More information

PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE:

PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE: PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY/PROCEDURE Policy Number: MCUP3003 (previously UP100303) Reviewing Entities: Credentialing IQI P & T QUAC Approving Entities: BOARD CEO COMPLIANCE FINANCE PAC

More information

Standard of Care: Inpatient Intervention for Total Hip Arthroplasty ICD-9 (719.7, 719.1)

Standard of Care: Inpatient Intervention for Total Hip Arthroplasty ICD-9 (719.7, 719.1) Department of Rehabilitation Services Occupational Therapy Standard of Care: Inpatient Intervention for Total Hip Arthroplasty ICD-9 (719.7, 719.1) Case Type / Diagnosis: This Standard of Care applies

More information

Rehabilitation for Total Joint Replacement

Rehabilitation for Total Joint Replacement ICES Research Atlas INSIDE Introduction Findings and Discussion Discharge destinations following total joint replacement Length of stay in acute care and inpatient rehabilitation following total joint

More information

FINANCIAL HEALTH WITHIN THE REHAB UNIT

FINANCIAL HEALTH WITHIN THE REHAB UNIT FINANCIAL HEALTH WITHIN THE REHAB UNIT 2013 UDSMR Annual Conference August 8, 2013 Presented by: Donna Cameron Chris Scotten Donna.cameron@navigant.com Chris.scotten@navigant.com 317.341.3389 317.217.5395

More information

Using AROC Data to Compare Outcomes for Older People in Public and Private Rehabilitation Units

Using AROC Data to Compare Outcomes for Older People in Public and Private Rehabilitation Units Using AROC Data to Compare Outcomes for Older People in and Rehabilitation Units AFRM 22 nd Annual Scientific Meeting Adelaide 9-13 September 214 Frances Simmonds, AROC Director Tara Stevermuer, AROC Data

More information

Profile: Kessler Patients

Profile: Kessler Patients Profile: Kessler Patients 65 Breakthrough Years Kessler Institute has pioneered the course of medical rehabilitation since 1948. Today, as the nation s largest single rehabilitation hospital, we continue

More information

UW Hospital and Clinics (UWHC) Acute Rehabilitation served 358 individuals between January 2011 and December 2011.

UW Hospital and Clinics (UWHC) Acute Rehabilitation served 358 individuals between January 2011 and December 2011. Program Facts Program Facts The Program provides injury/illness-specific programs that offer patients care needed to regain the abilities to perform daily tasks, restore basic life skills, reclaim cognitive

More information

TORONTO STROKE FLOW INITIATIVE - Outpatient Rehabilitation Best Practice Recommendations Guide (updated July 26, 2013)

TORONTO STROKE FLOW INITIATIVE - Outpatient Rehabilitation Best Practice Recommendations Guide (updated July 26, 2013) Objective: To enhance system-wide performance and outcomes for persons with stroke in Toronto. Goals: Timely access to geographically located acute stroke unit care with a dedicated interprofessional team

More information

Using Objective Measures to Facilitate Rehabilitation Referral

Using Objective Measures to Facilitate Rehabilitation Referral Using Objective Measures to Facilitate Rehabilitation Referral Mark Bayley MD, FRCPC Medical Director, Neuro Rehabilitation Program, Toronto Rehabilitation Institute Associate Professor, Division of Physiatry,

More information

meet us again for the first time: the new bridgepoint hospital and program overview

meet us again for the first time: the new bridgepoint hospital and program overview meet us again for the first time: the new bridgepoint hospital and program overview bridgepoint active healthcare Bridgepoint Active Healthcare manages, delivers, researches and teaches leading healthcare

More information

Hip & Knee Replacement Toolkit

Hip & Knee Replacement Toolkit Hip & Knee Replacement Toolkit A living document Bone & Joint Canada Updated March 31, 2011 It's Your "Move"... BONE and JOINT DECADE CANADA It's Your "Choice" Editors: Dr. James P. Waddell, MD, FRCSC,

More information

OPTIMIZING THE ROLE OF COMPLEX CONTINUING CARE AND REHABILITATION

OPTIMIZING THE ROLE OF COMPLEX CONTINUING CARE AND REHABILITATION OPTIMIZING THE ROLE OF COMPLEX CONTINUING CARE AND REHABILITATION IN THE TRANSFORMATION OF THE HEALTH CARE DELIVERY SYSTEM A Discussion Paper Developed by the Complex Continuing Care and Rehabilitation

More information

Advanced Certification for Total Hip and Total Knee Replacement: Ready, Set, Go! Copyright, The Joint Commission

Advanced Certification for Total Hip and Total Knee Replacement: Ready, Set, Go! Copyright, The Joint Commission Advanced Certification for Total Hip and Total Knee Replacement: Ready, Set, Go! David Eickemeyer Associate Director Business Development The Joint Commission Heather Martin Associate Project Director,

More information

Rehabilitation Nurses: Champions for Optimizing Stroke Rehabilitation Across the Continuum of Care

Rehabilitation Nurses: Champions for Optimizing Stroke Rehabilitation Across the Continuum of Care Rehabilitation Nurses: Champions for Optimizing Stroke Rehabilitation Across the Continuum of Care Presenters Sandra Melchiorre RN, MN, ACNP, CNN (c) Regional Stroke Acute Care Advanced Practice Nurse,

More information

Lynda Sanchez MSN, RN-BC, CVRN-BC, Lynn Cooknell BSN, RN, CCCC, CVRN-BC, Alumnus CCRN, and Carol Boswell Ed. D, RN, CNE, ANEF

Lynda Sanchez MSN, RN-BC, CVRN-BC, Lynn Cooknell BSN, RN, CCCC, CVRN-BC, Alumnus CCRN, and Carol Boswell Ed. D, RN, CNE, ANEF Lynda Sanchez MSN, RN-BC, CVRN-BC, Lynn Cooknell BSN, RN, CCCC, CVRN-BC, Alumnus CCRN, and Carol Boswell Ed. D, RN, CNE, ANEF Author Names: Lynda Sanchez MSN, RN-BC, CVRN-BC; Lynn Cooknell BSN, RN, CCCC,

More information

Commercial Bundle Program for Total Joint Replacements

Commercial Bundle Program for Total Joint Replacements Commercial Bundle Program for Total Joint Replacements 2015 Pilot Henry Ford West Bloomfield Hospital Presentation to University of Michigan, Industrial and Operations Engineering Andrea McAuliffe March

More information

NICHE: Innovations and Nursing Practice

NICHE: Innovations and Nursing Practice NICHE: Innovations and Nursing Practice nicheprogram.org Linda Bub MSN, RN, GCNS-BC Director of Education and Program Development, NICHE Objectives Describe the NICHE program and the impact on nursing

More information

Subacute Inpatient MH - Adult

Subacute Inpatient MH - Adult Subacute Inpatient MH - Adult Definition Subacute Inpatient hospital psychiatric services are medically necessary short-term psychiatric services provided to a client with a primary psychiatric diagnosis

More information

Patient Flow Study: Maximizing Capacity to Meet Acute Care Service Demands. Janet Templeton BN MN Elizabeth Kennedy BN MN

Patient Flow Study: Maximizing Capacity to Meet Acute Care Service Demands. Janet Templeton BN MN Elizabeth Kennedy BN MN Patient Flow Study: Maximizing Capacity to Meet Acute Care Service Demands Janet Templeton BN MN Elizabeth Kennedy BN MN Overview Background Planning Implementation Project Management Challenges and Lessons

More information

Patient and Family Education (PFE)

Patient and Family Education (PFE) Patient and Family Education (PFE) Overview Patient and family education helps patients better participate in their care and make informed care decisions. Many different staff in the organization educate

More information

Orthopaedic Co-management Development of a Fracture Liaison Service for Northern Arizona Healthcare

Orthopaedic Co-management Development of a Fracture Liaison Service for Northern Arizona Healthcare Orthopaedic Co-management Development of a Fracture Liaison Service for Northern Arizona Healthcare Tim Bonatus, DO Northern Arizona Orthopaedics Orthopedic Co-Management 2012 Northern AZ Healthcare (NAH)

More information

Ontario Stroke System. Prepared by: Stroke Rehabilitation Evaluation Working Group Stroke Evaluation Advisory Committee May, 2007

Ontario Stroke System. Prepared by: Stroke Rehabilitation Evaluation Working Group Stroke Evaluation Advisory Committee May, 2007 Ontario Stroke System Stroke Rehabilitation Performance Measurement Manual Prepared by: Stroke Rehabilitation Evaluation Working Group Stroke Evaluation Advisory Committee May, 2007 Stroke Rehabilitation

More information