By way of introduction. Inpatient Medical Rehabilitation

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1 Inpatient Medical Rehabilitation

2 The Brookdale Center is part of a continuum of care at the NCH Healthcare System

3 Strategic Focus Cascaded to Department & Individual Workgroup Levels Focus & Accountability Overarching Goals Quality & Safety Service Excellence People, Recruitment & Retention Finance & Operational Efficiencies Community, Philanthropy & Marketing Growth, Technology & Strategic Partnerships

4 Profile Two hospital campuses; 715 beds; ambulatory care & physician practice group; 30,000 patients a year Member of the Mayo Clinic Network Alliance of over 500 independent physicians Awards & Recognition Highlights US News & World Report Best Regional Hospital Gastro, ENT, Geriatrics & Orthopedics, 2012 Health Grades #1 in Florida for Overall Heart Care 5 Star Ratings: Stroke, Cardiac, Pulmonary, Women s Health, Gastrointestinal, Critical Care American Heart Association Get with the Guidelines Stroke Silver Quality Achievement Award, 2013 American Nurses Credentialing Center Pathways to Excellence, application pending

5 Post Acute Services Skilled Nursing Facilities The Brookdale Center for Healthy Aging & Rehabilitation Outpatient Services Home Health Long Term Acute Care

6 Profile 54-bed facility at the North Naples Hospital campus Medical management model includes rehab physician and admitting physician

7 Profile Rehabilitation Nursing Hospital-based Medical Support Physician/Specialist Consultations Neuropsychology Pain Management Palliative Care Neurology Orthopedics Wound Care Pulmonary Cardiology Surgical Consults

8 Patients Served Neuro 40% Ortho 38%

9 Predicting Outcomes Can we predict outcomes? A) No, not until we see how a patient responds to the program B) Yes, we can predict how long a patient will be in the program C) Yes, our programming is based on national data related to how people recover from specific conditions D) Both B & C

10 Predicting Outcomes Can we predict outcomes? A) No, not until we see how a patient responds to the program B) Yes, we can predict how long a patient will be in the program C) Yes, our programming is based on national data related to how people recover from specific conditions D) Both B & C

11 Features 6,538 square feet of therapy space Dedicated treatment teams of PT/OT & SLP, Case Management & Rehab Physician Activities of Daily Living Apartment test lab for home safety & independence Family Training & Education

12 Features Courtyards Compassion-in-Action Arts-in-Healing Happy Hour Community Re-entry Therapeutic Outings Home Evaluation Off-grounds Pass

13 Features Home Modification Adaptive Equipment Rehab Engineering Adaptive Technology Vocational Rehabilitation Drivers Retraining Vehicle Modification Community-based Case Management Services

14 Predicting Outcomes Compared to other options out there, how is the value of the program measured? A) It comes down to how much improvement can be made in how many days. B) Continuity of medical care in preventing complications. C) It s not possible to quantify a rehabilitation program until it s completed. D) Both A & B

15 Predicting Outcomes Compared to other options out there, how is the value of the program measured? A) It comes down to how much improvement can be made in how many days. B) Continuity of medical care in preventing complications. C) It s not possible to quantify a rehabilitation program until it s completed. D) Both A & B

16 Awards & Recognition Highlights Accredited by CARF International with Stroke Specialty Accreditation Conducting Stroke Research with Florida Gulf Coast University Poster Presentations at the Institute for Healthcare Improvement last 3 years

17 Credentials Specialty certifications: Certified Rehabilitation Nurses (CRRN) Neuro-Developmental Training (NDT) Vital Stim Certified Case Manager (CCM) Geriatrics Assistive Technology Practitioner (APT) Orthopedic Nurse Certified (ONC) Nurse Executive Board Certified PM&R Board Certified

18 Vital Signs The average number of days a patient stays number in acute rehab The percentage of patients successfully returning home ,166 The percentage of patients recommending us The number of patients & families served in the past decade 128 Number of staff members & volunteers onboard

19 Survivor Stories Family man, professional accountant Admitted from Moffitt Cancer Center, Tampa Brain Tumor; impairments with mobility & cognition impacting communication Life role adjustments Transitioned to outpatient rehab at NCH s Greentree Center Back to his loves--& now a volunteer at Brookdale

20 Survivor Stories Rehab nurse, mom Chronic/progressive ankle problems dating back to childhood Amputation; impairments included mobility, pain, tissue healing Returned to her career as a patient care nurse 12 hour shifts Now a tri-athelte

21 Patient/Family Advisory Initiatives Stakeholder Forum on Rehab Re-location Development of Caregiver 1 st Guide former patient s spouse advised on elements that were important to her related to care planning C:ARES Surveys conducted within community & in-house families on needs of caregivers related to being successful in bringing their loved one home. Input was invaluable to the development of caregiver support group Development of Patient & Family Guide: Transitional Skills & Discharge patient satisfaction survey comments on discharge coordination posed concerns; invited former patient s caregiver to develop tool

22 Outreach Patient/Family Support Patient/Family Advisory Forums Support Groups Brain Injury Peer Visitor Association Community Linkages Forums Collier DME Initiative Medication Therapy Mgt Education Healthy Aging Lecture Series Speakers Bureau Philanthropic contributions, including: Designation of the Brookdale facility Community re-entry van acquisition Courtyard garden development

23 Predicting Outcomes Can anyone be admitted to the rehabilitation hospital? A) Anyone who s had a significant change in their functional, and/or cognitive abilities can be considered. B) Sorry, no only patients already in a hospital. C) Yes, with plans to go on to a skilled program afterward. D) Yes, until a patient can tolerate a more aggressive program.

24 Predicting Outcomes Can anyone be admitted to the rehabilitation hospital? A) Anyone who s had a significant change in their functional, and/or cognitive abilities can be considered. B) Sorry, no only patients already in a hospital. C) Yes, with plans to go on to a skilled program afterward. D) Yes, until a patient can tolerate a more aggressive program.

25 For More Information Schedule a Tour Make a Referral Join Our Friends of Brookdale Mailing List Sign Up for Our Healthy Aging Lecture Series Join a Support Group Amputee Support Group Dysphagia Support Group Stroke Club Miracles Among Us, Inc Brain Injury Support Group Sign Up to be a Peer Visitor for Brain Injury I d like information on becoming a Volunteer Talk to a Nurse About a Loved One Please provide me with information on how to make a financial contribution Please Contact Me: phone: Visit Our Website: Healthpark Boulevard, Naples, Florida (239)

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