Statement of Purpose for the Strategic Plan

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1 Contributors: Elena Espirtu, OTR/L Mary Gollinger, MS, CRRN, RN Renu Mahajan, MD Sriramjini Muthukrishnan, MD Keir Ringquist, PT, GCS David Miller Mamie Kutame, MSW William Kettlewell, RN Kimberly Zimmerman, SL/P, CCC-S

2 Statement of Purpose for the Strategic Plan The purpose of the strategic plan for the UIMC Rehabilitation Program is to ensure that the program makes a strategic contribution to the mission of the Medical Center and the University. The UIMC Rehabilitation Program Mission Statement The mission of the rehabilitation program is to provide excellent quality inpatient rehabilitation services, to promote a culture of respect within the medical center for persons with disabilities and to provide excellent quality educational experiences for students in the health professions. Vision for the UIC Rehabilitation Program The UIC Rehabilitation Program is perceived within the Medical Center and the Chicago Rehabilitation Community as offering comprehensive inpatient and outpatient rehabilitation services through a variety of interdisciplinary programs. Inpatient services are offered on a 24 bed Comprehensive Medical Rehabilitation Unit and Outpatient Services are offered in the Outpatient Care Center. The UIC Rehabilitation Program make significant contributions to the mission of the University through the provision of excellent patient care, high quality education of health professionals and an active program of rehabilitation research. UIC Rehabilitation Professional Staff have an active role in facilitating the full participation of persons with disabilities through campus and community activities and share their expertise in local and national forums. 2

3 SWOT Analysis Strengths 1) Dedicated Speech Therapist on the rehab unit 2) Since we have a smaller unit we can provide personalized/individualized plan of care 3) Continuity of care and easy transition from acute care to rehab since we usually keep same therapists 4) Easy access to specialists and services 5) Improved dayroom furniture and appearance 6) Consistent active Nursing Director allows for stable environment 7) Qualified and committed Nursing Director, Physicians, and rehab staff 8) Our patient mix fits/allows us to meet the 60% rule 9) Support from hospital finance and patient accounts with Medicare compliance monitoring 10) Electronic medical record 11) Rehab Unit Staff Meetings consistently occurring again 12) Unit is profitable 13) Increased support group activity (stroke support group) 14) Community Reintegration Group 15) Self-management approaches 16) Staff commitment and dedication 17) Spirituality Group 18) Multidisciplinary Groups 19) Music Therapy 20) Pet Therapy Weaknesses 1) FIM data entry 2) Educating staff on business side of rehab (reimbursement) 3) Links to other services for continuum of care (OP services) 4) High reliance on internal referrals 5) Outdated PT gym and OT clinic 6) Outdated and frequently broken wheelchairs 7) Small Dayroom space with one small door 8) Lack of Equipment 9) Limited and outdated technology (computer and TV accessibility) 10) Family involvement 11) Patient rooms are outdated 12) Limited number of Dynamaps 13) Weekend and evening activities 14) Limited budget for community outings 15) Bariatric room and equipment 16) Storage space 17) Follow-up upon discharge 18) Bathroom accessibility 3

4 19) Limited administrative support (intake and PPS coordinator) 20) Gym located downstairs Opportunities 1) Increasing OP services 2) Increase our links to community (public service) 3) More external referrals 4) Increased staff 5) Home visits prior to discharge 6) Stroke Certification 7) Specializing 8) Increase number of patient beds 9) Increasing support staff 10) Clinical research 11) Family involvement 12) Increase referrals 13) Outpatient neurosciences center 14) Aftercare clinic 15) Capturing ECIN referrals 16) Increase awareness & understanding of rehab and disability to rest of Medical Center, University, Community 17) Increase patient satisfaction regarding returning home/post discharge quality of life issues 18) Analysis of outcomes for specific patient groups 19) Add at least 1 bed to make 18 bed unit (if not more) 20) Improve reimbursement Threats 1) Particularly challenging patients in terms of social and economic issues (limited social support; limited or no insurance) resulting in less stable discharge environments 2) Undocumented/uninsured patients 3) Budget cuts 4) Frustrated staff will leave 5) Small dayroom and space for exercise and activity on unit 6) Setting up Neuro OP prior to discharge 7) Not up-to-date equipment 8) Decreased hospital census 9) Changes in healthcare 10) Lack of compliance 11) Administrative support 12) Heathcare reimbursement 13) New rehab director 4

5 Current Environment Identified Strengths The Inpatient Rehabilitation Staff members are team and patient oriented, they have a positive attitude about rehabilitation and they are committed to achieving good outcomes for our patients. The unit shows good profitability per case Clinical outcomes for effectiveness, efficiency, and satisfaction are very good. Business measures have also surpassed budgeted expectations. Identified Opportunities for Improvement The rehabilitation unit is small compared to other services. Our annual discharges are discharges are low compared to the other highly profitable services. A higher number of discharges and a higher ADC would be beneficial to the Medical Center and would likely bring increased recognition and support to the unit. More than 95% of our referrals come from within UIMC. The accessibility of the UIMC environment and the overall appearance of the unit and C100. Availability of appointments for outpatient rehabilitation services Compliance with input of FIM scores is poor across all disciplines. Priorities Continue to provide care of unmistakable high quality Build the census Demonstrate the contribution the unit makes to the patient care continuum and the financial health of the organization Compliance with input of FIM scores as well as accuracy of FIM scoring STRATEGIC GOALS FOR FY11 1) ADC to 13 2) Development of Outpatient Neurosciences Program 3) Patient Satisfaction, develop Pt/Client centered aspects of care 4) Analyze our accuracy in predicting outcomes 5) Stroke Specialty program compliance in place 6) Improve FIM compliance and accuracy 5

6 STRATEGIC GOALS TO BE ACHIEVED IN FY 12 1) Increase external admissions to 30 per year. 2) Initiate an Interdisciplinary Rehabilitation Aftercare Clinic for persons discharged from the Rehabilitation unit. 3) Achieve full compliance with Input of all data in UDSPro and by CMS within required timeframes. 4) Sponsor events during September to highlight the rehab unit staff, the services provided by the unit and to educate UIMC community about accessibility for people with disabilities (include issues related to environmental and attitudinal accessibility). 5) Become a CARF Certified Stroke Specialty Unit STRATEGIC OUTCOMES PROJECTED FOR FY13 1) Increase number of rehab beds to 22 2) Increase internal and external marketing activity 3) Make Participation as described in the ICF model the ultimate goal for all patients. 6

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