Rehab Center of Excellence

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Walton Rehabilitation Health System\'s Center of Excellence

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Rehab Center of Excellence

  1. 1. Walton Rehabilitation Center of Excellence
  2. 2. Purpose of our COE To identify priority areas and services and build these into a single Rehabilitation Center of Excellence. Walton ’ s COE builds on specialty programs designed around catastrophic rehabilitation diagnosis so that we are able to address complicated rehabilitation needs as well as complex medical needs resulting in catastrophic illnesses.
  3. 3. Elements of our COE STATE OF THE ART TREATMENT COMMUNITY PROGRAMS HIGH VISIBILITY RESEARCH ACCREDITATIONS PROFITABILITY PHYSICIAN LEADERSHIP RIGHT STAFF CONTINUUM OF CARE SUPERIOR OUTCOMES CUSTOMER SATISFACTION STATE OF THE ART EQUIPMENT Walton COE
  4. 4. Evaluation Criteria How Walton evaluates each element of the Center of Excellence This is the Walton standard of excellence established for each criteria. Meeting three stars means we have exceeded nationally established industry standards for this element of the COE. This benchmark means we have met the minimum standards of practice established by national industry norms or regulations when available, or by Walton historical standards. One star indicates that this element of the Center of Excellence (COE) falls short of our minimum benchmark in one or more of the established criteria.
  5. 5. Physician Leadership Walton ’ s Criteria for this element of the COE Physician leadership is in place with appropriate qualifications and certifications. Leadership has defined our programs and established strategies for the delivery of care.
  6. 6. Physician Leadership Medical Staff Leadership <ul><li>Board Certified Physicians in Physical Medicine & Rehabilitation and in Internal Medicine. </li></ul><ul><li>Physician leadership of Walton ’ s major program teams: Stroke, Brain Injury, Spinal Cord Injury, and Amputation. </li></ul><ul><li>Leadership of outpatient physician practices: Wound Center, Pain Center, Behavioral Medicine and Physical Medicine and Rehabilitation. </li></ul>
  7. 7. Right Staff Walton ’ s Criteria for this element of the COE Nursing and therapy model is fully staffed with appropriate qualifications and certifications. Retention of all staff is 85% or above. Staff productivity meets or exceeds established benchmarks.
  8. 8. Right Staff Inpatient Model CASE MANAGER PHYSICIAN LEADER PTA AIDE PT REHAB NURSING PT COTA OT OT ST AIDE TYPICAL TEAM Walton has multiple Teams: Stroke/Gen Medical/Ortho/SCI BI/Trauma Teams are augmented with: Internal Medicine Physicians Psychologists Neuro-Psychologists Respiratory Therapists Dieticians Each Team provides interdisciplinary services for a caseload of 14-18 patients
  9. 9. Right Staff Certified Rehabilitation Registered Nurses (CRRN) LEVEL I LEVEL III LEVEL II Certificate of Completion Phase 1 (Basic Nursing Skills) Phase 3 (Critical Lab Values) Phase 4 (Advanced Competency) Phase 2 (Systems Training) Skills Lab Skills Lab Skills Lab Certificate of Completion Certificate of Completion Walton Nursing Career Ladder CBIS CVA Specialist Specialty Certifications
  10. 10. Right Staff Therapy Staff CBIS CVA Specialist Specialty Certifications LEVEL I LEVEL III LEVEL II Entry Level & New Hires for Probationary Period Minimum 4 Years Experience Advanced Skills Assists in clinical supervision and education Minimum of 6 Years Experience Advanced Skills Specialty Area Provides clinical supervision And education Serves as Mentors in our Mentorship Program 3 Years Experience Walton Therapy Career Ladder LEVEL IV Skills Eval Skills Eval Skills Eval <ul><li>Inpatient team model with flex scheduling; mentorship program; flex assignments to follow patients to outpatient; assignments to program specific teams. </li></ul><ul><li>Outpatient model with opportunities for specialty program leadership, education, and certifications. </li></ul><ul><li>Opportunities to integrate education and research with treatment of a very complex and challenging patient population. </li></ul>
  11. 11. Continuum of Care Walton ’ s Criteria for this element of the COE A seamless continuum of care exists that includes inpatient rehabilitation, outpatient medical services, outpatient therapy services, wellness programs, support programs, and living options.
  12. 12. Complete Continuum of Care Walton ’ s Continuum of Care Assisted Living Affordable/Accessible Housing Independent Living Facilities Independent Living Information Referral Peer Support Groups Assistive Technology Life Skills Training Return to Work Programs Advocacy Sports & Leisure Camp TBI Sports Programs Inpatient Rehabilitation Stroke Brain Injury Spinal Cord Injury Amputation Complex Ortho Behavioral Med Inpatient Services Outpatient Services Outpatient Rehab Physical Therapy Occupational Therapy Communication Disorders Wellness Outpatient Medical Pain/Headache Management Physical Medicine & Rehab Wound Care
  13. 13. Superior Outcomes Walton ’ s Criteria for this element of the COE Exceeds national benchmarks in clinical outcomes.
  14. 14. Superior Outcomes Caring for the most complex patients Case Mix Index E-Rehab Data % with 1 or more Co-morbidities E-Rehab Data
  15. 15. Superior Outcomes Results that lead toward greater independence by achieving greater functional improvement Functional Index Measure E-Rehab Data
  16. 16. Superior Outcomes Exceeding National Benchmarks in Safety! <ul><li>Medication Errors </li></ul><ul><li>Hospital Acquired Infections </li></ul><ul><li>Hospital Acquired Wounds </li></ul><ul><li>Patient Falls </li></ul><ul><li>Critical Lab Values </li></ul>
  17. 17. Superior Outcomes Returning patients to home! Discharge Destinations E-Rehab Data
  18. 18. Customer Satisfaction Walton ’ s Criteria for this element of the COE Exceeds benchmarks in patient and client satisfaction across the continuum of care (score of 94% or above).
  19. 19. Customer Satisfaction Leading the CSRA in Customer Satisfaction! Would you recommend your hospital to family & friends?
  20. 20. State of the Art Treatment Walton ’ s Criteria for this element of the COE Achieves the highest level of development in rehabilitative care and treatment available at the present time as evidenced by measured improvements in outcomes related to new treatment techniques
  21. 21. State of the Art Treatment Home of the Areas Rehabilitation Professionals <ul><li>Physician lead, interdisciplinary program management teams in Stroke, Brain Injury, Spinal Cord Injury, and Amputation. </li></ul><ul><li>Culture of outcome driven practice </li></ul><ul><li>Staff ownership in specialty programs and services </li></ul><ul><li>Investment in staff education and training </li></ul><ul><li>Relationship based patient centered care model </li></ul>
  22. 22. State of the Art Equipment Walton ’ s Criteria for this element of the COE Medical equipment is of the highest level of development in rehabilitative care available at the present time as evidenced by measured improvements in outcomes related to new equipment and technology.
  23. 23. State of the Art Equipment Evidenced Based Strategy <ul><li>Development of evidenced based equipment needs. </li></ul><ul><li>Needs integrated in the Walton Foundation ’ s strategic plan. </li></ul>
  24. 24. State of the Art Equipment Walton ’ s ‘ Rehab Ready Rooms ’ ! <ul><li>Aesthetically pleasing, innovative rehab ready rooms that allow for more productive in-room therapy and increased patient safety. </li></ul><ul><li>All disciplines have the opportunity to do more functional activities with lower level patients. </li></ul>
  25. 25. Community Programs Walton ’ s Criteria for this element of the COE Community resources are made available to patients throughout the continuum which include: Information, education, links to community resources, support groups, recreational activities, and community immunization offerings.
  26. 26. Community Programs Walton ’ s Community Impact! Speaker ’ s Bureau Camp TBI Advocacy Sports & Recreation Resource Centers Immunization Program Assistive Technology Life Skills Training Information & Referral Support Groups Support Groups Return To Work
  27. 27. High Visibility Walton ’ s Criteria for this element of the COE The center enjoys high visibility, marketing and public relations which leads to quality differentiation among providers.
  28. 28. High Visibility Public Relations Effort in 1 Month <ul><li>224 Media Hits </li></ul><ul><li>Reaching an audience of over 12 million! </li></ul>
  29. 29. Research Walton ’ s Criteria for this element of the COE The Center conducts basic and applied research in the field of rehabilitation. All research meets the standards established by the Federal Wide Assurance of the Office of Human Research Protections (OHRP).
  30. 30. Research <ul><li>Foster theoretically motivated rehabilitation research focused on issues relevant to human function; </li></ul><ul><li>Stimulate operations research with the objectives of improving the quality and cost-effectiveness of patient care outcomes; </li></ul><ul><li>Improve the quality of patient care by integrating research into ongoing clinical activities and involving treatment staff in clinical research; and </li></ul><ul><li>Establish education and training programs that foster the philosophy and methods of effective rehabilitation research. </li></ul>Research Mission
  31. 31. Walton ’ s Criteria for this element of the COE The Center of Excellence is awarded appropriate accreditations and specialty accreditations from nationally recognized accrediting organizations Appropriate Accreditations
  32. 32. Appropriate Accreditations Walton Rehabilitation Hospital <ul><li>Hospital Accreditation </li></ul><ul><ul><li>Walton Rehabilitation Hospital </li></ul></ul><ul><ul><li>Outpatient Rehabilitation Center </li></ul></ul><ul><ul><li>Wound Care Center </li></ul></ul><ul><ul><li>Behavioral Medicine Center </li></ul></ul><ul><ul><li>Walton Medical Associates </li></ul></ul><ul><li>Stroke Specialty Certification </li></ul><ul><li>Walton Rehabilitation Hospital </li></ul>The Joint Commission
  33. 33. Appropriate Accreditations Walton Community Services Communities of Quality Walton Terrace Walton Commons Walton Heights Walton Place Walton Manor Vincent Village Walton Pointe Walton Village Walton Ridge Walton Crossing National Affordable Housing Management Association (NAHMA)
  34. 34. Profitability Walton ’ s Criteria for this element of the COE The Health System demonstrates financial and operational efficiencies in the delivery of care.
  35. 35. Profitability <ul><li>Balanced Scorecard </li></ul><ul><li>Integration of quality and operations/fiscal management </li></ul><ul><li>Culture of excellence </li></ul><ul><li>Power down to employees </li></ul><ul><li>Principles of Gold Standard Management © </li></ul>Balancing Productivity and Quality
  36. 36. Profitability SERVICE CENTER PERFORMANCE EMPLOYEE INCENTIVE COST CONTROL PERFORMANCE METRICS IMPROVE CUSTOMER BASE OUTPATIENT CENTERS & PHYSICIAN PRACTICES

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