View
218
Download
2
Category
Tags:
Preview:
Citation preview
1
Governor’s Task Force Governor’s Task Force
on Brain Injuryon Brain InjuryNovember 6, 2013November 6, 2013
Bryan Andresen MDEugene-Springfield, OR
Sacred Heart Med Center, Eugene-SpringfieldTrauma ServicesInpatient neurology unitIn-patient rehab unit: Oregon Rehabilitation Center
Community Rehabilitation Services of Oregon
Agenda--TBIAgenda--TBI
Level 2 trauma center Calendar yr 2012
◦140 patients admitted with TBI as Dx◦Disposition 45% Home 17% rehab 16% exp. 11% SNF 6% Home health
Sacred Heart Med Ctr Trauma Sacred Heart Med Ctr Trauma ServicesServices
Advanced Primary Stroke Center◦Neurohospitalist◦Endovascular surgery◦600-700 stroke patients/year
SHMC-NeurologySHMC-Neurology
Oregon Rehabilitation Center◦ Eugene-University District◦ 18 beds◦ 275-300 admissions/year◦ Started 1976◦ Full rehab team
Rehabilitation physician Rehab nurse Physical/Occupational/Speech and Language therapy Neuropsychology Social worker/Care manager
SHMC Inpatient SHMC Inpatient RehabilitationRehabilitation
Program Objectives individualized treatment plan with the patient and
their family. We work with patients on: Cognitive and functional abilities to facilitate the
return to home or other community setting Mobility and self-care skills Neuropsychological testing Behavioral programs for acute stages of recovery Language and communication skills Community mobility, resources and re-entry Assessment of adaptive equipment needs Supportive counseling for adjustment issues
Oregon Rehab Ctr--TBIOregon Rehab Ctr--TBI
Number Served 51 Age Average Age 53 Age Range 18 to 84
Male/Female Ratio: 66%/34% Average Length of Stay, Days 13.4
ORC-TBI Outcomes 2012ORC-TBI Outcomes 2012
Discharge setting:◦Home Setting (Percent) 42 (82.%)
◦Long Term Care 6% ◦Sub-Acute & Rehab 4% ◦Acute 8%
ORC-TBIORC-TBI
Physical therapy◦ Mobility/balance/vestibular◦ Seating and wheelchair
Occupational therapy◦ Self care◦ Cognition
Speech therapy◦ Cognition◦ Language◦ Swallowing
Neuropsychology
SHMC—outpatient rehabSHMC—outpatient rehab
Founded 1992. Outpatient program Who served: ages 13-64 Mild/moderate ABI Medical and vocational programs Assessments
◦ Cognitive screening◦ Neuropsychological ◦ AD/HD◦ Community based situational assessment◦ Psychological◦ Job site
Community Rehabilitation Community Rehabilitation Services of Oregon (CRSO)Services of Oregon (CRSO)
Med Rehab◦Cognitive rehabilitation◦Case management◦Psychotherapy◦Support Group-monthly
Vocational Rehab◦Situational assessments◦Job retention/work placement coordination
Community Rehab Services of Community Rehab Services of OregonOregon
Private medical insuranceAutomobile insuranceWorker’s compVocational rehab
◦ Caseworker typically performs intake interviews at CRSO
Funding sourcesFunding sources
1. Medical rehab 2. Vocational Assessment 3. Neuropsychological Assessment 4. Team meeting 5. Situational assessment 6. Team meeting 7. Job Search 8. Job placement 9. Follow-along
J Head Trauma Rehab, 2003. data collected by grant through Dept of Ed and OVRS
Ideal process (rare!)Ideal process (rare!)
Recommended