Annual Report 2014

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Thank you for your interest in learning more about Origami Brain Injury Rehabilitation Center. Origami opened in April 1997 through a creative alliance between Michigan State University and Peckham, Inc. Origami’s vision is to create an enriched, natural environment in which persons with brain injury can achieve optimal participation in society.

The intent of this Annual Report is to serve as a snapshot of our mission, who we serve, and the outcomes obtained in 2014.

If you have further questions, you are encouraged to contact us through our website www.OrigamiRehab.org, by sending an email to info@origamirehab.org, or by calling (517) 336-6060.

Our approach to the clients and families we serve, and our subsequent outcomes, are driven by our mission:

Treat persons with brain injury by using sensory-motor reintegration and neurobehavioral rehabilitation in a supportive and home-like environment.

Utilize community resources and real life responsibilities as the basis for therapeutic treatment.

Operate a model program that generates excellent clinical outcomes with cost effective management.

Educate family, friends, employers, and the community to facilitate the reintegration of persons with brain injury into society.

Pursue scholarly development of innovative approaches to brain injury rehabilitation.

All Programs Accredited By

Introduction

“Origami is the absolute best place to go when needing outstanding rehabilitation for brain injury. I am always amazed by the staff and results that my patients achieve. Origami is life changing and life affirming!” - External Provider

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Who We Served

Over the past 17 years, Origami served over 800 individuals as well as supported their families and educated the community on issues surrounding brain injury. Origami consists of a unique multi-dimensional continuum of care with 3 programs that include 2 tracks each, and 14 professional services. In 2014, Origami served a record total of 187 clients across the continuum of care, an increase for the tenth consecutive year.

 

 

Who  We  Served    Over  the  past  17  years,  Origami  served  over  800  individuals  as  well  as  supported  their  families  and  educated  the  community  on  issues  surrounding  brain  injury.  Origami  consists  of  a  unique  multi-­‐dimensional  continuum  of  care  with  3  programs  that  include  2  tracks  each,  and  14  professional  services.    In  2014,  Origami  served  a  record  total  of  187  clients  across  the  continuum  of  care,  an  increase  for  the  tenth  consecutive  year.        

     

                       

         

0  

50  

100  

150  

200  

1997   1998   1999   2000   2001   2002   2003   2004   2005   2006   2007   2008   2009   2010   2011   2012   2013   2014  

Clients  Served  Annually  

ResidenXaln=13,  13%  

Community  Based    n=1,  1%  

OutpaXent  n=88,  86%  

Admissions  by  Program  

Admissions:  Injury  Information  58  (58%)  clients  needed  services  as  a  result  of  a  motor  vehicle  accident.        

     

Admission  Demographics    102  Total  Admissions  

Male:  52  (51%);  Female:  50  (49%)    

Single:  32  (31%);  Married:  50  (49%);    Divorced:  15  (15%);  Widowed:  5  (5%)  

 Caucasian:  90  (88%);  Hispanic:  3  (3%);    

African-­‐American:  8  (8%);  Asian:  0  (0%);    Other:  1  (1%)  

 Age   Total   Percentage  

16-­‐17   4   4%  

18-­‐30   18   18%  31-­‐50   31   31%  

51-­‐70   37   37%  71+   12   12%  

 

Adolescents  Served:  N=7  (range  16-­‐17  years  old)    Services  Provided  to  Adolescents:    Cognitive  Perceptual  Motor  Retraining,  Occupational  Therapy,  Physical  Therapy,  Psychology,  Speech-­‐Language  Pathology,  Vision  Therapy,  Recreational  Therapy,  Neuro-­‐Psychiatry,  and  Vocational  Services      

“We know that (our loved one) enjoys a comfortable and safe environment due to the residential staff’s heart-felt concern and dedication. The job that they do, day in

and day out, demands extraordinary patience and equanimity.” - Family Member

Adolescents Served:N=7 (range 16-17 years old)

Services Provided to Adolescents: Cognitive Perceptual Motor Retraining, Occupational Therapy, Physical Therapy, Psychology, Speech-Language Pathology, Vision Therapy, Recreational Therapy, Neuro-Psychiatry, and Vocational Services

Admissions: Injury Information58 (58%) clients needed services as a result of a motor vehicle accident.

Admission Demographics

102 Total Admissions

Male: 52 (51%); Female: 50 (49%)Single: 32 (31%); Married: 50 (49%)Divorced: 15 (15%); Widowed: 5 (5%)Caucasian: 90 (88%); Hispanic: 3 (3%) African-American: 8 (8%); Asian: 0 (0%) Other: 1 (1%)

Age Total Percentage

16-17 4 4%

18-30 18 18%

31-50 31 31%

51-70 37 37%

71+ 12 12%

Residentialn=13, 13%

Outpatientn=88; 86%

Community Based n=1, 1%

Admission by Program

 

 

Who  We  Served    Over  the  past  17  years,  Origami  served  over  800  individuals  as  well  as  supported  their  families  and  educated  the  community  on  issues  surrounding  brain  injury.  Origami  consists  of  a  unique  multi-­‐dimensional  continuum  of  care  with  3  programs  that  include  2  tracks  each,  and  14  professional  services.    In  2014,  Origami  served  a  record  total  of  187  clients  across  the  continuum  of  care,  an  increase  for  the  tenth  consecutive  year.        

     

                       

         

0  

50  

100  

150  

200  

1997   1998   1999   2000   2001   2002   2003   2004   2005   2006   2007   2008   2009   2010   2011   2012   2013   2014  

Clients  Served  Annually  

Admissions:  Injury  Information  58  (58%)  clients  needed  services  as  a  result  of  a  motor  vehicle  accident.        

     

Admission  Demographics    102  Total  Admissions  

Male:  52  (51%);  Female:  50  (49%)    

Single:  32  (31%);  Married:  50  (49%);    Divorced:  15  (15%);  Widowed:  5  (5%)  

 Caucasian:  90  (88%);  Hispanic:  3  (3%);    

African-­‐American:  8  (8%);  Asian:  0  (0%);    Other:  1  (1%)  

 Age   Total   Percentage  

16-­‐17   4   4%  

18-­‐30   18   18%  31-­‐50   31   31%  

51-­‐70   37   37%  71+   12   12%  

 

Adolescents  Served:  N=7  (range  16-­‐17  years  old)    Services  Provided  to  Adolescents:    Cognitive  Perceptual  Motor  Retraining,  Occupational  Therapy,  Physical  Therapy,  Psychology,  Speech-­‐Language  Pathology,  Vision  Therapy,  Recreational  Therapy,  Neuro-­‐Psychiatry,  and  Vocational  Services      

Time from Date of Injury to Date of Origami Admission

 

 

Who  We  Served    Over  the  past  17  years,  Origami  served  over  800  individuals  as  well  as  supported  their  families  and  educated  the  community  on  issues  surrounding  brain  injury.  Origami  consists  of  a  unique  multi-­‐dimensional  continuum  of  care  with  3  programs  that  include  2  tracks  each,  and  14  professional  services.    In  2014,  Origami  served  a  record  total  of  187  clients  across  the  continuum  of  care,  an  increase  for  the  tenth  consecutive  year.        

     

                       

         

0  

50  

100  

150  

200  

1997   1998   1999   2000   2001   2002   2003   2004   2005   2006   2007   2008   2009   2010   2011   2012   2013   2014  

Clients  Served  Annually  

Admissions:  Injury  Information  58  (58%)  clients  needed  services  as  a  result  of  a  motor  vehicle  accident.        

     

Admission  Demographics    102  Total  Admissions  

Male:  52  (51%);  Female:  50  (49%)    

Single:  32  (31%);  Married:  50  (49%);    Divorced:  15  (15%);  Widowed:  5  (5%)  

 Caucasian:  90  (88%);  Hispanic:  3  (3%);    

African-­‐American:  8  (8%);  Asian:  0  (0%);    Other:  1  (1%)  

 Age   Total   Percentage  

16-­‐17   4   4%  

18-­‐30   18   18%  31-­‐50   31   31%  

51-­‐70   37   37%  71+   12   12%  

 

Adolescents  Served:  N=7  (range  16-­‐17  years  old)    Services  Provided  to  Adolescents:    Cognitive  Perceptual  Motor  Retraining,  Occupational  Therapy,  Physical  Therapy,  Psychology,  Speech-­‐Language  Pathology,  Vision  Therapy,  Recreational  Therapy,  Neuro-­‐Psychiatry,  and  Vocational  Services      

3-6 months26%

<3 months33%

>5 years15%

1-5 years18%

6-12 months8%

Clients Served Annually

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Outcomes “Amazing staff. Best rehab team ever!!! Will never refer elsewhere! Keep up the great work! Empowering and life affirming! Exceeded expectations!” – Case Manager

Discharge Outcomes

Client Goal Attainment (all programs): 78% (105 goals set) Adolescents: 88% (17 goals set)

Treatment Objectives Met (all programs): 86% (699 objectives set) Adolescents: 84% (88 objectives set)

Predicted Length of Stay (all programs): 75% accuracy (n=57)Adolescents: 80% (n=6)

Community Based & Outpatients Driving at Discharge: 65% (n=48)

Those engaged in Vocational Services

Reached productive activity: 92% (n=13)

Attained productivity goal: 85% (n=13)

Average number of days from beginning service to initial productive activity: 35 days

Overall Satisfaction (all programs)

Clients: 4.6 out of 5.0

Family & External Stakeholders: 4.85 out of 5.0

Discharge Follow-Up

Completed at 1-month and 6-month post discharge (20 respondents, 34% response rate)Those responding that their level has remained the same or improved in the area of: •Placeofresidence/

independence…100% •Statusofemployment…95% •Qualityoflife…95% •Drivingstatus…95% •Socialcontact…100%

Responses of “agree” or “strongly agree” that Origami prepared them for discharge: 100%

Residential-Transitional Discharge Location

Number Percent

Community Living with Intermittent Support

8 73%

CommunityLivingwith24/7Supervision

2 18%

Licensed Group Home 1 9%

Skilled Nursing Facility 0 0%

Unplanned transfers to acute medical facilities: 5

Average Number of Treatment Hours/Sessions

Residential (hours per day) * 2.5

Semi-Independent Living (hours per day) ** 0.32

Community Integration (sessions per service) ** 5.9

Outpatient/Day(sessionsperservice)* 13

*Clients completed program

**Incorporates all clients in program throughout the year

Outpatient

Day

Community Integration

Semi-Independent

Residential-Transitional

Residential-Long Term

235.8 (n=58)

472.2 (n=3)

1279 (n=1)576 (n=2)

61 (n=11)

No discharges in 2014

Average Length of Stay(in days by track)

 

 

Outcomes      

               

   

                                     Unplanned  transfers  to  acute  medical  facilities:  5  

                                                     

*Clients  completed  program    **Incorporates  all  clients  in  program  throughout  the  year    

         

Referral  Sources  

Residential-­‐Transitional  Discharge  Location   Number   Percent  Community  Living  with  Intermittent  Support   8   73%  Community  Living  with  24/7  Supervision   2   18%  Licensed  Group  Home   1   9%  Skilled  Nursing  Facility   0   0%  

Average  Number  of  Treatment  Hours  or  Sessions  Residential  (hours  per  day)  *   2.5  Semi-­‐Independent  Living  (hours  per  day)  **                                   0.32  Community  Integration  (sessions  per  service)  **                                                5.9  Outpatient  (sessions  per  service)  *                                                                         13  

Discharge  Outcomes  Client  Goal  Attainment  (all  programs):  78%  (105  goals  set)  

Adolescents:  88%  (17  goals  set)    Treatment  Objectives  Met  (all  programs):  86%  (699  objectives  set)     Adolescents:  84%  (88  objectives  set)    Predicted  Length  of  Stay  (all  programs):  75%  accuracy  (n=57)     Adolescents:  80%  (n=6)    Community  Based  &  Outpatients  Driving  at  Discharge:  65%  (n=48)    Those  engaged  in  Vocational  Services    Reached  productive  activity:  92%  (n=13)    Attained  productivity  goal:  85%  (n=13)    Average  number  of  days  from  beginning  service    to  initial  productive  activity:  35  days        

No  discharges  in  2014    

61  (n=11)  576  (n=2)  

1279                                              (n=1)  

472.2  (n=3)  235.8  (n=58)  

Residengal-­‐Long  Term  Residengal-­‐Transigonal  

Semi-­‐Independent  Community  Integragon  

Day    Outpagent  

Average  Length  of  Service    (in  days  by  track)  

Overall  Satisfaction  (all  programs)    Clients:    4.6  out  of  5.0      Family  &  External  Stakeholders:    4.85  out  of  5.0    

Discharge  Follow-­‐Up  Completed  at  1-­‐month  and  6-­‐month  post  discharge  

(20  respondents,  34%  response  rate)  Those  responding  that  their  level  has  remained  the  same  or  improved  in  the  area  of:     Place  of  residence/independence…100%     Status  of  employment…95%     Quality  of  life…95%     Driving  status…95%     Social  contact…100%  Responses  of  “agree”  or  “strongly  agree”  that  Origami  prepared  them  for  discharge:  100%  

Referral Sources

Other2% Hospital

11%

Health CareProvider

39%

CaseManager

34%

Family/Self14%

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Community Outreach

Origami takes pride in its active role in the community and hosted three primary community events in 2014, including the 14th annual Head’s Up for Safety,12thannualOrigami5KRun/Walk/Wheel,and8thannualBrainInjurySymposium of Mid-Michigan.

Head’s Up for Safety partners Origami with community representatives in law and media to promote helmet safety and brain injury awareness by giving away bike helmets to local residents. The event in 2014 distributed 600 free helmets, increasing the total number of helmets given away since 2004 to 5,600.

The 5K Race brings the community to the Origami campus in a health-conscious event to raise awareness of brain injury and money for the Origami Unfolding Potential Fund. Feedback was provided indicating enjoyment of the new race held at night. In addition, participants enjoyed the addition of the 400M Kids’ Dash.

The Brain Injury Symposium of Mid-Michigan again featured a fantastic speaker line-up. The Symposium brings together professionals, family members, survivors and advocates, to learn about innovative and exciting trends in brain injury rehabilitation. Brain injury topics included concussions, spasticity, pain, yoga, and universal design. 93% of participants indicated satisfaction with the topics presented and their overall learning experience.

“There are no words in existence to do justice to the gratitude I have for all of Origami’s efforts. Origami provides services that are so incredibly amazing.” - Client

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2014 Highlights

Treatment and Program Enhancement

* Secured 3 grants for the addition of a cutting-edge driving simulator which further enhances Origami’s pre-driving services

* Cognitive Perceptual Motor Retraining (CPM) standardized evaluation battery of tests further enhanced through a re-norming study conducted with Grand Valley State University

* Established relationship with Michigan State University’s Department of Psychiatry, welcomed Dr. Jeffrey A. Frey to the Origami Team, and increased onsite psychiatry service hours

* Established use of Goal Attainment Scaling (GAS) to objectively measure the success rate of achieving client stated goals

*EstablisheduseofQualityofLifeAfterBrainInjury(QOLIBRI)toobjectivelymeasureandconsider client-perceived quality of life

* Established Volunteer Chaplain for group and individual spiritual support

Operational Initiatives and Developments

* Completed State of Michigan Adult Foster Care Licensing inspection and achieved 2 yearlicensewithzerocitationsornoticeoffindings

* Continued participation (1 of 21 facilities in the nation) in the Veterans Administration’s Assisted Living TBI Pilot Program

*NurseSupervisor(AllieBurns)achievedaCertificationasaRehabilitationRegisteredNurse (CRRN)

*Speech-LanguagePathologist(DaniellePyle)achievedaCertificationinthePracticeofCognitive Rehabilitation Therapy (CPCRT)

*OccupationalTherapist(NatashaHuffine)wasinvitedbytheBrainInjuryAssociationofAmerica to participate in a 3-year project dedicated to developing treatment guidelines for rehabilitation and chronic disease management of adults with moderate to severe traumatic brain injury

* Physical Therapist (Ron Radawiec) was invited to participate in a concussion therapy pilot program

*100%ofclinicalteamandmanydirectcareemployeesearnedormaintainedcertificationas a Brain Injury Specialist (CBIS)

* Origami employee has been accepted as a CARF International Medical Rehabilitation Surveyor(NatashaHuffinejoinsTammyHannahandTomJudd)

* Origami Board of Directors appointed a new Executive Director (Tammy Hannah)* Welcomed Kurt Schroeder to the position of Director of Operations*ThepositionofBusinessOfficeSupervisorwithcertificationasBillingandCoding

Specialist (Jennifer Pascoe) was created allowing all medical billing to transition in-house* Clinical Manager (Amanda Carr) position was created

Public Education

* Thirty community presentations provided by Origami’s employees (12 were geared for high school and college students)

*24internswithaveragesatisfactionof3.9/4.0* 42 job shadows* Provided grant funded brain injury education to the staff at a local skilled nursing facility* Hosted the 8th annual Brain Injury Symposium of Mid-Michigan with sold out attendance

and 93% overall attendee satisfaction* Media engagements regarding brain injury awareness, sports concussions, return to

driving, and annual events (5K race, Head’s Up for Safety, and Symposium)* Active participation in advocacy efforts related to such areas as funding and prevention

“The entire staff and team at Origami are very concerned with my well being and treatment. Thank you.” - Client

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Executive Leadership

Tammy HannahExecutive Director, Origami

Board of Directors

Mitchell Tomlinson – PresidentPresident&ChiefExecutiveOfficer,Peckham,Inc.

Mark Notman – Vice PresidentAssociateDean,Planning,Finance&AdministrationChiefTechnicalOfficer

Michigan State University – College of Osteopathic Medicine

Sue Waltersdorf – Secretary and Treasurer Associate Controller, Michigan State University

Scott Derthick–OfficerVice President of Human Resources, Peckham, Inc.

Dr. James Sylvain–OfficerChairperson, Michigan State University PM&R

Greta Wu–OfficerSenior Vice President of Human Services, Peckham, Inc.