Rehab Center of Excellence
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![Page 1: Rehab Center of Excellence](https://reader033.fdocuments.in/reader033/viewer/2022061210/5490308eb4795998018b461a/html5/thumbnails/1.jpg)
WaltonWalton
Rehabilitation Center of Rehabilitation Center of ExcellenceExcellence
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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.
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Elements of our COE
STATE OF THE ARTTREATMENT
COMMUNITYPROGRAMS
HIGHVISIBILITY
RESEARCH
ACCREDITATIONS
PROFITABILITY
PHYSICIANLEADERSHIP
RIGHT STAFF
CONTINUUMOF CARE
SUPERIOROUTCOMES
CUSTOMERSATISFACTION
STATE OF THE ARTEQUIPMENT
WaltonCOE
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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.
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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.
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Physician Leadership
Medical Staff Leadership
Board Certified Physicians in Physical Medicine & Rehabilitation and in Internal Medicine.
Physician leadership of Walton’s major program teams: Stroke, Brain Injury, Spinal Cord Injury, and Amputation.
Leadership of outpatient physician practices: Wound Center, Pain Center, Behavioral Medicine and Physical Medicine and Rehabilitation.
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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.
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Right Staff
CASEMANAGER
PHYSICIANLEADER
PTA
AIDE
PT
REHAB NURSING
PT
COTA
OT OT
ST
AIDE
TYPICALTEAM
Walton has multiple Teams:Stroke/Gen Medical/Ortho/SCI
BI/Trauma
Teams are augmented with:Internal Medicine Physicians
PsychologistsNeuro-Psychologists
Respiratory TherapistsDieticians
Each Team provides interdisciplinary
services for a caseload of 14-18 patients
Inpatient Model
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Right Staff
Certified Rehabilitation Registered Nurses (CRRN)
LEVEL I LEVEL IIILEVEL II
Certificateof
Completion
Phase 1(Basic Nursing Skills)
Phase 3(Critical Lab Values)
Phase 4(Advanced Competency)
Phase 2(Systems Training)
SkillsLab
SkillsLab
SkillsLab
SkillsLab
SkillsLab
SkillsLab
Certificateof
Completion
Certificateof
Completion
Walton Nursing Career Ladder
CBIS
CVA Specialist
Specialty Certifications
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Right Staff
Therapy Staff
CBIS
CVA Specialist
Specialty Certifications
LEVEL I LEVEL IIILEVEL IIEntry Level
& New Hires for Probationary Period
Minimum 4 YearsExperience
Advanced Skills
Assists in clinical supervision and
education
Minimum of 6 YearsExperience
Advanced Skills
Specialty Area
Provides clinical supervisionAnd education
Serves as Mentors in our Mentorship Program
3 YearsExperience
Walton Therapy Career Ladder
LEVEL IV
SkillsEval
SkillsEval
SkillsEval
SkillsEval
SkillsEval
SkillsEval
Inpatient team model with flex scheduling; mentorship program; flex assignments to follow patients to outpatient; assignments to program specific teams. Outpatient model with opportunities for specialty program leadership, education, and certifications. Opportunities to integrate education and research with treatment of a very complex and challenging patient population.
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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.
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Complete Continuum of Care
Assisted LivingAssisted Living
Affordable/Accessible HousingIndependent Living Facilities
Affordable/Accessible HousingIndependent Living Facilities
Independent LivingInformation ReferralPeer Support GroupsAssistive Technology
Life Skills TrainingReturn to Work Programs
Advocacy
Independent LivingInformation ReferralPeer Support GroupsAssistive Technology
Life Skills TrainingReturn to Work Programs
Advocacy
Sports & LeisureCamp TBI
Sports Programs
Sports & LeisureCamp TBI
Sports Programs
Inpatient RehabilitationStroke
Brain InjurySpinal Cord Injury
AmputationComplex Ortho
Inpatient RehabilitationStroke
Brain InjurySpinal Cord Injury
AmputationComplex Ortho Behavioral Med
Inpatient ServicesOutpatient Services
Behavioral MedInpatient Services
Outpatient Services
Outpatient RehabPhysical Therapy
Occupational TherapyCommunication Disorders
Wellness
Outpatient RehabPhysical Therapy
Occupational TherapyCommunication Disorders
Wellness
Outpatient MedicalPain/Headache ManagementPhysical Medicine & Rehab
Wound Care
Outpatient MedicalPain/Headache ManagementPhysical Medicine & Rehab
Wound Care
Walton’s Continuum of Care
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Superior Outcomes
Walton’s Criteria for this element of the COE
Exceeds national benchmarks in clinical outcomes.
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Superior Outcomes
Caring for the most complex patients
Case Mix IndexE-Rehab Data
% with 1 or moreCo-morbidities
E-Rehab Data
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Superior Outcomes
Results that lead toward greater independenceby achieving greater functional improvement
FunctionalIndex
MeasureE-Rehab Data
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Superior Outcomes
Exceeding National Benchmarks in Safety!
Medication Errors
Hospital Acquired Infections
Hospital Acquired Wounds
Patient Falls
Critical Lab Values
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Superior Outcomes
Returning patients to home!
Discharge Destinations
E-Rehab Data
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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).
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Customer Satisfaction
Would you recommend your hospital to family & friends?
Leading the CSRA in Customer Satisfaction!
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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
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State of the Art Treatment
Home of the Areas Rehabilitation Professionals
Physician lead, interdisciplinary program management teams in Stroke, Brain Injury, Spinal Cord Injury, and Amputation.
Culture of outcome driven practice
Staff ownership in specialty programs and services
Investment in staff education and training
Relationship based patient centered care model
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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.
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State of the Art Equipment
Evidenced Based Strategy
Development of evidenced based equipment needs.
Needs integrated in the Walton Foundation’s strategic plan.
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State of the Art Equipment
Walton’s ‘Rehab Ready Rooms’!
Aesthetically pleasing, innovative rehab ready rooms that allow for more productive in-room therapy and increased patient safety.
All disciplines have the opportunity to do more functional activities with lower level patients.
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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.
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Community Programs
Speaker’sBureau
CampTBI
Advocacy
Sports &Recreation
ResourceCenters
ImmunizationProgram
AssistiveTechnology
LifeSkills
Training
Information&
Referral
SupportGroups
SupportGroups
ReturnTo
Work
Walton’s Community Impact!
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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.
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High Visibility
224 Media Hits
Reaching an audience of over 12 million!
Public Relations Effort in 1 Month
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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).
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Research
Foster theoretically motivated rehabilitation research focused on issues relevant to human function;
Stimulate operations research with the objectives of improving the quality and cost-effectiveness of patient care outcomes;
Improve the quality of patient care by integrating research into ongoing clinical activities and involving treatment staff in clinical research; and
Establish education and training programs that foster the philosophy and methods of effective rehabilitation research.
Research Mission
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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
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Appropriate Accreditations
Walton Rehabilitation Hospital
Hospital AccreditationWalton Rehabilitation Hospital
Outpatient Rehabilitation CenterWound Care Center
Behavioral Medicine CenterWalton Medical Associates
Stroke Specialty CertificationWalton Rehabilitation Hospital
TheJoint
Commission
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Appropriate Accreditations
Walton Community Services
Communities of QualityWalton Terrace
Walton CommonsWalton HeightsWalton PlaceWalton ManorVincent VillageWalton PointeWalton VillageWalton Ridge
Walton Crossing
National Affordable Housing
Management Association(NAHMA)
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Profitability
Walton’s Criteria for this element of the COE
The Health System demonstrates financial and operational efficiencies in the delivery
of care.
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Profitability
Balanced Scorecard
Integration of quality and operations/fiscal management
Culture of excellence
Power down to employees
Principles of Gold Standard Management©
Balancing Productivity and Quality
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Profitability
SERVICE CENTER PERFORMANCE
EMPLOYEEINCENTIVE
COSTCONTROL
PERFORMANCEMETRICS
IMPROVECUSTOMER
BASE
OUTPATIENT CENTERS&
PHYSICIAN PRACTICES