AnnuAl RepoRt
& outcomes
thank you for your interest in Winchester Rehabilitation center and Valley Health Rehabilitation services. At Winchester Rehabilitation center and at each of our sites of service, we focus not only on patient satisfaction, but on the outcomes of the services we provide. these outcomes may include the functional improvement of our patients, satisfaction with our services, discharge setting, improvement in pain levels, the length of treatment, and cost of treatment. We utilize national outcomes measures to quantify the effectiveness of our services. It is our pleasure to share our 2011 Annual outcomes Report of Winchester Rehabilitation center and Valley Health Rehabilitation services with you. In this publication, you can review the outcomes of our inpatient and outpatient services at Winchester Rehabilitation center from January 1, 2011, to December 31, 2011.
the functional improvement of our patients is the common outcome measure we use throughout our rehabilitation services and programs. the effectiveness of our interventions is best documented by measuring improvement in functional activities that are important to the patients we serve. Rehabilitation is achieved through the collaborative efforts of our experienced and dedicated team working with the patients and families to improve function, relieve pain and improve performance. You can compare our outcomes with other hospitals and outpatient programs offering rehabilitation services across the country as we have “benchmarked” our outcomes. We identify best practices and make every effort to incorporate them into our services. As you will see, we compare favorably in almost all areas to regional and national benchmarks.
We hope you will take a moment to review our annual report to see how we compare and perform. We continually strive to improve and enhance the rehabilitation services we offer so that each patient receives the best experience every time, every place. I welcome any questions or suggestions for our programs.
Betty Hardesty, Director, Winchester Rehabilitation center
corporate Director, Valley Health Rehabilitation services
From the
Annual Report 2011
Winchester Rehabilitation Center
throughout 2011, Winchester Rehabilitation center (WRc) participated in a number of activities to promote acute and outpatient rehabilitation services, patient education and outcomes.
Winchester Rehabilitation center staff participated in the 8th annual Rehab expo for all Valley Health Rehabilitation services employees on october 26, 2011. We recruited a new medical director, Dom Vinh, mD. Dr. Vinh is board certified in internal medicine, physical medicine and rehabilitation, and spinal cord injury. prior to coming to Winchester Rehabilitation center, he practiced at the Rehabilitation Institute of chicago.
Winchester Rehabilitation center’s acute inpatient rehabilitation program transitioned to a new model for medical management of each patient through use of hospitalists in addition to physiatrists directing each patient’s hospital course and rehabilitation.
Winchester Rehabilitation center and Valley Health Rehabilitation services transitioned eight of our nine outpatient clinics to electronic medical record documentation. Additionally, outpatient services have continued to increase outcomes reporting through Foto.
Winchester Rehabilitation center had two therapists participate in the Valley Health leadership mentoring program in 2011. this is an organizational initiative to promote growth and development of staff as part of succession planning.
A physical therapist and an occupational therapist from Winchester
Rehabilitation center traveled to Haiti in 2011 as part of a mission trip to assist with the transition of a child back into her community following the earthquake. Winchester Rehabilitation center continued to participate in the following community disability organizations: Access Independence, American Red cross, and Virginia council of Rehabilitation Administrators.
Winchester Rehabilitation center and Winchester medical center staff continue to coordinate the northern shenandoah Valley chapter of the FRee Foundation (Foundation for Rehabilitation equipment and endowment), which distributes equipment to individuals with a medical need.
WRc staff participated in many community outreach events including: Arthritis Walk, community safety Fair, Health explorers 2011, come explore nursing 2011, and Diabetic Retinopathy screenings.
Valley Health has acquired a mobile Health coach vehicle, and Valley Health Rehabilitation services brought diabetic retinopathy screenings to members of our rural communities using this vehicle.
Winchester Rehabilitation center and Valley Health Rehabilitation services staff supported a fellow occupational therapist and troops stationed in Afghanistan throughout 2011.
WRc continues to pursue its mission of promoting healthy lifestyles for our community by participating in community health fairs and providing mentorship programs for careers in healthcare for area high school and college students.
Mission Statement
The Mission of Winchester Rehabilitation Center is to provide medical rehabilitation services that improve the
functional abilities of our patients and promote healthy lifestyles for our community.
Inpatient
Rehabilitation outcomes
Who We Serve
Diagnoses Treated at Winchester Rehabilitation Center January – December 2011 Stroke 27% Brain 8% Neurological 4% SCI 3% Amputee 3% Orthopedic 30% Cardiac 3% Pulmonary 3% Trauma 5% Debility 9% 27% 8% 4% 3% 3% 3% 5% 9% 3% 30%
“ Unbelievable staff of caring people in
all areas. Keep up the good work!”
— patient Quote
Source: Uniform Data Systems for Medical Rehabilitation
Length of Stay in Days by Diagnosis Type
Winchester Rehabilitation Center January - December 2011 Diagnosis 0 5 10 15 20 Nation Region WRC Total Patients Stroke Spinal Cord Ortho Neuro Multitrauma Debility Cardiac Brain Injury Amputee Days
Inpatient
Rehabilitation outcomes
157 122 141 154Number of Persons Served
0 50 100 150 200 4th Qtr 2011 3rd Qtr 2011 2nd Qtr 2011 1st Qtr 2011
Source: Uniform Data Systems for Medical Rehabilitation Report A, Quarter 4, 2011
Source: NRC Picker 2011
Inpatient
Inpatient satisfaction
Discharge Setting
Winchester Rehabilitation Center January - December 2011 Discharge Setting 0 20% 40% 60% 80% 100% Nation Region WRC Other Rehab Acute Care LTCF Home 157 122 141 154
WRC Positive Score
0 20 40 60 80 100 4th Qtr 2011 3rd Qtr 2011 2nd Qtr 2011 1st Qtr 2011 96 100 100 99“
My stay was more than I expected.
Thank you!
”
— patient Quote
Satisfaction of Persons Served
with Services Received
(90 days post-discharge)
“The rehab program improved my quality of life” January – December 2011
Somewhat/Strongly Disagree Somewhat/Strongly Agree
5.6%
94.3% Source: MEDTEL Outcomes -
2011 Annual Report
Source: MEDTEL Outcomes -
2011 Annual Report
Patient Rating of Progress
“The progress I made in rehab met my expectations” January – December 2011
Somewhat/Strongly Disagree Somewhat/Strongly Agree
8.1%
Source: Uniform Data Systems for Medical Rehabilitation. Report A, Quarter 4, 2011
Change in FIM
Functional Independence Measure January - December 2011 Diagnosis 0 5 10 15 20 25 30 35 Nation Region WRC Total P atients Stroke Spinal Cor d Ortho Neur o Multitr auma Debility Cardiac Brain Injur y Amput ee Points
Durability of Outcomes
How Well Our Patients Maintained Functional Gains (90 days post-discharge) January 2011 – December 2011 Diagnosis 0 20 40 60 80 100 120 National Benchmark WRC Total P atients Stroke Spinal Cor d Ortho Neur o Multitr auma Debility Cardiac Brain Injur y Amput ee FIM Score
Outpatient
Rehabilitation services
Number of Persons Served (Visits)
January - December 2011 0 200 400 600 800 1000 1200 Dec Nov Oct Sept Aug July June May Apr Mar Feb Jan 790 838 1116 885 947 1072 908 935 922 908 882 873
Who We Serve
Diagnostic Mix January – December 2011 Women’s Health 1% Peds SLP 14.5% Peds OT 11% Peds PT 9.6% Adult SLP 4.8% Vision 1.6% Amputee 1.3% Vestibular 1.3% Gen Debil 2% Ortho 21% SCI 1.7% TBI 1.9% CVA 28% 14.5% 28% 21% 2% 1.3% 1.3% 1.6% 4.8% 9.6% 11% 1% 1.9% 1.7% Source: Uniform Data Systemsfor Medical Rehabilitation. Report A, Quarter 4, 2011
35% 17% .86% 1% 1.6% 2.2%
Specialty Clinics
0% 5% 10% 15% 20% 25% 30% 35% Driving Ev aluation Vision Women ’s Healt h W/C Clinic Aquatic PT Pediatr icsPercentage of Total Patients Seen
Percent 99% 17% .86% 1% 1.6%
Patient Satisfaction
0% 20% 40% 60% 80% 100%Overall Picker Score
January – December 2011
89% 94% 90% 90% 95%
Satisfaction for Specific Clinics
0% 20% 40% 60% 80% 100% Vision W/C Clinic Aquatic Ther apy Pediatr ics Driver Ev aluation Percent
“A saving grace for me and my wife.
A miracle happened and Winchester
Rehabilitation was a miracle.
”
Service Locations
and
Programs
Winchester Rehabilitation Center
Inpatient hospital, 30 beds, cARF & Joint commission accredited 540-536-5114
Winchester Rehabilitation center has received full three-year cARF accred-itation (commission on Accredaccred-itation of Rehabilitation Facilities) since 1996 in the following programs:
• Comprehensive Integrated Inpatient Rehabilitation • Outpatient Medical
Rehabilitation
Winchester Rehabilitation center is also accredited by the Joint commission as part of Winchester medical center.
Outpatient Rehabilitation Services
cARF & Joint commission accredited
333 West cork street, suite 142 Winchester, VA 22601
540-536-5113
outpatient Rehabilitation services offers comprehensive multi-disciplinary services on an outpatient basis. this cost-effective alternative to inpatient hospital care provides a range of treatment from a half a day of therapy to individual therapy 2-5 days a week based on the patient’s individual needs. We utilize a team approach to rehabilitation and meeting the individual needs of each patient. team members include:
• Rehabilitation Physician • Case Manager • Physical Therapist • Speech/Language pathologist • Neuropsychologist
“
Everyone was
friendly and
on the ball –
Thank you all
”
Valley Health
Rehabilitation Services
services provided by Valley Health Rehabilitation services are available at multiple convenient locations throughout the shenandoah Valley, allowing individualized patient treatment along the continuum of rehabilitation services from inpatient care to outpatient therapy.
the following outpatient services and programs are available throughout Valley Health in luray, Winchester, Front Royal, Woodstock, strasburg, and mount Jackson. In addition, we have locations in Romney and Berkeley springs, West Virginia.
• Amputee Rehabilitation • Aquatic Physical Therapy • DriveAbility Clinic • Hand Therapy • Low Vision Services • Occupational Therapy • Pediatric Therapy Services • Physical Therapy • Speech Language Services • Vestibular Rehabilitation program • Wheelchair Seating & positioning clinic • Women’s Health Services
“
Because of the
entire staff
I was able
to complete
my therapy
weeks/months
ahead of time.
They gave me
my life back
again.
”
— patient Quote“
The entire staff at WRC and the facility
are exceptional. Would definitely
recommend WRC to anyone in need
of rehab services.
”
— patient Quote Support Groups: • Amputee • The Differently Abled Club • Low Vision • Stroke • Brain Injury Screening for Diabetic RetinopathyA partnership between WRc, Valley Health Diabetes management and Retina Associates, provided free quarterly retinal screenings for diabetics living in the shenandoah Valley.
Community
and
Professional
Outreach
the highly qualified and experi-enced rehabilitation staff members give lectures and presentations at professional conferences and train-ing seminars throughout the year. In addition, staff are often asked to be guest lecturers at shenandoah university schools of occupational and physical therapy to share their expertise on rehabilitation topics. For our community organizations, local churches and business groups, the rehabilitation staff provides free informational talks on various topics related to the rehabilitation process and health-related areas.
“ You guys are just tops! I have never
been to such a facility as fine as
yours.”
— patient Quote
Dominique Vinh, MD
Medical Director, Winchester Rehabilitation Center
Valley medical Rehabilitation 333 W. cork street, suite 720 Winchester VA
Medical School: eastern Virginia medical school of the medical college of
Hampton Roads
Residency: Akron General medical center and eastern Virginia medical school Fellowship: cleveland clinic Foundation (Rheumatology)
Board Certified in Internal Medicine, Physical Medicine and Rehabilitation, and Spinal Cord Injury Medicine
Valley Health Code of Ethics
• Compassionately deliver appropriate, effective, quality care to our patients. • Treat one another with respect, dignity and fairness. • Display good judgment and high ethical standards in business decision making. • Be responsible for ensuring that bills are accurate and honest at all times. • Prepare and maintain patient and System records accurately and retain suchrecordsfor periods described by law and Valley Health policies.
• Protect Valley health confidential and proprietary information including patient, employee and copy-protected information entrusted to us by others.
• Cooperate with legitimate government investigations. • Compete fairly and in compliance with all antitrust laws.
• Represent Valley Health services and products fairly and honestly, stressing their value and our capabilities.
• Avoid both any conflict of interest and the appearance of any conflict of inter-est.
• Use Valley Health funds only for proper, legal activities.
• Work together to provide a safe and healthy workplace in which applicable health and safety laws and regulations are observed.
• Use System property and other Valley Health assets for business purposes only.
