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CHALLENGE CENTER

CHALLENGE CENTER. Filling the Gap in the Continuum of Care. Background Information about Challenge Center. Non profit Community Based Physical Therapy/Fitness Center Founded-1987 Located in City Park Primary population served-Physically Disabled Secondary-Served Ambulatory Seniors.

MikeCarlo
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CHALLENGE CENTER

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  1. CHALLENGE CENTER Filling the Gap in the Continuum of Care

  2. Background Information aboutChallenge Center • Non profit Community Based Physical Therapy/Fitness Center • Founded-1987 • Located in City Park • Primary population served-Physically Disabled • Secondary-Served Ambulatory Seniors

  3. Emerging Role of Health Promotion for People with Disabilities • Traditional managed care invests financial resources in diagnosing and treating/ curing disease • Research shows investment in health promotion is cost effective, beyond the “absence of disease” or acute recovery.[Rimmer JH. Health promotion for people with disabilities]

  4. Healthy People 2000A clear opportunity exists for health promotion and disease prevention efforts to improve the health prospects and functional independence of people with disabilities page 41

  5. Continuum of Care + the GAP Fitness Specialist ---Not trained to meet special needs Inpat Rehab Home Health PT/OT/RN Outpat Rehab THE GAP ER/ Acute Care Community Health and Wellness Gyms CHALLENGE CENTER Cardiopulmonary Rehab Accessible Equipment Trained Personnel PHYSICAL THERAPY

  6. The need for health promotion • While medical technology has increased the life span of those with disabilities, little has been done to improve their health span. • Fewer than 10% of adults participate in structured physical activity. Rimmer JH, et al

  7. Greater number of trauma Survivors • ER- Trauma care increasing rates of survival • Acute care – advancements in medicine increasing levels of acute recovery • In-Patient Rehabilitation – longer stays replaced with limited home health and outpatient services

  8. Continuum of Care Home Health services – help bridge the gap in acute recovery Out-patient services expanding To Include Cardio and Pulmonary Education and Training Challenge Center concept is similar approach for neurological patients

  9. Continuum of Care • Driven by consumers need for training and self-empowerment in recovery • Increased perception of responsibility for self-health and fitness

  10. Continuum of Care • Ideal outcome of continuum of care is commitment to healthy lifestyle and regular exercise by the patient • There is a gap in the plan …

  11. Challenge Center HelpsFill the Gap for Persons with Disabilities and Special Needs

  12. Promoting Health in Persons with Disabilities • Perception of “healthy disabled” gradually changing • Health is not static for all populations – dynamic and multi-factorial in nature. Rimmer JH,et al

  13. Promoting Health in Persons with Disabilities • Lifetime health cycle and benefits in healthy lifestyle choices similar for able & non disabled populations • Physical disability and functional frailty creates risk for fitness centers and disabled clients • Lack of skilled physical therapists, trainers, specialized equipment, eliminates many with disability from conventional fitness centers

  14. Physical Challenges Require Specialized Approaches • Skilled physical therapists, • Trainers, specialized equipment • Transportation • Participation of care givers • Peer support

  15. Secondary Complications,Partial List • Decubitus Ulcers, pressure sores =$30,000 X 3 • Inactivity, isolation • Obesity • Diabetes/Insulin Sensitivity • Chronic Pain • Depression • Loss of Functional Ability • Premature Institutionalization

  16. Health Promotion/ Wellness and Fitness for persons with Disabilities Who Benefits? • Persons with disability • Insurers • Family and care givers • Buyers of insurance • Acute care resources • The government and tax payer

  17. Why is post acute therapy not a priority ? Reasons for the gap • Medical focus on primary diagnosis • Insufficient prevention efforts in chronic populations do health maintenance organizations really “maintain health”? • Acute care system not designed for chronic care • Misguided cost assumptions • Lack of awareness of recent advances in physical medicine • Disability & health seen as an oxymoron? • The move from institutional to community care model

  18. CHALLENGE CENTER $$$$ How it Works on • Supported in large part by philanthropic dollars • Special events • Contractual agreements • Sliding scale for cash payment • Client-specific sponsors • We pray a lot !

  19. CHALLENGE CENTEROur Goal If we are to intervene with health promotion practices which prevent functional declines in clients with long term disabilities, we will realize significant costs saving and prevent unnecessary human suffering.

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