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Community Outreach

Community Outreach. Moving beyond the walls of our facility. But where is your community presence?. Do people know your unique level of care exists? Do they know your program exists? How do you get feedback from your community?

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Community Outreach

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  1. Community Outreach Moving beyond the walls of our facility

  2. But where is your community presence? • Do people know your unique level of care exists? • Do they know your program exists? • How do you get feedback from your community? • What are you doing to try to prevent members of the community from ever needing your services? • What are you doing for patients once they leave your doors? • How are you reaching out to involve yourself in your community?

  3. Changing our paradigm… Since our 2007 CARF Survey, we have pursued and implemented a number of meaningful changes, to include the development of: • A community re-entry program • Formalized process for community education • Participated in community advocacy efforts • Begun collaborating with other community providers

  4. ‘Community re-entry – what’s community re-entry?...’ In 2007, we were certainly preparing our patients functionally for a return to a community setting, but we weren’t performing community re-entry activities. Since our last survey, we’ve implemented a community re-entry program that is part of our weekly routines.

  5. Pack your bags… Our community re-entry efforts to date have been driven by our patient’s requests for activities such as: • Taking patient s who loved to sew to a craft store • Taking patients to their favorite shopping spot where they purchased a needed item such as a pair of shoes • Taking patients to a grocery store to shop. • Took a professional fisherman to Oak Hollow Lake to practice casting and reeling/fishing. Pt had CVA w/paralysis of dominant arm. • Taking patients out to eat so they could order at a public restaurant • Taking patients on home visits to test their ability to direct a driver home as a vehicle passenger • And many more activities…

  6. Community Education Additional feedback during our 2007 survey process related to increasing our community ‘footprint’, with potential patients, referral source gatekeepers, and other healthcare organizations. As a result of that feedback, we have developed formal education and energetically deployed it throughout our community.

  7. Such as?... Over the past 2 ½ years, staff from our unit have conducted education on the IRF level of care and the services our program offers in the following community settings…

  8. Thomasville Hospital - Case Managers Lexington Hospital – Case Managers and Social Workers Randolph Hospital – Case Managers and Social Workers Duke Medical Center – Trauma/Ortho Services Case Managers UNC-Greensboro - Social Work Field Coordinator UNC-Greensboro –Speech & Hearing Program. Dr. Laura Tallant, Audiologist. (Vestibular Program & Research) Brookdale Senior Living (Assisted Living Facilities) – Directors and Admissions Coordinator Carillon (Assisted Living Facilities) – Director and Admissions Coordinator Cross Road Retirement (Assisted Living Facility) – Administrator, Admission Coordinator, and Nurse Managers Arbor Ridge at Kernersville (Independent and Assisted Living) – Directors and Admissions Coordinator Westwood Health & Rehab (Assisted Living Facility) – Executive Director The GrayBrier (Assisted Living Facility) – Director, Admissions Coordinator, and Rehabilitation Staff High Point Manor (Assisted Living Facility) – Executive Director and Admissions Coordinator The Stratford (Independent Living for Seniors) – Admissions Coordinator

  9. More? Brain Injury Association of NC (Walk-N-Rollathon) Fundraiser and Health Fair Piedmont Triad Council of Governments – Guilford County Commission on Aging North Carolina Fall Prevention Coalition Workshop – N.C Public Health Officials, Educators and Healthcare providers Senior Health Fair at Culler Senior Center Guilford County Falls Prevention Coalition Options for Senior America – (specializes in home care services for senior adults) – Community Relations Director ComForcare Home Care – (Non-medical Home Care Services) – Owner/Operator Arcadia Health Services – Greensboro & Winston-Salem Director Response Link Representative Piedmont Home Care – Intake Nurses and Social Workers

  10. Community Advocacy ‘How do we do everything we can to prevent patients from ever requiring our program’s services to begin with?’ ‘How do we support former patients and caregivers in the community once they’ve left our four walls?’

  11. Patient Advocacy Stroke Support Group started in Jan. 2008 and led by therapy staff. • Meets monthly • Stroke Survivors and/or caregivers attend meetings • Participants select educational topic for each monthly meeting. Example of latest topics and events: • Nutrition • Home Safety • Exercises • Physician speakers with latest stroke updates • Stress Management • Recreational Therapy • Celebrate Your Independence • Holiday Party

  12. ‘A Matter of Balance’ Program • Learned about this Falls Prevention program through Piedmont Triad Council of Governments, Guilford County Commission on Aging. • Coach certification and training (3 CRRN’s and 1 P.T.) attended two day training course with other healthcare providers and lay people in the surrounding counties. • Our trainers coached the 8 two-hour classes at The Stratford and are currently organizing another class to begin next month at Greene Street Baptist Church in High Point (couple of blocks for HPRHS). Btw…… • Focus is to carry program into the community such as Senior Centers, Senior Independent Living/Assisted Living Facilities etc….

  13. ‘Sonya’s Story’ ‘Sometimes opportunities to make a difference in the community walk right up to you and say hello.’ Say Hello.

  14. The story BEHIND ‘the story’

  15. Community Collaboration ‘How are we reaching out to our peers in the community who have the same goals, challenges, struggles, and motivations we do – to help our patients and their caregivers?’ ‘Can we afford to view our fellow medical professionals as *competitors*?’

  16. A better approach… We’ve taken some steps to reach out to our community peers in the following ways: • Meetings with ‘strategic partners’, rehab leaders and administrators from Moses Cone and WFUBMC to identify areas of potential cooperation. • Hosted Area IRF program leaders from 6 surrounding facilities at our HPRHS IRC twice. Toured, discussed common program challenges, brain-stormed, presented seminar on new MCBPM, 2010 Final rule changes. • Attended Area Rehab Leaders sessions at WFUBMC and Moses Cone in past 12 months, scheduled to visit WakeMed in several weeks. • Arranged for Recreational Therapist to spend time with WFUBMC RT staff to ID best practices, opportunities to expand our HPRHS program, including our new patient gardening program (in its infancy). • Visited/toured Carolinas Rehabilitation facilities. • Established email contact group of all Area Rehab Leaders.

  17. Connecting with governance bodies… • IRC hosted a Piedmont Triad Council of Governments – Commission on Aging meeting (numerous local mayors in attendance). Explained the IRF level of care, our unique services, toured the unit. • Two of our staff attend the monthly meeting of the Piedmont Triad Council of Governments Commission on Aging (SWCM & Admissions Coordinator) • Our Admissions Coordinator Susan Anderson just elected to a two year term on the board of the Greater North Carolina Chapter Association of Rehabilitation Nurses (GNCCARN).

  18. So where’s the beef? We heard the feedback of our previous CARF surveyors and responded in a meaningful way. We are far more connected to our community, our potential patients, our referral source and community gatekeepers, and to community resources than we have ever previously been.

  19. Questions?

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