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REHABILITATION AND POST-ACUTE by boj84462

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									               REHABILITATION AND
                POST-ACUTE CARE SERVICES
                             ADDING, ChiCago, il
                      JUNE 26 - 27, 2008 • UPDATING & EXPANDING



                REHABILITATION
               AND POST-ACUTE
               CARE SERVICES
                  FoR hoSPiTalS aND hEalTh SYSTEMS
                     Establishing REhabilitation and Post-acutE caRE
                      PRogRams to imPRovE outcomEs and mEEt thE
                        incREasing PatiEnt dEmand

                             JUNE 26 - 27, 2008 • ChiCago, il
                                               Hotel Monaco
                                             225 N Wabash ave
                                             Chicago, il 60601
                                           www.monaco-hotel.com
                                               (312) 960-8500

                                      SPONSORED BY




                                      IN ASSOCIATION WITH




Active Communications International   Phone: 312 780 0700   Fax: 312 780 0600   www.acius.net
         ADDING, UPDATING & EXPANDING


           REHABILITATION AND
            POST-ACUTE CARE SERVICES
                    FoR hoSPiTalS aND hEalTh SYSTEMS
                        Establishing REhabilitation and Post-acutE caRE PRogRams to
                         imPRovE outcomEs and mEEt thE incREasing PatiEnt dEmand

                        JUNE 26 - 27, 2008 • ChiCago, il

Hear Case Studies from America’s Best Hospitals Featured on The US News & World Report’s
     Top Rehabilitation Program List, and From Other Nationally Recognized Institutions

DISTINGUISHED SPEAKERS INCLUDE:                                   LEARN ABOUT:
Chitra Lakshmi K. Balasubramanian, Research
UNIVERSITY OF FLORIDA, Gainesville, FL                                •	    The Future of Rehabilitation Services: Emerging Trends,
                                                                            Predictions And Strategic Opportunities
Gary J. Calabrese, PT, Director, Sports Health and Orthopedic
Rehabilitation Department of Orthopedics/Regional Medical             •	    Building Rehabilitation programs and post-acute inpatient
Practice, CLEVELAND CLINIC FOUNDATION, Cleveland, OH                        care programs to deliver effective, high-quality care
Sarah Morrison, Director of Spinal Cord Injury Services               •	    Establishing and Promoting Sports-Injury Rehabilitation
SHEPHERD CENTER, Atlanta, GA                                                Programs
Dale Strasser, MD, Associate Professor of Rehabilitation
                                                                      •	    Adding and Expanding Orthopedic Rehabilitation Programs
Medicine, EMORY UNIVERSITY; Chief of Rehabilitation
Services, WESLEY WOODS HOSPITAL, Atlanta, GA                          •	    Marketing Rehabilitation Programs and Services
Jo Hubbs, Director of Rehabilitation Medicine                         •	    Stroke Care: Improving Outcomes and Patient Care in
CHAMBERSBURG HOSPITAL, Chambersburg, PA                                     Rehabilitation Programs
Susan W. Stralka, Administrator/CEO
BAPTIST REHAB-GERMANTOWN, Germantown, TN                              •	    Center of Excellence Development for Specialized
                                                                            Rehabilitation Services
Christine MacDonell, Managing Director, Medical
Rehabilitation, CARF, Washington DC                                   •	    Increasing overall patient volume and market share
Karen McCain, Clinical Assistant Professor                            •	    Strategies for optimizing reimbursement
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER,
Dallas, TX                                                            •	    Incorporating sports medicine into your Rehabilitation
                                                                            program to enhance revenue
Kathleen Ruroede, PhD, MEd, RN
Assistant Vice President, Quality and Research                        •	    Creating Win-Win hospital-physician collaborations
MARIANJOY REHABILITATION HOSPITAL, Wheaton, IL
                                                                      •	    Achieving excellence in customer service and exceeding
Kristin Balfanz-Vertiz, MSW/LSW, Director of Extended                       patient expectation
Services, SCHWAB REHABILITATION HOSPITAL, Chicago, IL
                                                                            And more…!
Kimberly M. Taylor, Manager of Program Development,
Evaluation & Research, Extended Services & Deaf Access
Program, SCHWAB REHABILITATION HOSPITAL, Chicago, IL



                             SPONSORED BY                                                       IN ASSOCIATION WITH




       Active Communications International            Phone: 312 780 0700        Fax: 312 780 0600          www.acius.net
                              REHABILITATION AND
                               POST-ACUTE CARE SERVICES
                                        JUNE 26 - 27, 2008 • ChiCago, il

CONFERENCE DAY ONE: Thursday, June 26, 2008
7:30AM – 8:15AM                      REGISTRATION & CONTINENTAL BREAKFAST & EXHIBITS
8:15AM – 8:30AM                      WELCOME AND CHAIRPERSON’S OPENING REMARKS
8:30AM – 9:30AM                      ESTABLISHING SPORTS HEALTH AND ORTHOPEDIC REHABILITATION PROGRAMS TO IMPROVE
                                     OUTCOMES AND MEET THE INCREASING PATIENT DEMAND: CLEVELAND CLINIC CASE STUDY
                                     IN EXCELLENCE
Sports Health and Orthopedic Rehabilitation department at The Cleveland Clinic Foundation has several unique components that include: Injury
reduction/prevention programs, Sports specific evaluation, treatment and training programs in baseball, soccer, ACL injury reduction, optimal
running performance, golf performance plus, and train right. These are highly specialized and incorporate a multidisciplinary staff approach to
care. In addition we have an extensive high school/college outreach program that includes over 45 schools and have established injury tracking
models, concussion management systems as well as community integration. These programs and services are in addition to a multi-center (12
office) departmental structure providing outpatient sports therapy. This case study will discuss how you can build a successful program.
Gary J. Calabrese, PT, Director, Sports Health and Orthopedic Rehabilitation
Department of Orthopedics/Regional Medical Practice
CLEVELAND CLINIC FOUNDATION, Cleveland, OH
9:30AM – 10:30AM                     CATASTROPHIC REHABILITATION: CREATING A CENTER OF EXCELLENCE
In an era of rapid change in the healthcare environment, Shepherd Center aggressively and proactively positioned themselves to meet the
challenges of the future. This presentation will review strategies Shepherd Center used to distinguish themselves as a center of excellence. We
will discuss the organizational realignment from a horizontal, more discipline-specific alignment, to a more vertical alignment that focused on
Shepherd Center’s core business lines (spinal cord injury, acquired brain injury and multiple sclerosis/outpatient). In addition, various branding
and marketing strategies will be discussed.
      •   Define the processes that Shepherd Center utilized to identify their core business
      •   Understand the reasons behind Shepherd Center’s re-organization.
      •   Identify successful marketing and branding strategies
Sarah Morrison, Director of Spinal Cord Injury Services, SHEPHERD CENTER, Atlanta, GA
Sarah Morrison, PT is the Program Director for the Spinal Cord Injury Services at Shepherd Center in Atlanta, Ga. As program director, Sarah
is responsible for the clinical and financial operations for the spinal cord injury programs within the inpatient and outpatient environment. In
addition, Sarah is the center director for the Christopher and Dana Reeve Paralysis Foundation NeuroRecovery Network. During her 23 years
of employment, Sarah has published and/or presented in many areas of spinal cord injury care: financial feasibility of locomotor training,
development of carepaths for persons with spinal cord injury, functional effects of shorter rehabilitation lengths of stay, special considerations for
older individuals who acquire a spinal cord injury, health promotion and wellness for persons following a spinal cord injury as well as facilitating
ventilation in persons with high tetraplegia. Lastly, Sarah received the “Award for Clinical Excellence in Neurology” by the Neurology Section of
the American Physical Therapy Association.
10:30AM – 11:00AM                    MORNING REFRESHMENT BREAK AND EXHIBITS
11:00AM – 12:00PM                    INTERDISCIPLINARY TEAM FUNCTIONING AS A QUALITY INDICATOR

Our initial experience with quality indicators of team functioning will be presented. Characteristics of rehabilitation teams are associated with
patient outcomes. In a recent clinical trial, a staff training program to enhance team functioning was associated with improved stroke patient
outcomes. The implications of this research will be discussed in the context of improving interdisciplinary team functioning in post-acute
rehabilitation services. In this presentation, we describe the use of quality monitors for physician re-credentialing which measure participation in
the interdisciplinary team treatment. At the end of this session you will learn how to:
     •    Describe research on the relationship of rehabilitation team functioning and patient outcomes.
     •    Critique the utility of quality indicators on team treatment for physician credentialing and JCAHO compliance.
     •    Design a staff training intervention to improve patient outcomes through enhanced team functioning.
     •    Discuss evaluation tools to measure team functioning.
Dale Strasser, MD, Associate Professor of Rehabilitation Medicine
EMORY UNIVERSITY; Chief of Rehabilitation Services, WESLEY WOODS HOSPITAL, Atlanta, GA
Dr. Strasser is an Associate Professor of Rehabilitation Medicine at Emory University and the Chief of Rehabilitation Services at Wesley Woods
Hospital. He serves as the Medical Director of a CARF accreditated Comprehensive Integrated Inpatient Rehabilitation Unit at the Center for
Rehabilitation Medicine of Emory University Hospital in Atlanta, Georgia. He completed medical school (1984), PM&R residency (1988), and
post-graduate fellowships in Arthritis Rehabilitation (1989) and Geriatric Medicine (1990) at Northwestern University. He joined the faculty
at Emory University in 1990 and maintains an active affiliation with the Atlanta V A Medical Center. With funding support through the VA
Rehabilitation Reserach and Development Office and the Birmingham/ Atlanta GRECC, he has done extensive research on the relationship of
team functioning to patient outcomes.
          Active Communications International                 Phone: 312 780 0700             Fax: 312 780 0600           www.acius.net
                               REHABILITATION AND
                                POST-ACUTE CARE SERVICES
                                        JUNE 26 - 27, 2008 • ChiCago, il

12:00PM – 1:00PM                     CONFERENCE LUNCHEON
1:00PM – 2:00PM                      “ALL ABOUT YOU” – ACHIEVING SERVICE EXCELLENCE

This is the journey of one healthcare system that set out on a mission to improve patient and staff satisfaction. Presentation will describe the
structure, program tools, and skills essential to success including lessons learned along the way. The presenter will share successes to date,
current status, and next steps in the journey. The importance of how individual choices influence outcomes will be discussed – It is “All About
You.”. At the end of this session you will learn how to:
     •    Assess satisfaction levels and identify service issues within a healthcare organization.
     •    Create a structure for Service Excellence improvement.
     •    Generate and sustain leadership support to achieve Service Excellence goals.
     •    Craft tools and apply key behaviors to everyday situations.
Jo Hubbs, Director of Rehabilitation Medicine
CHAMBERSBURG HOSPITAL, Chambersburg, PA
Jo is Director of Rehabilitation Medicine for Chambersburg Hospital in Chambersburg, PA. Chambersburg Hospital is part of a non-profit
healthcare system, which includes two hospitals, outpatient surgical center, physician practices, and multiple outpatient centers in south central
Pennsylvania. Jo has held management positions in a variety of settings including acute care, long-term care, and outpatient clinics. Prior to
moving into management Jo practiced as an Occupational Therapist and she also holds a Nursing Home Administrators license in PA.
As a member of the system steering committee charged with improving patient satisfaction scores, Jo chairs the committee responsible
for moving the Service Excellence initiative forward at the larger of the two hospitals and the outpatient centers. The Rehabilitation Unit of
Chambersburg Hospital scores above 95% in patient satisfaction.

2:00PM – 3:00PM                      “TAKING THE NEXT STEP”: IMPLEMENTING AN INTEGRATED OUTPATIENT THERAPHY PROGRAM
                                     TO IMPROVE PATIENT OUTCOMES

Next Step program provides intensive, integrated outpatient therapy to improve functional independence and active participation in life roles.
Depending on the individual rehab goals, patients in the program typically undergo 3-5 hours of therapy per day for 3-5 days per week. With a
decreasing length of stay for inpatient rehabilitation, this day program offers an additional continuum of care for pts who qualify. At the end of this
session you will learn how to:
    •    Utilize an outpatient intensive integrated program
    •    Understand the why and the need for transdisciplinary rehab care
    •    Learn from a model of care using best practices including integration of real life activities and skills.
    •    Learn how to integrate physical and cognitive strategies and skills for community use
Susan W. Stralka, Administrator/CEO
BAPTIST REHAB-GERMANTOWN, Germantown, TN
Susan Stralka, MS, PT, is a licensed Physical Therapist with over 30 years experience who currently serves as the Administrator and CEO
of Baptist Rehabilitation located in Germantown Tenneessee and is a clinical instructor of Physical Therapy for the University of Tennessee
Department of Health Sciences in Memphis. Susan has a strong clinical background in outpatient orthopedics, thoracic spine dysfunction
and upper extremity dysfunction and has published numerous journal articles on the subject of Complex Regional Pain syndrome. She has
presented nationally and internationally on Complex Regional Pain Syndrome, as well as other topics.
Ms. Stralka earned both a B.S. in Physical Therapy and an M.S. in Physical Therapy and is currently enrolled in the DPT program at the
University of Tennessee Department of Health Sciences in Memphis. She is a member of the American Physical Therapy Association, including
the Research, Clinical Electrophysiology, Orthopedic, Private Practice and hand Sections of the APTA and is a member of the American College
of Healthcare Executives. Ms. Stralka is the recipient of the Dr. Arthur Nelson Honorary Lectureship Award in 1993 for lectures on Complex
Regional Pain Syndrome and co-receipient of the Rose Excellence in Research Award in 1996.
3:00PM – 3:15PM                      AFTERNOON REFRESHMENT BREAK AND EXHIBITS
3:15PM – 4:00PM                      LOCOMOTOR TREADMILL TRAINING WITH PARTIAL BODY WEIGHT SUPPORT: A NEW
                                     APPLICATION IN THE TREATMENT OF STROKE
This presentation is intended to discuss research pertaining to the application of locomotor treadmill training with partial body weight support in
persons with acute stroke. While this intervention has been used in treatment of stroke for many years, the application described in this presen-
tation is a new one. The approach, reported in a recent pilot study in a peer reviewed journal, was found to be superior to traditional methods in
establishing symmetrical gait after stroke. At the end of this session you will learn how to:
     •    Understand the basic concept of locomotor treadmill training (LTT) with focus on application after stroke
     •    Be familiar with the general research on LTT as it applies to stroke rehabilitation
     •    Understand the theory behind this particular application of LTT and stroke
Karen McCain, Clinical Assistant Professor, UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER, Dallas, TX
          Active Communications International                 Phone: 312 780 0700             Fax: 312 780 0600            www.acius.net
                              REHABILITATION AND
                               POST-ACUTE CARE SERVICES
                                       JUNE 26 - 27, 2008 • ChiCago, il

4:00PM - 4:45PM                      DEVELOPMENT OF CLINICALLY RELEVANT OUTCOMES FOR WALKING REHABILITATION POST-STROKE

Valid outcomes are essential to develop effective treatment programs. The focus of this presentation is to discuss how we can use clinically
relevant outcomes to plan targeted treatments for walking rehabilitation post-stroke. We have developed quantitative outcomes based on biome-
chanical analyses that can be easily used in the clinic without much instrumentation. At the end of this session you will learn how to:
     •   Use clinically relevant outcomes to record walking performance post-stroke.
     •   Utilize simple instrumentation to record walking outcomes post-stroke.
     •   Link biomechanical research findings to clinically relevant outcomes.
     •   Generate outcome databases to record treatment and monitor progress.

Chitra Lakshmi K. Balasubramanian, Research
UNIVERSITY OF FLORIDA, Gainesville, FL

4:45PM – 5:00PM                      CLOSE OF DAY ONE .

CONFERENCE DAY TWO: Friday, June 27, 2008

7:30AM – 8:15AM                      REGISTRATION & CONTINENTAL BREAKFAST & EXHIBITS
8:15AM – 8:30AM                      WELCOME AND CHAIRPERSON’S OPENING REMARKS
8:30AM – 9:30AM                      ASPIRE TO EXCELLENCE: FRAMEWORK TO SUCCESS IN REHABILITATION
To excel in rehabilitation a quality framework is a critical tool that can establish success. Both business and clinical practices need to be
established, reviewed, analyzed and improved as necessary. Learn about the framework that CARF has established for the practical application
of standards in day-to-day operations. You will learn how to :
     •   Implement the ASPIRE to Excellence framework.
     •   Recognize importance of information and outcomes management
     •   Recognize when change is necessary in their organizations.
Christine MacDonell, Managing Director, Medical Rehabilitation, CARF, Washington DC
Chris began her varied career in the health care industry as an occupational therapist after graduating from the University of Southern California.
While still in California, she became an administrator of a full continuum of care. Chris came to CARF in 1991. She has served as the Managing
Director of Medical Rehabilitation and Aging Services during her time with CARF. Chris has represented CARF at international, national, regional and
local meetings to promote and interpret standards and the use of accreditation as a quality business strategy throughout the continuum of care.
9:30AM – 10:30AM                     STRATEGICALLY AVOIDING MEDICARE DENIALS AND APPEALS: LESSONS LEARNED AND
                                     FINANCIAL IMPACTS
Throughout the country, Medicare has been denying inpatient rehabilitation facility (IRF) claims for reimbursement, due to medical record
documentation that fails to support Medicare’s “medical necessity criteria”. Medicare is strictly enforcing the rules and regulations governing
IRF’s documentation against the medical necessity criteria, resulting in millions of dollars in denied claims. In response to the Medicare denials,
many IRFs have chosen to appeal the claims, thus adding to facility costs. Additionally, IRFs have re-educated clinical providers of care on the
Medicare rules for medical necessity documentation in hopes of preventing future denials. This case study will present one facility’s experiences
with successful Medicare appeals and an education program strategy for the multidisciplinary rehabilitation team, to satisfy the medical necessity
criteria in daily documentation. If your facility’s documentation evidence for medical necessity criteria is of concern and at risk to post-payment
audit denials, this program is for you. At the end of this session you will learn how to :
     •     List the Medicare medical necessity criteria for coverage of rehabilitation services provided in an inpatient rehabilitation facility
     •     Describe the Medicare medical necessity appeals process and potential outcomes
     •     Outline lessons learned from pursuing Medicare post-payment denials for reimbursement
     •     Summarize the educational strategies to cultivate a multidisciplinary inpatient rehabilitation team that complies with Medicare’s
           documentation criteria for medical necessity.
Kathleen Ruroede, PhD, MEd, RN, Assistant Vice President, Quality and Research, MARIANJOY REHABILITATION HOSPITAL, Wheaton, IL
10:30AM – 11:00AM                    MORNING REFRESHMENT BREAK AND EXHIBITS




          Active Communications International                Phone: 312 780 0700            Fax: 312 780 0600           www.acius.net
                               REHABILITATION AND
                                POST-ACUTE CARE SERVICES
                                        JUNE 26 - 27, 2008 • ChiCago, il

11:00AM – 12:00PM                    *SPECIAL EXTENDED SESSION *
                                     MEETING THE PSYCHOSOCIAL NEEDS OF PATIENTS: POST ACUTE ICING ON THE CAKE OR AN
                                     ESSENTIAL PART OF SUCCESSFUL REHABILITATION

The Extended Services department was established at Schwab Rehabilitation Hospital (Chicago, IL) in 2001. The department’s mission is to
serve as a disability resource for hospital staff, patients, and community members by providing information, resources and services to promote
positive community reintegration for people with disabilities. This mission is fulfilled through education, mentoring, research, and advocacy.
Current programs include:
     •    Bridging Resources to Peer Mentor Support (peer mentoring by and for people with spinal cord and brain injuries)
     •    Making Tracks to Transitions (assisting youth and young adults with disabilities in the transition from childhood to adulthood, particularly
          regarding medical needs, independent living skills, and psychosocial development)
     •    Critical Pathways (educational and vocational planning and assistance)
     •    Centro de Vida Independiente (social support and information for people of Hispanic/Latino background)
     •    HIV prevention (workshops and individualized counseling tailored to the needs of persons with disabilities, designed to decrease risk
          behaviors related to HIV/STD transmission)
     •    Recreation (wheelchair basketball, handcycling, art classes)
     •    Refugee Project (case management services for refugees to the U.S. who have disabilities)
     •    In My Shoes (a violence prevention program in which former patients with violently acquired injuries speak to youth about gangs, drugs,
          and making good choices)

Additionally, Extended Services houses the Disability Resource Center, providing information, referrals, and informal mentoring to individuals
with a wide range of disabilities. We also offer computer classes and open lab time through our accessible Community Technology Center. All
programs and services are free and available not only to Schwab patients but to anyone in the community with a physical disability.
Extended Services has been successful at providing both needed services to patients, particularly those with new disabilities, and employment
for a group of past patients, oftentimes serving as a catalyst to other job opportunities. This workshop will describe the services offered, increased
satisfaction and post-acute outcomes, lessons learned, and the steps needed for hospitals to implement similar programs and services. We believe
that these services should not just be “icing on the cake” of rehabilitation, but are instead an integral part of post-acute rehabilitation.
Kristin Balfanz-Vertiz, MSW/LSW, Director of Extended Services
SCHWAB REHABILITATION HOSPITAL, Chicago, IL
Kimberly M. Taylor, Manager of Program Development, Evaluation & Research, Extended Services & Deaf Access Program
SCHWAB REHABILITATION HOSPITAL, Chicago, IL
12:00PM – 1:00PM                     CONFERENCE LUNCHEON
1:00PM – 1:15PM                      CLOSE OF CONFERENCE / OFFLINE GROUP DISCUSSION
Conference participants are encouraged to close out their conference experience by having a few refreshments and taking this time to meet with
solution providers and for last minute networking, business card exchange and to discuss the day’s issues.
CONTENT AND THEME
Active baby boomers will enter their 60s in the next few years and will need knee or hip replacements, or maybe an ACL repaired so they can
continue the active lifestyle that is their hallmark.
Preparation to meet the health needs of an aging population boom is in full swing, with Rehabilitation/Orthopedic services and care at the
forefront of this growing demand. Now it is more crucial then ever for hospitals to plan effectively for success in this increasingly competitive field.
Hospitals are changing market tactics in order to provide more post-acute care and rehabilitation services – expanding services to treat core
brain, spine and orthopaedic patients, establishing rehab programs designed and marketed directly to athletes and structuring and programs to
prepare for an increase in elderly and arthritic patients.
To increase patient volume and reach one’s market potential in the orthopedic services market, hospital and physician leaders need to have the
knowledge and savvy to leverage emerging trends, treatments and technologies; while implementing cost-effective initiatives and setting the right
course to emerge as a rehabilitation leader in your market.
Join us June 26-27 2008 in Chicago in a gathering of administrative and medical leaders all striving to advance their neuroscience service
lines. This conference offers the ideal forum to learn from experienced leaders on how to develop, operate and maintain a comprehensive
rehabilitation/orthopedic program.




          Active Communications International                 Phone: 312 780 0700              Fax: 312 780 0600           www.acius.net
                            REHABILITATION AND
                             POST-ACUTE CARE SERVICES
                                     JUNE 26 - 27, 2008 • ChiCago, il


WHO WILL ATTEND/TARGET AUDIENCE

Senior Level Executives and Administrators from Hospitals, Healthcare Systems, Community Hospitals, Managed Care Organizations, Long-
Term Care Facilities, Physician Clinics and Private Practices with titles including:
							•	 Presidents/CEOs
							•	 Chief Administrators
							•	 Administrative Directors of Orthopedic Services
							•	 Vice Presidents/Directors – Business Development
							•	 Directors of Perioperative Services
							•	 Directors of Surgical Services
							•	 Directors/Managers – Rehabilitation Services
       •	 Orthopedic Surgeons

                                                 CONFERENCE FEES AND REGISTRATION
                                        Conference Fee: $2,390 Conference Documentation CD: $615
                           (Documentation CD includes copies of all proceedings on CD and shipping is included)
                                                        REGISTER 3 & GET 1 FREE!
               Any organization registering three persons at the same time will be entitled to a fourth registrant FREE of charge!

                                                            HOTEL INFORMATION
                                                               Hotel Monaco
                                                             225 N Wabash Ave
                                                             Chicago, IL 60601
                                                           www.monaco-hotel.com
                                                               (312) 960-8500




         Active Communications International               Phone: 312 780 0700             Fax: 312 780 0600          www.acius.net

								
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