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2 0 10 A n n u a l R e p o rt Th e R e g i o n a l R e h a b i l itati o n C e nte r P

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Buil ding a c ulture of excellence.


Dear Friends, Compassionate, patient-centered, quality care that’s our goal at The Regional Rehabilitation Center at Faxton St. Luke’s Healthcare (FSLH). In this report we share how our team’s care and compassion supported the goals of patient Kevin Rocker. His story is one of triumph after a stroke. Kevin is one of thousands of patients we care for each year, helping them to rebuild their lives and return home to family and friends.

I t ’s t h e people. I t ’s t h e ca re.

Last year we cared for patients on our Acute Inpatient Rehabilitation Unit and provided treatments for patients with rehabilitation needs due to stroke, brain injury, spinal cord injury, Parkinson’s disease and other neurological disorders, as well as cardiac disease, arthritis, orthopedics and amputation. Patients are at the center of all we do, and our wide range of services helps us to be your “one stop” for all of your physical rehabilitation needs. Education with specialized credentialing and training is our focus. You’ll read about one of our many registered nurses that is specially

2010 Annual Report

certified to care for our rehabilitation patients. She is one of dozens of employees who have received certifications, master and doctorate degrees, and continuing education credits in their field.

Campus. This addition will complement our St. Luke’s Home current 41-bed Subacute Rehabilitation Unit. We are also relocating Home Care Services (Visiting Nurse Association and Senior Network Health) to the St. Luke’s Home along with Adult Day Health Care and an additional Dialysis satellite. This is possible because of an incredible $31.3 million grant we received from New York State and the Federal State Reform Partnership.

To continue to support the needs of our patients, we have some extraordinary projects under way that will have a positive impact on rehabilitation, home care and long-term care services in Oneida County. St. Luke’s Home on the St. Luke’s Campus of FSLH will be the location for our 24-bed Commission for Accreditation of Rehabilitation Facilities (CARF) accredited Acute Inpatient Rehabilitation Unit with more private rooms and a newly constructed rehab gym, which is currently located at the Faxton

As we move forward in 2011 and beyond, our vision is to be the premier healthcare organization in the region. Through the commitment of our employees, medical staff, administration and board of directors we are building a culture of excellence to make that vision a reality.

Denny Battista, DO, FAAPM&R, CIME, AQPM Medical Director, Rehabilitation Services

Meenakshi (Mini) Malhotra, MBA, MHA, OTR Program Director, Rehabilitation Services

The Regional Rehabilitation Center

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Patient Name:

Kevin Rocker

Like his colorful Hawaiian shirts, Kevin Rocker is full of personality. Known for his sense of humor and laid-back demeanor, this 57-year-old stroke survivor left an impression on the staff at Faxton St. Luke’s Healthcare’s Regional Rehabilitation Center. “He had such a friendly, upbeat personality throughout his rehabilitation and was quick to make others smile,” said Jennifer Enjem, a physical therapist at Faxton St. Luke’s Healthcare who worked with Rocker for more than two months.

stroke is t-PA (tissue Plasminogen Activator) to be administered in the Emergency Department. If the patient doesn’t arrive within three hours of the start of the stroke, their options become more limited.”

It was that positivity that drove him to overcome what could have been a devastating disability.

After one week of inpatient care at St Luke’s, Rocker was ready for rehabilitation. The stroke had left the right side of his body extremely weak, making it impossible to walk or use his right arm.

On Mother’s Day in 2010, Rocker was at home when he felt numbness in his right leg. In just a matter of moments, he lost feeling and control of the right side of his body. His sister, Karen Rocker, brought him to the Regional Stroke Center at FSLH, and it is here that the Rockers learned timing is everything.

On Mother’s Day in 2010, Kevin Rocker was at home when he felt numbne ss in his right leg. In just a matter of moment s, he lost feeling and control of the right side of his body. His sister, Karen Rocker, brought him to the Stroke Center at FSLH, and it is here

D ur in g st ro ke , . ti m in g is ev er yt hi ng

“Many people don’t realize that a stroke is a medical emergency as serious as a heart attack,” said Stroke Center coordinator Angie Roche, RN. “The best available treatment for those experiencing a

“I wasn’t going to accept that.” “I wanted to work as hard as I could and return to my life.” — Kevin Rocker, FSLH Patient

that the Rockers learned timing is everythi ng. 2010 Annual Report

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“You have to listen to the patient and find out how they were functioning prior to their need for rehabilitation and then provide praise for every accomplishment, however small, to help them return to that.”

— Marcia Lynch, PT, FSLH

And he did just that. Rocker performed additional exercises in his room after his occupational and physical therapy had concluded for the day. “He constantly gave 150 percent of himself and encouraged other patients in their therapy sessions to do the same,” said Lisa Bauer, Rocker’s inpatient occupational therapist. “A highly motivated patient who is willing to work towards recovery everyday will have remarkable outcomes.”

While caring for patients like Rocker, it’s critical for staff to be positive as well, adds Marcia Lynch, another physical therapist who worked with Rocker. “You have to listen to the patient and find out how they were functioning prior to their need for rehabilitation and then provide praise for every accomplishment, however small, to help them return to that,” Lynch said. “This helps lead to greater success.” And working as a team is key to the patient’s safety as they progress in their rehabilitation goals, says Becky Inserra, a certified registered rehabilitation nurse at FSLH. “Together we educate our patients and their outside support system, like their family, on the importance of patient safety. We provide diagnosis and age specific information and tips, which are personalized to each patient,” she explained. “Patient safety always comes first.” Today, Rocker is doing what he set out to do when he first entered rehabilitation - living his life and walking on his own. Rocker can often be found on the computer surfing the Internet or chatting on Facebook. And during nice weather, you’ll find him outside riding his horse, Autumn. “It doesn’t matter if I’m on the computer or outside riding the horse, either way I’m being me again…I can walk, use my arm and do everything I need to do on my own – and that is what I set out to accomplish,” Rocker said.

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The Regional Rehabilitation Center 2010 Annual Report


Nurse’s Name:

Gabrielle Buttiglieri

For Gabrielle Buttiglieri, rehabilitation nursing has put her life into perspective.“Seeing these patients overcome their challenges inspires me to succeed in what I may face or endure in my own life,” she said. Buttiglieri is one of 13 nurses at The Regional Rehabilitation Center who are Certified as Registered Rehabilitation Nurses (CRRN) and work with patients affected by chronic illness or a physical disability. CRRNs help patients adapt to their disabilities, support their goal to achieve their greatest potential, and work toward productive, independent lives. They take a holistic approach to meeting patients’ medical, vocational, educational, environmental and spiritual needs. “We truly want to see the patient succeed and pride ourselves on the evidence-based practices we use with our continued desire to improve our quality of care,” said Buttiglieri who began her career in health care as a nurse’s aid, became a registered nurse and recently completed her CRRN.

“We trul y want to see the pat ient suc cee d and prid e our selv es on the evid enc e-b ased pra ctic es we use wit h our con tinu ed des ire to improv e our qua lity of care ,” said But tigl ieri .

Rehabilitation nurses begin to work with individuals and their families soon after the onset of a disabling injury or chronic illness. They continue to provide support in the form of patient and family education and empower these individuals when they go home or return to work or school. Rehabilitation nurses also teach patients and their caregivers how to access support systems and additional resources. “Education is always key because it benefits both the patient and the family to know and understand what is going on in a specific period of time,” Buttiglieri said. “Through education, nursing care and therapy we provide a platform for success. There is nothing more rewarding than the feeling of knowing you have helped someone recover and get back to the life they once had.”

“Once I began working in rehab, I was hooked. It is a different kind of nursing… it’s not about what you can do for the patient but how you can help the patient realize what they can do for themselves,’ she said.

2010 Annual Report

The Regional Rehabilitation Center

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2010 Program Performance Patient Report Card

96.8 Percent of the patients discharged from The Regional Rehabilitation Center report that they maintained their own care and independence 90 days after discharge.

3 2 1 0 Functional Improvement

Most Experienced in the Region for Treating Stroke Related Disabilities

In 2010, through FSLH’s Stroke Center designation, the percentage of stroke patients out of the total number of admissions was 29.7 percent compared to the region at 23.8 percent and the nation at 25.2 percent. This means we have more experience treating the disabilities associated with stroke than other facilities in the area.

Highest (FIM) Gain Score in the Nation

The average patient discharged from The Regional Rehabilitation Center was more satisfied than discharged patients from other inpatient rehabili-

108.9

tation programs throughout the nation. A perfect score is 4.0. We scored

The National FIM Score

3.72, while the average score for all of the other inpatient rehabilitation

113.2

programs was 3.69.

The Regional Rehabilitation Center 2010 Annual Report

Length of Stay

Total Patient Admissions

93.9 Percent of patients are living independently at home 90 days after discharge from The Regional Rehabilitation Center. Most of our patients go home and stay home.

3.72 out of 4.0 Patient Satisaction Score

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Stoke Patient Admissions 29.7%

Our average Functional Improvement Measure (FIM) gain score for a patient’s ability to carry out functional skills, such as eating, bathing, dressing, etc. was much higher than that of other rehabilitation programs in the nation. Patients at The Regional Rehabilitation Center are more independent at discharge with a FIM gain score of 113.2 as compared to the national average of 108.9. This means our patients showed more improvement.

Regional Rehabilitation Center’s Score

Based on 2010 MedTel Outcomes (a company that conducts phone interviews).

National Average Regional Rehabilitation Center

Highest (LOSE) Score in the Nation

The 2010 Length of Stay Efficiency (LOSE) score of 3.16 was above the national average of 2.25. LOSE is a correlation of the Length of Stay and Functional Improvement Measurement Gain. LOSE indicates the gain in functional status of the patient during his or her rehabilitation stay. This means our patients showed greater improvement over less time.

The Regional Rehabilitation Center

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PO Box 479 Utica, NY 13503

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Commission on Accreditation of Rehabilitation Facilities

Make a difference in the life of a rehabilitation patient. D o n at e to day by v i s i t i n g u s at fa x to n s t lu k e s .co m / r e h a b g i v i n g


2010 Regional Rehabilitation Center Annual Report