At the 2013 American Medical Directors Association (AMDA) convention in Washington, D.C., speakers from Kindred Healthcare and the Cleveland Clinic presented on acute care to post-acute care relationships. The session highlighted aspects of their own clinical and quality initiatives while giving participants a tutorial in how to get started forming their own collaborations. It is through these types of relationships that health care organizations can work to design and to improve care transitions to meet the challenges of the changing healthcare environment.
Occupational therapists and assistants play a vital role in the care of Kindred patients. Carey Anderson-Hoyt, OT/L, Program Director of Rehab Care at Kindred Transitional Care and Rehabilitation-The Greens in Ohio, talks about the profession that’s being spotlighted in April for National Occupational Therapy Month.
Q. How did you become interested in OT?
A. I had horses growing up and loved how therapeutic they were. When I was learning about career options, I came across hippotherapy, which is the practice of using horses as a therapeutic modality. After doing some research, I found that I had to become a physical therapist or occupational therapist, but decided on the latter because it offered more opportunities to be creative.
Q. What type of schooling do occupational therapists need?
Born out of the Affordable Care Act of 2010, the concept of the Accountable Care Organization (ACO) is tied to the goal of providing better and more efficient, coordinated health care to more people at lower cost. The organizations themselves are composed of groups of physicians and other providers of Medicare-covered services, and venues where care is provided, connected by networks of individual practices or partnerships, joint ventures or hospital-employed ACO professionals. Payment is tied to the achievement of health care quality goals, and the organization is expected to be patient-centered, with patients and providers working together toward optimum health care delivery.
Transitional Care Hospitals (TCHs) offer aggressive, medically complex care, intensive care and short-term rehabilitation.
Certified as long-term acute care hospitals and licensed as acute care hospitals, Transitional Care Hospitals are unique in their ability to care for critically ill patients who require specialized and goal-directed care over an extended recovery time. They have an additional Medicare certification that supports a length of stay measured in weeks as compared to the typical five-day stay for patients in traditional hospitals. At Kindred, about two-thirds of our TCH patients have Medicare.
TCH patients require an average length of stay of 25-30 days, and have many co-existing medical conditions, some acute and some chronic. Examples of some of the services TCH patients require are:
Some of the conditions commonly seen in a TCH are:
Respected pulmonologists Thomas Petty, MD, and Kent Christopher, MD, played important roles in turning would-be surgeon Eric Yaeger, MD, Medical Director of Kindred Hospital Denver, into the prolific expert and outstanding pulmonary clinician he is today.
“I was thinking of surgery, or maybe interventional radiology, but then as a resident I met two very influential leaders in pulmonary critical care,” Dr. Yaeger said. He has never looked back.
Both Dr. Petty and Dr. Christopher were pioneers and leaders in the continued development of transtracheal oxygen therapy, which optimizes oxygen therapy for patients by delivering it directly into the trachea and bypassing the nose, which can cause challenges related to discomfort and anatomical breakdown. Dr. Yaeger took the transtracheal baton and has continued to advance the field through his work at Kindred and industry partnerships.
, everyone is encouraged to take a simple, one-minute test on Facebook to help assess their risk of developing type 2 diabetes.
This free test (in English or Spanish) can be found on Facebook, www.stopdiabetes.com or by calling 1-800-DIABETES. Although Alert Day is a one-day event, the Diabetes Risk Test is available year-round, as are preventative tips and other information for individuals and the workplace.
Diabetes is bigger than you think
To put the problem in perspective, consider this… 26 million children and adults in this country struggle with diabetes — and 7 million of them don’t even know they have it. In addition, one in three American adults has prediabetes and is at serious risk of developing type 2 diabetes.
The Bird ventilator, named for inventor Forrest Bird, was the first mass-produced mechanical vent, and it used compressed air technology and required no electrical power. Dr. Bird spoke at Kindred’s 2009 Clinical Impact Symposium, and signed the vent that is pictured and on display in the Kindred Support Center lobby.
Known by some as the “father of mechanical ventilation,” Dr. Bird tested his first mechanical ventilators by piloting his own planes to medical schools and asking doctors for access to their sickest patients. Patients who had tried all the available options and were expected to die of cardiopulmonary disease.
Kindred Healthcare's commitment to our patients is to provide hope, healing and recovery and that means committing to using the latest technologies in pulmonary rehabilitation. Please take a moment to answer the polls and check back next week when we give you the full story on these two important advances in pulmonary rehab. In the meantime, scroll down to the comments and share your experience with these important pieces of history.
Last week, Kindred administrators across the country were honored during Long Term Care Administrators Week (March 10-16) for the important role they play.
An administrator must be a people person capable of multitasking to assist with every aspect of a person's life, not just medical issues, on a 24-7 basis. He or she leads and directs the overall operations of a center and coordinates customer needs, government regulations and company policies while ensuring the highest levels of care for residents and meeting the facility’s business objectives.
Returning to daily life as usual after a traumatic brain injury (TBI) can seem daunting. Many TBI patients believe every facet of their life will be different. However, this does not have to be the case, as brain injury rehabilitation can help make this seemingly scary recovery an easy transition.
Brain injury rehabilitation helps you regain abilities that have been lost due to TBI. This rehabilitation helps patients learn to live again --- to be as independent as possible, to live with changes caused by TBI, and to readjust to home, family, and community.
Rehabilitation efforts should begin as early in the recovery process as possible – as soon as the patient’s condition is stable enough and doctors have taken all necessary preventative measures against further complications. Patients that begin rehabilitation quicker are more likely to regain lost abilities and functions.
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