Hospital and Community Jo Crawford CTRS, MSL Barrow Connection - - PowerPoint PPT Presentation

Jo Crawford CTRS, MSL Barrow Connection Barrow Neurological Institute

• St. Joseph’s Hospital & Medical Center

Bridging the Gap Between Hospital and Community

Decreased length of stay

Adjustment to injury Adjustment to body image Education of family/friends

Decreased access to the community while on rehab Decreased absorption of resources

Challenges in rehabilitation

In drug/alcohol abuse In secondary conditions In obesity In unemployment

Consequences of a Non-Active Lifestyle

Organized activity Cost Equipment Access Trained staff

Barriers to Participation

Navigational tools needed for an active lifestyle Educate the hospital and community Membership is free Meet our Connectors

The Barrow Connection-what we do

What does it take to be a Barrow Connector?

• Must be 1 year post injury
• Interview process
• Referred by Physiatrist or therapy team
• Complete 8 hour training
• Be active and needs to have adjusted to injury

How do I get connected to a Barrow Connector?

• Referral from treatment team via Cerner:

– neuro-rehab – outpatient – acute setting

• Try to match the patient to the mentor with

similarities via Smartsheet data base.

Barrow Connectors-Positive mentors

Membership card Connector reaches out to new member Provide resources and encouragement

Barrow Connectors- SCI

Family involvement Complete a mentor training program Contract agreement with BC/hospital

Barrow Connectors-Brain Injured Survivors

Red Cap

• Arizona Disabled Sports
• Ability 360 Sports and Fitness Center
• Ability 360 Independent Living Center
• Municipal Programs
• Daring Adventures
• Other Rehab Hospitals in Arizona
• Valley-wide Community Agencies

Community Support & Partners

Barrow Connection –lets have some fun!

In medical stay In secondary conditions In drug/alcohol abuse In obesity

Benefits to the BC Member

Communication of resources across the continuum of care Collaboration with valley-wide agencies Barrow Connectors-provide support & resources

Benefits to the BC Member

Dignity Health Grants Community Care of Network

Project Independence and Empowerment PIE

Dignity Health Grants Community Funding

2013: $ 88,000 2014: $ 75,000 2015: $ 75,000 2016: $ 56,000 2017/18: $100,000—BNF Total- $394,000

The PIE Community

»Ability 360 Sports and Fitness Center »Arizona Spinal Cord Injury Association »Brain Injury Alliance of Arizona

Target Population

• The target population- adults with

disabilities of all ethnic and cultural backgrounds.

• Served on a cross-disability basis; the

majority of people served have physical and/or neurological disabilities.

In Arizona 24,000 people have a spinal cord injury, and that number increases by 250 yearly; over 100,000 have some form of paralysis. (Christopher and Dana Reeve Foundation) Each year, over 52,000 people in Arizona sustain a Traumatic Brain Injury. (AZ Department of

Health)

Did You Know….

PIE

Goals

• 1. Decrease or prevent incidence
• f secondary conditions
• 2. Reduce inpatient admissions and ER visits
• 3. Enhance Quality of Life through health, fitness & nutrition;

education/activities; socialization opportunities; peer support; & Community Transition resources

• 4. Identify system changes for our service delivery model to encourage a

seamless family care transition with SJHMC

• 5. Conduct outreach /offer care transition to extended care facilities

Hospital Navigator

Neuro Rehabilitation Continuum Acute > rehab> outpatient > Center for Transitional Neuro Rehabilitation ED Muhammad Ali Parkinson Center Barrow Cranial Facial Center All Neuro Programs

PIE

Outcomes

ABILITY 360 Sports and Fitness Center

• Currently 126 participants and 143 family members are enrolled
• Participants complete a pre-enrollment survey, with a follow-up assessment

at 3-month intervals. Fitness Transition Results

• Weight loss
• Reduction of BMI
• Gait improvement
• Community Involvement

PIE

Outcomes

Transportation

Bus and/or light rail passes have been provided to PIE participants who need transportation.

Wheelchair Skills Classes

covered topics include: traveling with your chair, transferring, managing your environment and mechanics of your chair.

Empowerment Curriculum Classes

A 12 week Empowerment Series. Topics included: prevention of secondary conditions after SCI, psycho-social aspects of SCI, medical conditions after SCI, bladder and bowel management, sexuality and SCI, pain management and aging with SCI.

PIE

Outcomes

Educational Programs

• Healthy Living Group - Nutrition, Music Therapy,

Chronic Pain Management

• Healthy Living Summer Series
• Online Educational Sessions
• Conferences

Services

• Resource Facilitation
• Brain Gym, 2x/month

Accident Avoidance Exercises Skid Control

Barrow Connection Programs- Driving to Excel

• Introduction to Timed Driving
• Drive Safer with hand controls
• HAVE FUN!!!

Barrow Connection Programs- Driving to Excel

• 223 participants
• 156 volunteers
• Waterskiing
• Wakeboarding
• Surfing
• Tubing
• Jet skiing
• Fishing
• Boat rides
• Kayaking
• Research

Day on the Lake-21 years!

surfing

Talk about focus!

Everyone has the right to play!

Everyone has the right to play!

Everyone has the right to risk!

The REAL impact of access!

“It got me out of my shell and away from the TV!”

Marc Askinazi

“It is so empowering!”

Madilyn Stanton