A Retrospective Quality Improvement Study to Describe Operational Management Strategies in an Inpatient Rehabilitation Facility During the COVID-19 Pandemic
| Autor: | Elizabeth Rider, Elizabeth Dominick, Eileen Andreassi, Jessica Norton, Sandra Alexandrou, Rachel Feld-Glazman, Lisa Pacheco, Danielle Struble-Fitzsimmons, Claudine Bogosian |
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| Rok vydání: | 2021 |
| Předmět: |
Rehabilitation hospital
Quality management Coronavirus disease 2019 (COVID-19) Service delivery framework medicine.medical_treatment Hospitals Rehabilitation New York Physical Therapy Sports Therapy and Rehabilitation PUI person under investigation for COVID-19 IRF inpatient rehabilitation facility Recreational therapy Special Communication Pandemic Humans Medicine Pandemics Personal protective equipment Retrospective Studies COVID-19 coronavirus disease 2019 Rehabilitation SARS-CoV-2 business.industry COVID-19 medicine.disease Quality Improvement Patient Discharge Management Inpatient Rehabilitation Medical emergency business Delivery of Health Care PPE personal protective equipment |
| Zdroj: | Archives of Physical Medicine and Rehabilitation |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2021.07.004 |
| Popis: | The delivery of care in the inpatient rehabilitation setting was disrupted during the coronavirus disease 2019 (COVID-19) pandemic. As a 150-bed freestanding inpatient rehabilitation facility in the epicenter of the pandemic, Burke Rehabilitation Hospital was required to increase overall bed capacity for regional overflow needs and still maintain our mission to provide inpatient rehabilitation for patients with and without COVID-19. During the period between March and September 2020, Burke Rehabilitation Hospital treated over 300 rehabilitation patients who were COVID-19 positive and at one point had a census that was >50% COVID-19 positive. A model grounded in 5 priorities—communication, personal protective equipment, clinical service delivery, discharge planning, and patient/staff support—was implemented to reprioritize daily operations and ensure patient and staff safety while providing valuable rehabilitation services. The delivery of physical, occupational, speech, and recreational therapy services transformed, and a number of innovative clinical practices were developed. During the study period, 100% of our patients continued to be scheduled to receive therapy services. Patient length of stay values did increase during the pandemic (from 16.38d to 19.93d), and slightly more patients were discharged to home (68.7% compared with 68.3%). Despite modifications to rehabilitation care delivery, patients continued to make functional gains in the areas of self-care, mobility, and walking. Flexible leadership was pivotal in the development and implementation of new processes and procedures to meet the evolving needs of patients, staff, and the organization as a whole. |
| Databáze: | OpenAIRE |
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