Central Nervous System - Transition of Care: Neurorehabilitation Journey Through Different Settings of Healthcare (Part 2)-Session Presentation

Video Transcription

Video Summary

In this video, part two of a lecture series on the central nervous system transitions and care, Dr. Fusco, Dr. Marilyn Pacheco, and Dr. David Ripley discuss the neurorehab journey through different healthcare settings. They cover various topics such as the role of PM&R (Physical Medicine and Rehabilitation) across different settings, transitioning care in VA settings for patients with brain injury, challenges of transitioning care between settings, and the role of physiatrists. <br /><br />The speakers provide insights into the different healthcare settings where rehabilitation services are provided, including inpatient acute rehabilitation, subacute rehabilitation in skilled nursing facilities, long-term acute care hospitals (LTACs), home health care, day treatment or community-based services, and typical outpatient rehabilitation. They also touch on post-acute residential programs, assisted living facilities, and clubhouse model programs.<br /><br />Dr. Ripley discusses trends and provision of neurorehabilitation care, including changes in referral patterns, funding pressures, and advances in healthcare leading to more complex patients. Dr. Pacheco focuses on the levels of care in the Veteran Health Administration (VA) and the VA healthcare system, explaining the different types of VA facilities and their classifications based on complexity. She also highlights the polytrauma TBI (Traumatic Brain Injury) system of care and the SCI (Spinal Cord Injury) system of care within the VA system.<br /><br />The speakers dive into the details of the polytrauma TBI system of care, including the roles and services provided by each component, and discuss the hub and spoke models in the SCI system of care. They emphasize the importance of coordination, referral, education, and individualized treatment plans. They also mention the availability of tele-rehabilitation and resources for patients and families after discharge, such as Medicaid waivers.<br /><br />Overall, the video provides valuable insights into the various settings where neurorehabilitation care is provided, the challenges of transitioning care, and the role of physiatrists in facilitating comprehensive and coordinated care for patients with CNS injuries and illnesses.

Keywords

central nervous system transitions

neurorehab journey

healthcare settings

PM&R

transitioning care

VA settings

brain injury

physiatrists

rehabilitation services

neurorehabilitation care

polytrauma TBI system of care