2012 Quality data report - Nexus Specialty Hospital

Quality
data report
2012
HISTORY OF NEXUS
SPECIALTY HOSPITAL
MISSION
Nexus Specialty Hospital is dedicated
to providing individualized, holistic,
In 1992, Nexus Health Systems embarked on a mission to create specialized
healthcare environments where patients could receive treatment and
rehabilitation specific to their needs. The company, which is privately owned
and headquartered in Houston, Texas, has continued to build upon a tradition
of excellence as it strives to provide each individual with dignity, respect, and
compassion.
compassionate care in a safe
and comfortable environment to
patients with complex medical and
rehabilitative needs.
VISION
Nexus Specialty Hospital will be
the leading provider of exemplary
patient and family centered care.
We are committed to exceeding the
expectations of the community
we serve.
Nexus Specialty Hospital is an adult medical specialty hospital with 75 beds on
two campuses in the suburbs of North Houston. The facility has the advantage of
exceptional campus locations offering complex medical care in beautiful wooded
environments.
The original 21-bed campus opened in The Woodlands, TX in 1995 and a 54-bed
campus opened less than a mile away in Shenandoah, TX in 2005. Both facilities
operate under the same license as an adult medical specialty hospital with the
original campus (The Woodlands location) providing a focus on Neurospecialty
Care and Life Care services.
Nexus Specialty Hospital screens each potential patient for medical
necessity to ensure that the appropriate level of care is identified.
• We strive for excellence.
By demonstrating compliance adherence with the Medicare Conditions of
Participation integrated with the ISO 9001 quality management system, Nexus
Specialty Hospital has earned the Certificate of Hospital Accreditation.
• We treat everyone with dignity,
Nexus Specialty Hospital is licensed by the State of Texas as a Medicare provider.
VALUES
integrity, respect and sincerity.
Nexus Specialty Hospital is certified by the State of Texas as a Department of
Assistive and Rehabilitative Services (DARS) vendor.
• We are dependable and ethical in
all interactions.
• We value each person’s spiritual
and cultural beliefs.
2
CONTENT
General Information .................................................................................................... 2
Patient Satisfaction ......................................................................................................3
Discharge Data ............................................................................................................3
Infection Control Quality Data ......................................................................................4
Team Conference ........................................................................................................6
Patient Safety Initiative ................................................................................................6
Community Outreach ...................................................................................................6
Respiratory ..................................................................................................................7
Inpatient Wound Care ..................................................................................................8
Outpatient Wound Care ................................................................................................9
Rehabilitation Services – Shenandoah Campus ..........................................................10
Rehabilitation Services – Woodlands Campus ............................................................12
Life Care Services ......................................................................................................15
Nexus Specialty Hospital
|
a part of Nexus Health Systems
PATIENT SATISFACTION
Nexus Specialty Hospital prides itself on exemplary customer service. Initial and
discharge satisfaction surveys are conducted with each patient. Our scores are
based off a 5 point rating scale. Nexus Specialty Hospital uses this feedback to
drive quality initiatives and ensure patient and family needs are met.
4.5
+
SATISFACTION
NSH AVG SATISFACTION SURVEY SCORE 2012
4.9
4.8
4.7
4.6
4.5
4.4
4.3
4.2
4.1
4.8
4.7
4.6
4.6
4.6
4.6
4.5
4.6
4.4
JAN
SCORE AVERAGE
4.6
4.6
4.3
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Satisfaction surveys are comprised of 30 questions that cover physical
environment, nursing services, ancillary services, respiratory care services,
medication management, nutrition services, case management services, and
physician care.
DISCHARGE DATA
Nexus Specialty Hospital ensures that discharges are thoroughly planned and
properly communicated to the patient and family members. Our top three
discharge dispositions for the period of 2011-2012 were :
Discharged to Home: 41%
Discharged to Skilled Nursing Facility: 20%
Discharged to Inpatient Rehab Facility: 10%
41
%
In 2013, Nexus was selected by the Texas Medical Foundation (TMF) Health
Quality Institute to participate in an innovation project that will focus on reducing
readmissions to short term acute care hospitals by 20%. TMF Health Quality
Institute is conducting a one year project in the Houston Hospital Referral
Region (HRR) to identify strengths and weaknesses in Long-term Care Hospitals
(LTCH) through a collaborative effort with providers, community leaders, and
stakeholders. This community will develop recommendations and select
interventions to improve patient outcomes, lower costs, and achieve sustainable
improvement. Nexus Specialty Hospital is proud to be a part of this project.
For more information please visit: http://texasqio.tmf.org/
DISCHARGES
TO HOME
2012
Quality data report
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Infection Control
Quality Data
Nexus Specialty Hospital participates in the National Healthcare Safety
Network’s (NHSN) national reporting program for infection control indicators. Our
benchmarks are set based upon NHSN recommendations. NHSN is a secure,
Internet-based surveillance system that integrates patient and healthcare
personnel safety surveillance systems that is managed by the Division of
Healthcare Quality Promotion (DHQP) at the Centers for Disease Control. During
2008, enrollment in NHSN was opened to all types of healthcare facilities in the
United States, including acute care hospitals, long term acute care hospitals,
psychiatric hospitals, rehabilitation hospitals, outpatient dialysis centers,
ambulatory surgery centers, and long term care facilities.
What is a central line?
A central line (also known as a central venous catheter) is a catheter (tube) that
doctors often place in a large vein in the neck, chest, or groin to give medication
or fluids or to collect blood for medical tests. You may be familiar with intravenous
catheters (also known as IVs) that are used frequently to give medicine or fluids
into a vein near the skin’s surface (usually on the arm or hand), for short periods
of time. Central lines are different from IVs because central lines access a major
vein that is close to the heart and can remain in place for weeks or months and
have greater potential to cause serious infection.
What is a central line-associated
bloodstream infection?
A central line-associated bloodstream infection (CLABSI) is a serious infection
that occurs when germs (usually bacteria or viruses) enter the bloodstream
through the central line. Healthcare providers must follow a strict protocol when
inserting the line to make sure the line remains sterile and a CLABSI does not
occur. In addition to inserting the central line properly, healthcare providers must
use stringent infection control practices each time they check the line or change
the dressing. Patients who get a CLABSI have a fever, and may also have red
skin and soreness around the central line. If this happens, healthcare providers
can do tests to learn if there is an infection present. Other potential risk factors
include extended hospital stay, total parenteral nutrition, and heavy microbial
colonization at the insertion site.
2012 NSH CLABSI rate reported
per 1000 central line days: 0.72
NHSN benchmark: 1.30
How can these
be prevented?
NSH has developed our central line
maintenance protocol based on
the strictest CDC interpretations.
Central line dressings are changed
weekly and audited for quality by
our special procedures nurse. NSH
also uses products such as the
Biopatch and Chloroprep to help
prevent central line-associated
bloodstream infections. For more
information please visit www.cdc.gov.
Catheter-associated Urinary Tract
Infections (CAUTI)
How can these
be prevented?
NSH ensures that only properly trained
personnel are responsible for the
insertion and maintenance of catheters
with proper aseptic technique.
NSH additionally performs weekly
audits for catheter appropriateness
through our nursing leadership. Our
prevention methods are guided by the
CDC recommendations. Please visit
www.cdc.gov for more information.
A urinary tract infection (UTI) is an infection involving any part of the urinary
system, including the urethra, bladder, ureters, and kidney. UTIs are the most
common type of healthcare-associated infection reported to the National
Healthcare Safety Network (NHSN). Among UTIs acquired in the hospital,
approximately 75% are associated with a urinary catheter, which is a tube
inserted into the bladder through the urethra to drain urine. Between 15-25%
of hospitalized patients receive urinary catheters during their hospital stay. The
most important risk factor for developing a catheter-associated UTI (CAUTI) is
prolonged use of the urinary catheter. Therefore, catheters should only be used
for appropriate indications and should be removed as soon as they are no longer
needed.
2012 NSH CAUTI rate reported
per 1000 central line days: 1.89
NHSN benchmark: 2.34
How can these
be prevented?
NSH follows strict CDC guidelines
for the prevention of ventilatorassociated pneumonia. Daily VAP
prevention interventions include
placing the head of the bed at
an angle ranging between 30-45
degrees, frequent oral care, sedation
vacations, and strict aseptic
technique. VAP care protocols are
audited on a weekly basis to ensure
compliance. For more information
please visit www.cdc.gov.
Ventilator-associated Pneumonia (VAP)
Ventilator-associated pneumonia is a lung infection that develops in a person who
is on a ventilator. A ventilator is a machine that is used to help a patient breathe
by giving oxygen through a tube placed in a patient’s mouth or nose, or through
a hole in the front of the neck. An infection may occur if germs enter through
the tube and get into the patient’s lungs. The CDC provides guidelines and tools
to the healthcare community to help end ventilator-associated pneumonia and
resources to help the public understand these infections and take measures to
safeguard their own health when possible.
Nexus specialty hospital is proud to report 1 incident
of Ventilator-associated pneumonia since 2009.
NSH three year rate is 0.29
per thousand ventilator days
NHSN benchmark: 0.60
Source: Nexus Internal Data (2012) and National Healthcare Safety Network (2011).
2012
Quality data report
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Team Conference
Nexus Specialty Hospital offers weekly interdisciplinary team conferences in
an effort to better serve the needs of our patients and their families. Patient
and family goals are discussed in conjunction with clinical goals to prepare
the patient for an optimal discharge. Our conferences include members from
Respiratory Care, Rehabilitation, Wound Care, Infection Control, Nursing, Dietary,
and Case Management.
Patient Safety
Initiative
Antibiotic utilization use has increased in the US and worldwide. Antibiotic
medication use is associated with certain morbidities including collateral
damage (C. diff colitis), toxicity (myelosuppresion), and the development of
resistant species of bacteria. All morbidities increase with increased length
of the antibiotic course. Nexus Specialty Hospital adheres to a strict antibiotic
stewardship program to ensure antibiotic utilization is appropriate and efficient.
Our Medical Director of Infection Control, Charles R. Sims, MD, monitors this
program on a weekly basis in conjunction with our Director of Pharmacy. From
January through September of 2012, antibiotics accounted for 63% of total
pharmacy cost. After this program was implemented in October of 2012, the cost
of antibiotic usage dropped to 43% of total pharmacy cost.
Source: Nexus Internal Data (2012)
Community Outreach
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Nexus Specialty Hospital
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a part of Nexus Health Systems
63%
43%
OCT-DEC
Through participation in community events, such as the Montgomery County
YMCA’s Annual Dragon Boat Races, Nexus Specialty Hospital was able to
distribute 250 helmets to children in the community in an effort to pro-actively
prevent traumatic brain injuries. The Nexus Hope Foundation raised over $20,000
last year.
2012 antibiotics cost
JAN - SEPT
Nexus Specialty Hospital is an active partner with the Nexus Hope Foundation.
The Hope Foundation has three driving principals:
• To provide charity care to individuals who meet eligibility criteria for medical
equipment and supplies.
• To promote and sponsor education programs for the general public and
the medical community on matters concerning traumatic brain injury and
neurological disorders.
• To promote basic research regarding early intervention as it relates to brain
injury recovery.
PERCENT OF Total pharmacy cost
Respiratory
Where Clinical Excellence Meets State of the Art Technologies
The Respiratory Care Services program at Nexus Specialty represents one of the
best in ventilator management. In 2012, 96.6% of our patients were successfully
weaned from ventilator dependency.
Source: Nexus Internal Data (2012)
Respiratory - V200 Talking Ventilators
Several studies have been conducted illustrating the experience of the ventilatordependent patient. These studies found that patients feel fear and anxiety related
to several factors, including the inability to verbally communicate. Our ventilators
feature a speaking mode that, if activated, allows for our tracheotomy patients to
speak. This feature provides patients with the ability to communicate with caregivers and family members. The ability to hear the patient speak also promotes
interdisciplinary collaboration and ensures the provision of patient centered care.
Source: Tsay et. al, Nursing & Health Sciences, 2013
Flow Track: The ventilator flow track mode provides the patient with the amount
of oxygen needed on each controlled breath so the patient does not “fight” the
ventilator. This breath type greatly improves patient ventilation synchrony and
may reduce the need for sedatives.
96.6
%
Ventilator Wean Rate
Our ventilator
patients have
a voice
in their care.
Kenneth Douglas, RRT,
Director of Respiratory
Services
Respiratory - High Flow Therapy
High flow oxygen therapy benefits patients with secretion management issues,
while providing an oxygen enriched atmosphere.
Compromised pulmonary patients, who are ventilator dependent and attempting
to wean, may wean faster when high flow oxygen is used rather than the
conventional aerosol method. High flow oxygen therapy shows efficiency
in managing complex respiratory patients, reducing overall length of stay,
preventing readmissions, and providing patients with the ability to transition to
the home or an alternate level of care with a high level of function.
2012
Quality data report
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Inpatient Wound Care
Complex and comprehensive wound management is one of Nexus Specialty
Hospital’s areas of expertise. Our Wound Care Medical Director, Young Cho, MD,
is a board certified Plastic and Reconstructive Surgeon. Dr. Cho is committed
to an integrative approach to patient care. In addition to Dr. Cho, many other
physician specialties are on staff to participate in the care of our patients with
wounds, including but not limited to, general surgeons, plastic surgeons, podiatric
surgeons, infectious disease physicians, and pain management specialists. We
care for all wound types at NSH, such as, neuropathic ulcers, fistulas, traumatic
wounds, and complicated surgical wounds.
Our wound care team is comprised of clinicians with specialty training in wound
management. The wound care team members have achieved certifications
including Certified Wound Specialists (C.W.S.®), Certified Wound Care Associates
(C.W.C.A.®), and Wound Care Certified (W.C.C.®). Nexus Specialty Hospital’s
Wound Management Program has been meticulously developed to provide
customized care for patients with complicated and/or non-healing wounds.
The NSH Wound Management Program has been recognized by both The Joint
Commission and DNV, hospital accrediting agencies.
Each patient admitted to NSH is assessed by a wound care clinician within the
first 24 hours of admission to ensure all wounds are identified in a timely manner
and an individualized plan of care is developed. Wound care protocols have been
developed based upon evidenced- based medicine to ensure best practices are
followed. All patients are reassessed by the Wound Care Team on a weekly basis.
Wound Care Team members are required to stay abreast of the latest research
and technology in the field of wound care.
In an effort to develop a benchmark for hospital acquired pressure ulcers, NSH
reports data to Centers for Medicare and Medicaid Services.
We offer the following interventions at NSH:
• Advanced wound dressings
• Debridements
• Negative pressure wound therapy (VAC®)
• Pulsatile lavage
• Autologous platelet grafting
• Skin substitutes
• Biophysical modalities, including therapeutic ultrasound, electrical
stimulation and non-contact, low frequency ultrasound (MIST Therapy®)
• Specialty surfaces
Nexus Specialty Hospital’s Wound Management Program has been meticulously developed to provide
customized care for patients with complicated and/or non-healing wounds.
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Nexus Specialty Hospital
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a part of Nexus Health Systems
Outpatient Wound
Care Clinic
Multidisciplinary Approach
In the fall of 2011, the Nexus Specialty Clinic was opened in order to continue
the quality care of our patients with wounds after discharge from NSH. Nexus
Specialty Clinic has been established with the same high standards as the NSH
Wound Management Program. A multidisciplinary approach is utilized in order
to achieve the optimal outcome for each patient. Internal medicine physicians,
podiatric surgeons, and a plastic surgeon work with the specialty trained wound
care nurses in order to provide an evidence-based plan of care for our patients.
and Evidence-based
Plan of Care
4/21/12
28.0 x 37.0 x 6.0 cm
multiple tunnels
Case Study
A 56 year old gentleman who had an incarcerated ventral hernia underwent a
right hemicolectomy. As he had lost abdominal domain, an interposition dermal
graft was placed into his abdomen on 4/16/12 at an outside hospital. Patient
presented to NSH with a large open abdominal wound on 4/21/12. He was
evaluated by the wound care team immediately upon admission. Dr. Young Cho
(plastic surgeon) evaluated the patient on 4/23/12, and the patient was taken to
the OR on 4/25/12 for debridement and xenograft application. As the xenograft
failed to take, the patient returned to the OR with Dr. Cho on 5/2/12 for further
debridement and partial closure of the abdominal wound. Dr. Cho performed an
additional debridement and staged closure of the abdominal wound again on
5/17/12. During this time period, the patient continued to get out of bed and
smoke in spite of recommendations otherwise, thus he was deemed not to be a
candidate for a skin graft. Key wound management strategies in this case were
non-contact ultrasound therapy treatments, application of negative pressure
wound therapy and patient/family education. Due to other comorbidities, the
patient has poor insight into his wound healing.
Treatment included:
• Excisional debridements
• Xenograft placement
• Non-contact ultrasound therapy
• Negative pressure wound therapy
Upon discharge on 6/22/12, the patient transferred to a skilled nursing facility
where he continued negative pressure wound therapy and followed up with
outpatient wound care.
6/18/12
11.0 x 10.0 x 1.2 cm
all tunnels closed
2012
Quality data report
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Rehabilitation Services
– Shenandoah Campus
Physical therapists (PT), occupational therapists (OT), and speech language
pathologists (SLP) participate in the care of our patients at all levels with valued
input from physicians and nurses. Each therapist has received specialized
training allowing for sophisticated decision-making with a breadth of knowledge.
Our patients benefit from therapeutic interventions starting in the critical care
setting and continuing through the hospital’s continuum of care.
The focus of rehabilitation is to maximize each patient’s functional independence
while providing necessary education to patients and families. The physical
therapist identifies strength, range of motion, balance deficits, impairments in
functional mobility, gait, endurance, and safety awareness. The occupational
therapist identifies upper extremity dysfunction, activities of daily living, deficits
in mobility, coordination, and identifies appropriate DME needs. The speech
language pathologist treats dysfunctions specific to speech, language, cognition,
and swallowing. Each discipline assists the patient and family with identifying
and transitioning to the next level of care.
Rehabilitation Services
– Woodlands Campus
The Woodlands campus provides neurospecialty care to patients with an intense
rehab focus. Each patient has an individualized treatment plan developed
according to his/her medical complexities. The program is led by a neurologist
and is family centered with our interdisciplinary team consisting of physicians,
nursing, case management, occupational therapist, speech pathologist, physical
therapist, neuropsychologist, programming coordinator, wound care specialist,
dietician, and infection control practitioner. The team rounds weekly and offers
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Nexus Specialty Hospital
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a part of Nexus Health Systems
The Functional Activity Assessment
(FAA), is a scale that the Department
of Rehabilitation at Nexus Specialty
Hospital utilizes to track patient
outcomes. The data provided compares
the average level of assistance patients
required upon admission to functional
level at discharge.
admission and family conferences to provide education and training for our
patients to smoothly reach the next level of care. The treatment team is certified
in crisis prevention intervention to provide an environment that is structured
and safe. Behavioral programs are implemented as needed. A hawk monitoring
system allows mobility to occur within a secure environment.
In a close knit environment, our team treats patients with neurological
impairments within a wide range of acuity with the opportunity to observe small
changes that translate into improved independence and functional outcomes.
A variety of outcome tools are used according to patient need, such as the
disorders of consciousness scale, disability rating scale, aggression scale, post
traumatic amnesia scale, functional assessment of verbal reasoning and
executive strategies tool, and functional assessment of communication skills.
Our demographic includes patients that are minimally conscious and require
sensory stimulation to patients with behavioral dysregulation, as well as mild to
severe cognitive and physical impairments.
The focus of neurological rehabilitation at Nexus Specialty Hospital is to provide
individual therapy as well as therapeutic groups. The groups are designed to
incorporate communication, cognition, and physical objectives into programming
activities. Programming is scheduled from 9am to 3pm to supplement traditional
therapy sessions. Programming groups develop attention, concentration,
organizational skills, memory skills, problem solving, and reasoning skills.
Patients learn strategies while participating in groups that include activities such
as gardening, projects, games, and chef group.
Each number score is associated
with the level of assistance a patient
requires.
1=Dependent
2=Maximum Assistance
3=Moderate Assistance
4=Minimal Assistance
5=Supervision/Set-up
6=Independent with modifications/
adaptive equipment
7=Independent
Individual therapy is designed to maximize function by addressing assertive
individual goals. Expectations increase as patients become more medically
stable and therapy tolerance increases. Speech therapy addresses unique areas
of communication, cognition, swallowing with Vital stim, passy-muir speaking
valve/trach progression, attention and memory strategies, and aphasia/apraxia
with use of augmentative communication devices. Occupational therapy
addresses upper extremity function and fine motor control, automatic and
procedural memory in activities of daily living, visual field deficits, splints, use of
adaptive equipment and iPad for functional activities. Physical therapy addresses
positioning, strength, endurance and balance training for safety and sequencing
for transfers and walking. Assessment also includes custom seating with
wheelchair procurement and managing spasticity. Neuro-Integrative Functional
Rehabilitation and Habilitation (Neuro-IFRAH®) certified therapists provide the
framework for initiating return to normal movement and function, and include all
factors affecting the rehabilitation outcome. Fitness programs are implemented
for higher functioning patients.
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Quality data report
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Neurospecialty
sample programming
SCHEDULE
Monday
Tuesday
Wednesday
Thursday
Friday
9:00 AM
Orientation Group
Orientation Group
Orientation Group
Orientation Group
Orientation Group
10:00 AM
Physical Therapy
Project Group
Speech Therapy
Occupational Therapy
Physical Therapy
11:00 AM
Cognitive Group
Speech Therapy
Physical Therapy
Chef Group
Garden Group
1:00 PM
Open
Occupational Therapy
Wii Bowling
Physical Therapy
Occupational Therapy
2:00 PM
Occupational Therapy
Music Group
Open
Speech Therapy
Speech Therapy
3:00 PM
Leisure Pursuits
Open
Strategy Games
Exercise Group
Memory Games
RESPONSIVENESS
PERCENTILE
The sensory stimulation program measures
responsiveness for reliability and consistency. The
Disorders of Consciousness Scale has sensitivity
for detecting subtle change to monitor recovery
for
measurable rehabilitation goals. Changes
in neurobehavioral functioning are documented
and utilized in the therapeutic plan of care. As
demonstrated above, Nexus has the ability to work
with patients possessing a wide variety of functional
levels with 0 being non-responsive and 100 being
fully responsive. Therapeutic treatment plans are
developed based upon the individual needs of each
patient and adjusted appropriately according to their
progress.
Responsiveness Percentile
90
80
70
60
50
40
30
20
10
0
Source: Nexus Internal Data (2012)
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Nexus Specialty Hospital
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2012
Quality data report
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RESPONSIVENESS
PERCENTILE - Case Study
Responsiveness Percentile
80
70
60
50
40
30
20
10
0
The patient represented in this case study showed significant measurable
improvement over a six month period. As changes in neurobehavioral functioning
were noted, the therapeutic plan was adjusted to maximize functional
improvement. This patient showed a 65 percentage point improvement over
the six month treatment period.
patient flow
A neurocontinuum patient is defined as one that receives treatment at more
than one of our campuses within Nexus Health Systems with a neurological
diagnosis. This data is monitored monthly as a strategic planning focus.
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Nexus Specialty Hospital
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Nexus Specialty Hospital
LIFE CARE program
The Life Care Program at Nexus Specialty Hospital is a dynamic program designed
to maximize a patient’s recovery potential, improve quality of life, and decrease
their overall burden of care. Typically our patients are in need of chronic health
care after a catastrophic injury. The medical, rehabilitation, and habilitation
needs of the individual are addressed over the life-span of the patient. We also
recognize that the disability process is a traumatic experience affecting not only
the injured person, but also the family.
My son suffered a terrible injury on
November 9th, 1991 which left him
in a coma for six and a half months.
He lost 65 pounds and was forced to
breathe through a tracheostomy for
18 months. Farris had to start his life
completely over. He was left unable to
speak and feed himself. In addition,
he had serious memory and cognition
deficits as well as severe physical
limitations. For the next four years, I
struggled to find the right environment
to provide Farris with the quality of
life that he deserved. It wasn’t until
November 15th, 1995 that we found
our home here at Nexus Specialty’s
Woodlands Campus.
Farris’ life has completely changed
thanks to the people at Nexus
Specialty Hospital. The team here
is extraordinary. The medical staff,
nurses, therapists, cases managers,
wound care team, and environmental
services, just to name a few, have
provided my son with the support and
direction that he needs. They have
truly allowed him to have the quality
of life that we struggled for years to
find. Here at Nexus we are a family.
This is home to not only my son, but
to me as well. Today, Farris is able to
communicate, has restored use of his
arms, and is happier and healthier than
he has been since his accident. I truly
do not know where my son and I would
be without Nexus Specialty Hospital.
The program promotes:
- Quality of life issues by including interventions designed to:
• Minimize risk and prevent medical complications and secondary disability
• Maximize potentials for independence, productivity, self-actualization
and self-advocacy
- Daily life within the least restrictive environment while protecting the rights of
the individual and his/her family/support system.
Life Care Services:
Physical/Functional status: Care is taken to address the physical/cognitive,
social/emotional, environmental, and pain limitations.
Advocacy: Frequent communication is maintained between family members,
guardians, trustees, advocates, hospital disciplines, and case managers.
Education Programs: Developmental disabilities, physical disabilities, disability
awareness, life care planning goals, rehab issues, case management,
interdisciplinary team process, family/professional relationships, patient/family
teaching, personal safety, and the use of restraints may all be included in the
education process.
– Pat Wilburn
2012
Quality data report
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By demonstrating compliance adherence with the Medicare Conditions of Participation integrated with the ISO 9001
quality management system, Nexus Specialty Hospital has earned the Certificate of Hospital Accreditation.
Nexus Specialty Hospital is licensed by the State of Texas as a Medicare provider.
Nexus Specialty Hospital is certified by the State of Texas as a Department of Assistive and Rehabilitative Services
(DARS) vendor.
Shenandoah Campus
123 Vision Park Blvd.
Shenandoah, TX 77384
The Woodlands Campus
9182 Six Pines Drive
The Woodlands, TX 77380
281.364.0317
www.NexusSpecialty.com