Siskin Hospital for Physical Rehabilitation Community Health Needs

Transcription

Siskin Hospital for Physical Rehabilitation
Community Health Needs Assessment
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Community Health Needs Assessment FY 2013
Improving the Health of Our Community: Treatment of Adults with Disabilities in
Need of Physical Medicine and Rehabilitation
For more than twenty years, Siskin Hospital for Physical Rehabilitation has provided
unique services that truly set us apart from any other physical rehabilitation hospital in the
region. Since its opening in 1990, Siskin Hospital has served thousands of patients each
year through Inpatient, Outpatient and SubAcute physical rehabilitation programs, offering
a variety of therapies to meet the individual needs of each patient.
It is our mission to provide a wide range of high quality physical rehabilitation services
where positive outcomes are achieved that benefit the individuals served, as well as the
community at large. With our philosophy of Caring People. Changing Lives.®, Siskin
Hospital continues to nurture and advance a culture of caring, commitment and pride,
exceeding the expectations of those we serve and those who serve.
Siskin Hospital’s rehabilitation programs offer a multi-disciplinary approach for the
treatment of adults with acute and chronic conditions including amputation, brain injury,
neuromuscular disorders, musculoskeletal and orthopedic conditions, spinal cord, stroke,
and major multiple trauma. Patients are referred by their physician to Siskin Hospital for
physical rehabilitation services following their acute-care hospital stay to improve overall
functional independence.
Siskin Hospital is the only freestanding, not-for-profit rehabilitation hospital in Tennessee,
and is designed as a109-bed inpatient rehabilitation facility, with 80 Inpatient beds and 29
SubAcute beds. Patients are admitted to Siskin Hospital from various areas throughout the
tri-state region, as well as areas all over the United States. The primary geographic service
area includes the following states and counties:
Tennessee: Hamilton, Marion, Grundy, Sequatchie, Bledsoe, Rhea, Meigs, McMinn, Bradley,
Polk, Van Buren, Warren
Georgia: Murray, Catoosa, Dade, Walker, Whitfield
Alabama: Dekalb, Jackson
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In addition to the hospital’s inpatient campus located in downtown Chattanooga, Siskin
Hospital also offers physical rehabilitation services on an outpatient basis at four locations:
Downtown Chattanooga, Cleveland, East Brainerd and Signal Mountain.
The experienced and dedicated staff at Siskin Hospital treats patients with the most
innovative and successful rehabilitation services and equipment available in the
Chattanooga area through our comprehensive Inpatient, Outpatient, SubAcute and
Vocational Rehabilitation programs, as well as an accessible Fitness Center. In fiscal year
2012, Siskin Hospital provided treatment for 1,243 Inpatients and 725 SubAcute patients at
its main facility downtown, and had over 33,000 Outpatient visits at various Siskin Hospital
Therapy Services sites throughout our community. Additionally, the Vocational
Rehabilitation program worked with 76∗ patients to increase their skill level, helping to
return brain injury patients to more active life and even helping some return to work again.
Providing seamless care through all levels of recovery is what makes Siskin Hospital stand
out as the best rehabilitation provider in the Chattanooga area. Siskin Hospital seeks to
look further than just the patient and their immediate needs, but take a broader look at
what they will need in order to get back to independent living.
As part of the continuum of care, we are proud to offer the Fitness Center at Siskin Hospital
as an opportunity for patients to continue their rehabilitation progress after being
discharged from inpatient and outpatient care. The Fitness Center is a place where the
able-bodied and the disabled can work out side by side, focusing on personal strengthening
and fitness goals. With a highly-trained staff and access to Siskin Hospital’s therapy staff,
the Fitness Center is the ideal transition for patients to continue to expand and strengthen
their functional independence following outpatient treatment.
Additionally, the Fitness Center is available to all members of the community. It is
considered to be a comfortable, safe place for people of all abilities, including those less fit,
seniors and persons with varying degrees of disability. The majority of Fitness Center
members are either over age 65, former patients or disabled individuals. To make the
Center widely available to this population, Siskin Hospital subsidizes the operation of this
facility, allowing the membership rates to remain affordable.
In addition to treating patients at Siskin Hospital, our medical staff provides physician
services to patients in four acute, subacute, and outpatient locations across the
Chattanooga area. Those who are patients at Siskin Hospital may receive care from a
treatment team consisting of the following:
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Board Certified Physiatrists
Physician Assistants
Case Managers
Rehabilitation Nurses
Pharmacists
Physical Therapists
October 2011 – September 2012
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Occupational Therapists
Speech-Language Pathologists
Respiratory Therapists
Psychologists/Neuropsychologists
Clinical Nutritionists
Pastoral Care Services
Wound Care Specialists
Siskin Hospital’s comprehensive physical rehabilitation programs and services are
designed to help patients reach and surpass their goals. Regular evaluations of patients’
abilities are conducted and therapy plans and goals are adjusted as the patients progress.
Programs and services offered by Siskin Hospital include the following:
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Amputee Program
Balance Program
Brain Injury Program
Driving Program
Ergonomic Evaluations
Functional Capacity Evaluations
Hand/Upper Extremity Program
Incontinence/Pelvic Floor
Job/Worksite Analysis
Low Vision Program
Lymphedema Program
Major Multiple Trauma Program
Occupational Therapy
Orthopedic Program
Outpatient Program
Physical Therapy
Pilot Readiness Evaluations
Post Offer Lift Tests
Psychology Program
Speech and Language Pathology
Spinal Cord Injury Program
Stroke Program
SubAcute Rehabilitation Program
Swallowing & Voice Program
Vocational Rehabilitation Program
Wheelchair Evaluations
Siskin Hospital has always taken great pride in our ability to give back. For us, Caring
People. Changing Lives.® is more than a philosophy…it is who we are and at the heart of
everything we do. We serve our patients with care and compassion, as we work together
helping them to achieve their goals and get back to living their lives. But, at Siskin Hospital,
giving back does not stop with caring for our patients. With a strong commitment to our
community, we are constantly growing and changing, making every effort to give back to
those we are dedicated to serve.
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Siskin Hospital has provided physical medicine and rehabilitation to the Chattanooga and
surrounding communities for more than 23 years. We are a trusted resource for those with
disabilities as well as the community at large. Our highly-skilled physicians and clinical
staff provide their knowledge and expertise to carry out the wide variety of programs and
services offered through Siskin Hospital’s Community Benefit Plan. Our objectives include
providing quality physical rehabilitation services to the community in a manner that is
cost-efficient, and to continue serving as a resource for improving health in our community
for those with disabilities.
In keeping with Siskin Hospital’s mission, vision and core values, our broader objective is
to serve the community by supporting common health goals determined on local, state and
national levels.
Disability in the Physical, Communicative, and Mental Domains
The “Americans With Disabilities Household Economic Studies”1 report issued July 2012
categorizes types of disabilities into physical, communicative, and mental domains
according to the following set of criteria:
The number of people who have a disability in the physical domain total 54.1 million and
they have reported one or more of the following:
1. Used a wheelchair, cane, crutches, or walker (3.6 million).
2. Had difficulty walking a quarter of a mile, climbing a flight of stairs, lifting
something as heavy as a 10-pound bag of groceries, grasping objects, or getting in
and out of bed (30.6 million).
3. Listed arthritis or rheumatism, back or spine problem, broken bone or fracture,
cancer, cerebral palsy, diabetes, epilepsy, head or spinal cord injury, heart trouble or
atherosclerosis, hernia, or rupture, high blood pressure, kidney problems, lung or
respiratory problems, missing limbs, paralysis, stiffness or deformity of limbs,
stomach/digestive problems, stroke, thyroid problem, tumor/cyst growth as a
condition contributing to a reported activity limitation (19.9 million).
The total number of people who have a disability in the communicative domain equals
more than 15.7 million, reporting one or more of the following:
1. Was blind or had difficulty seeing (8.1 million).
2. Was deaf or had difficulty hearing (7.6 million).
3. Had difficulty having their speech understood.
The number of people who have a disability in the mental domain total 19.6 million,
reporting one or more of the following:
1. Had a learning disability, an intellectual disability, developmental disability, or
Alzheimer’s disease, senility or dementia (7.5 million).
2. Had some other mental or emotional condition that seriously interfered with
everyday activities (12.1 million).
1
Brault, Matthew W., “Americans with Disabilities: 2010,” Current Population Reports, P70-131, U.S. Census
Bureau, Washington, D.C. 2012
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According to the U.S. Census Bureau:2
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Approximately 56.7 million people (18.7 percent) of the 303.9 million in the civilian
non-institutionalized population had a disability in 2010 (Table 1).
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About 12.6 percent or 38.3 million people had a severe disability. The total number
of people with a disability increased by 2.2 million from 54.4 million people in 2005.
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Approximately 4 in 10 individuals ages 21-64 with a disability were employed
compared to 8 in 10 individuals without a disability.
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11 percent of adults aged 15-64 with severe disabilities experienced poverty,
compared to four percent of those without disability.
2
Brault, Matthew W., “Americans with Disabilities: 2010,” Current Population Reports, P70-131, U.S. Census
Bureau, Washington, D.C. 2012
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As accepted understanding of prevalence, the risk of having a disability increased with
successively older age groups (Figure 2). People in the oldest group, 80 and above, were at
70.5 percent and eight times as likely to have a disability.
Interference with Activities of Daily Living
Roughly 30.6 million individuals aged 15 years and older (12.6 percent) had limitations
associated with ambulatory activities of the lower body including difficulty walking,
climbing stairs, or using a wheelchair, cane, crutches, or walker. About 23.9 million people
(9 percent) had difficulty walking a quarter of a mile, including 13.1 million who could not
perform this activity. Approximately 22.3 million (9.2 percent) had difficulty climbing a
flight of stairs, including 7.7 million who were unable to perform this activity. Among
individuals 65 and older, about 15.2 million people (39.4 percent) had difficulty with
ambulatory activities, of which 11.2 million had severe difficulty.
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For individuals with chronic illness or disabling conditions, the need for ongoing assistance
with everyday tasks to function must be provided by a caregiver. The recipients of care live
in both residential and institutional settings. The demand for care giving is steadily
increasing due to the advancing older adult population. In 2030, when all baby boomers
will be at least 65 years old, the population of adults in this age group is projected to be 71
million (Administration on Aging, 2007). The number of people 65 years and older is
expected to rise by 101 percent between 2000 and 2030, at a rate of 2.3 percent each year.
Caring takes a tremendous toll on caregivers’ health and well-being, and accounts for
significant costs to families and society as well. Family care giving has been associated with
increased levels of depression and anxiety as well as higher use of psychoactive
medications, poorer self-reported physical health, compromised immune function, and
increased mortality.
U.S. Surgeon General’s Call to Action: Improving the Health of the Community and
High-Risk Populations
The U.S. Surgeon General’s Call to Action to Improve Health and Wellness of Persons with
Disabilities 20053 and Healthy People 20204, lists the following four specific goals for the
nation to improve the health and wellness of persons with disabilities:
Goal 1: People nationwide understand that persons with disabilities can lead long,
healthy, and productive lives.
Goal 2: Healthcare providers have the knowledge and tools to screen, diagnose and
treat the whole person with a disability with dignity.
Goal 3: Persons with disabilities can promote their own good health by developing
and maintaining healthy lifestyles.
Goal 4: Accessible health care and support services promote independence for
persons with disabilities.
People with disabilities are more susceptible to additional health problems related to their
primary disability. These increased numbers of health disparities, experienced by people
with disabilities, are the result of health complications related to impaired mobility,
nutritional deficits, and an increased susceptibility to secondary medical conditions. For
example, precursors of common chronic diseases, such as physical inactivity, obesity,
hypertension, and high cholesterol, are all more prevalent among persons with a disability
than those without. Despite these higher health risks, persons with a disability are often
overlooked by health promotion and disease prevention efforts.
3
U.S. Department of Health and Human Services, The Surgeon General’s Call to Action to Improve the Health and
Wellness of Persons with Disabilities, Office of the Surgeon General, 2005, Revised 2007
4
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Healthy
People 2020, Washington, D.C.
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Research has found that a significantly lower percentage of individuals with disabilities
(28.4%), report their health to be excellent or very good when compared to those without
disabilities, (61.4%) (Centers for Disease Control Prevention 2004). While at risk for the
same ailments and conditions as people in the general population (for example: injury,
obesity, hypertension, and the common cold) persons with disabilities are at a higher
specific risk for secondary conditions that can damage their health status and the quality of
their lives.
A Personal Story:
Carolyn
Raborn
Carolyn and her husband of 26 years had just finished building their
dream home when their world was suddenly turned upside down. A tragic automobile accident claimed the life
of her husband, left Carolyn paralyzed from the waist down and unable to continue living in her new home.
Facing overwhelming loss and an uncertain future, Carolyn came to Siskin Hospital for her rehabilitation needs.
Today, Carolyn continues to come to Siskin Hospital several days a week, but no longer as a patient. Instead, she
serves as a front-desk volunteer and a seated Tai Chi instructor at Siskin Hospital’s fully adaptive Fitness Center.
When Carolyn isn’t volunteering or teaching, she is regularly seen working out at the Fitness Center, alongside
people of all abilities.
To get to and from her home at Hosanna House, a group home for people with disabilities and one in which
Siskin Hospital partners on a variety of levels, Carolyn utilizes CARTA transportation, another local agency with
whom Siskin Hospital partners to identify and meet the transportation needs of the disabled in the community.
Carolyn truly embodies what living a full and productive life with a disability is all about. Through Hosanna, she
has a comfortable place to call home, through CARTA, she is able to have the independence to maintain an
active lifestyle, through the Fitness Center, she is able to workout to maintain good health, and through
volunteering at Siskin Hospital, she has the self satisfaction of helping those who first helped her.
“I truly count it as a blessing to be able to volunteer at Siskin Hospital and to be able to give a little something
back to the Hospital and people who have been there for me,” said Carolyn.
A National Overview:
In keeping with the objectives of Healthy People 2010 and 20205, quality of life
improvement has been identified as a central public health goal related to self reported
chronic diseases and additional risk factors. These factors have a significant impact on the
morbidity and mortality rates, especially in individuals with disabilities.
5
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Healthy
People 2020, Washington, D.C.
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Siskin Hospital recognizes the concept of health-related quality of life (HRQOL) and that on
an individual level, includes mental and physical health perceptions including health risks
and conditions, functional status, social support, and socioeconomic status.6
By supporting the community we serve, Siskin Hospital is using HRQOL to identify
resources, policies, and practices that influence the functional status and health
perceptions of individuals with disabilities. Siskin Hospital continues to collaborate with a
wide array of health partners, including social service agencies, public health, and business
groups to further refine the Siskin Hospital Community Benefit objectives and activities
throughout the coming year.
A State Overview:
Siskin Hospital recognizes the presence of a high number of people with various types and
levels of disabilities both nationally and locally. It is further recognized that persons with a
disability have a very high rate of obesity, chronic medical issues, poor level of physical
activity and limited access to care when compared to the community at large.
Additionally, it is noted that Tennessee has a very high level of uninsured persons and is
overall a very unhealthy state, which puts older individuals and those with a disability at
even greater risk for the aforementioned issues. As one of the nation’s most unhealthy
states, Tennessee typically ranks among the lowest 10 to 15 states in health status and
outcomes.7
Tennessee rankings for the following categories:
Category
Cognition
Depression - Senior
Multiple Chronic Conditions
Volunteerism – Senior
Physical Inactivity – Senior
Health Status – Senior
Hip fractures – Senior
Behaviors – Senior
Obesity
Rank
45
46
36
40
50
43
47
41
36
In 2010, 25.4% of people in Tennessee reported having a disability.8
Additionally, more people in the Chattanooga area report that they are in poor or fair
health than in other parts of Tennessee, Georgia, or the United States. Compared to the
nation, Chattanooga has a higher percentage of obese adults and physically inactive adults.
6
National Center for Chronic Disease Prevention and Health Promotion, Division of Population Health, March 2011
America’s Health Rankings. Senior/Tennessee (SOCRR p. 25)
8
Center for Disease Control, Disability and Health Data Systems: Demographic Overview for Tennessee
7
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Employment Opportunities
People with disabilities have the ability to bring a unique set of skills to the workplace,
enhancing the diversity and strength of the U.S. labor market.9 In addition, they make up a
significant market of consumers, representing more than $200 billion in discretionary
spending and spurring technological innovation and entrepreneurship.10
Among 16-64 year olds with severe disabilities, 55.5 percent report that their disability
prevented them from working. Another 18.7 percent were limited, but not prevented, in
the kind or amount of work they could do. Among those with non-severe disabilities, 24.1
percent had limitations in the kind or amount of work they could perform and 7.8 percent
were prevented from working. A non-severe disability, as defined in this report, may still
prevent a barrier to employment such that the limitation prevents an individual from
working.
To address this point, Siskin Hospital offers a Vocational Services Program where it works
with individuals with a disability who live in the greater Chattanooga and North Georgia
areas. The program provides a crucial link in the continuum of physical rehabilitation in the
return to a productive, meaningful life in the community and workforce.
A Personal Story:
Theresa
Johnson
Theresa Johnson sustained a severe traumatic brain injury in February 1993
when her car careened into a telephone pole and forced her through the windshield. The collision threw Ms.
Johnson, who was 32 at the time, more than 60 feet from the vehicle. Ms. Johnson remained in a coma for several
weeks, followed by a lengthy rehabilitation stay at Siskin Hospital. It was a long, slow process for Ms. Johnson to
relearn the day-to-day tasks of caring for herself.
At times she found herself feeling bitter and discouraged about her circumstances, but would rely on her sense of
humor to get her through the tough times. Theresa began the Community Re-Entry Program at Siskin Hospital
and, after working her way through the program, was able to be placed in a job at a local movie theater.
Theresa received on-site job coaching for a period of time and the team has continued to follow and support her
throughout her 13 years of employment with the theater. Through the years, when any work-related issues arise,
Theresa’s job coach is able to work with her and theater management to identify a solution.
Theresa’s solid work history has recently allowed her to become a proud homeowner and to be able to live
independently.
“If it hadn’t been for their persistence, there is no telling where I’d be today,” says Theresa of the Community
Re-Entry and Vocational Services staff at Siskin Hospital.
9
U.S. Department of Labor, “Building an Inclusive Workforce: A Four-Step Reference Guide to Recruiting, Hiring,
and Retaining Employees with Disabilities.”
10
U.S. Department of Labor, “Diverse Perspectives: People with Disabilities Fulfilling Your Business Goals.”
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Siskin Hospital Community Health Needs Plan Objectives
Many times individuals with disabilities are at higher risk for secondary healthcare needs
including arthritis, joint care, diabetes, and prevention of amputations, foot care, fall
prevention, nutrition, safety, high blood pressure, heart disease, stroke prevention, and
pain control.
At Siskin Hospital, our priorities are placed on serving individuals in these target
populations and high-risk communities. Siskin Hospital is a leading provider of physical
medicine and rehabilitation in our community, and we serve as a critically important
community resource for individuals with disabilities and others from the community.
Siskin Hospital’s Community Health Needs Plan Objectives include the following:
1.
In accordance with our Mission, Vision, Core Values and Hospital Policies and
Procedures, Siskin Hospital provides physical rehabilitation charity care to
those that have experienced disabling accidents, illnesses or injuries in the
communities we serve.
2.
Siskin Hospital works with local businesses, agencies and affiliates to
increase equality in employing those with disabilities. Through Siskin
Hospital’s Community Re-Entry program, patients receive vocational
counseling, job-skill evaluation, education and training for potential
employment opportunities, enabling them to return to active lifestyles within
the community. Siskin Hospital staff members also work closely with local
businesses, agencies and affiliates to provide employers with necessary
educational programs to help prepare them for employing individuals with
disabilities.
3.
To continually provide the best in physical medicine and rehabilitation care,
the staff at Siskin Hospital strives to improve their education, training and
expertise. From nursing, to physical, occupational and speech therapists, to
psychology, our staff are trained and certified in the latest technology,
equipment and therapy practices.
4.
The healthcare field is constantly changing, and Siskin Hospital remains on
the cutting edge of physical medicine and rehabilitation. By conducting
statistical and behavioral research, we promote our goals of improving the
recovery and/or treatments for those with disabilities.
5.
Siskin Hospital works diligently to reduce the proportion of individuals with
disabilities experiencing environmental barriers at home, work or within the
community by supporting and advancing the use of assistive devices and
technology. We work with community agencies to provide wheelchairs,
walkers and/or other assistive devices for patients without insurance to
cover the costs of such equipment.
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6.
As a part of Siskin Hospital’s continuum of care, we continually seek to
improve upon the opportunities for those with disabilities to access care and
benefit from interaction and socialization with peers, in addition to providing
support for caregivers. We work closely with local agencies to ensure
transportation is available for those without access to sources of mobility.
Housed within Siskin Hospital is the Chattanooga Area Brain Injury
Association and the Epilepsy Foundation of Southeast Tennessee. A variety
of support groups are held at Siskin Hospital throughout the month to offer
continued information, education and support for the disabled and their
family members.
7.
Siskin Hospital offers a variety of additional classes and support to improve
the health of the community with ongoing issues, by providing ongoing
education and care for those with disabilities including, but not limited to,
balance and dizziness, communication, driving evaluation, free health
screenings, low vision, lymphedema, memory, pain, pelvic floor, spasticity,
swallowing, TMJ and headache, etc.
8.
In an effort to decrease secondary health conditions related to disability, and
to promote strength, increase flexibility and enhance functional
independence, we have developed the Fitness Center at Siskin Hospital. The
mission of the Fitness Center is to promote health and independence by
providing fitness activities for all levels of ability in a safe atmosphere that
minimizes feelings of self-consciousness. It has been designed so that the
able-bodied and the disabled can work out side-by-side, featuring adaptable
equipment, expert staff to assist with personalized fitness programs and
access to therapy staff at Siskin Hospital.
Siskin Hospital’s Community Health Needs Plan Components
The key components of Siskin Hospital’s Community Health Needs Plan are as follows:
•
Siskin Hospital’s Community Care Program: Siskin Hospital provides charity
care for physical rehabilitation to those who have sustained a disability through
accident, illness, or injury in the community it services. Charity care is provided for
those patients without insurance or without the means to cover the cost of their
treatment.
•
Charitable Assistance for Assistive Devices: Providing charitable support to
individuals who are without access to assistive devices or technology is important to
Siskin Hospital. We work with community agencies to provide patients with the
equipment and education they need to prevent them from experiencing barriers at
home, in the workplace or the community at large.
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•
Professional Training, Education, Clinical Research Activities: Siskin Hospital
believes in the importance of continuing education and professional training for our
staff to better serve those with disabilities in our community. Staff participate in
ongoing training opportunities to obtain special certifications in a variety of
treatment areas including nursing, brain injury, stroke, physical and occupational
therapy, and speech therapy. Additional certifications have been obtained in
certified rehabilitation registered nursing, brain injury, low vision, lymphedema,
and swallow and voice treatment. Research activities have included studies for
patients with swallowing issues, fall statistics and prevention, concussion
assessment and psychology/behavioral health assessment and treatment.
•
Advocacy: Siskin Hospital is proud to be known as an advocate for our patients, the
community and other individuals living with a disability through a variety of
programs designed to encourage those we serve to continue working, living
independently, and pursue education. The Hospital promotes and supports
advocacy for individuals on local, state, regional and national levels. These advocacy
programs and activities include:
1.
Vocational Assistance – Through its development of the Vocational
Services and Community Re-Entry Programs, Siskin Hospital offers
extensive evaluation, education, support and training for individuals with
brain injuries as a result of accident, illness or injury. From the initial
evaluation where an individual’s strengths, weaknesses and skill-set are
determined, Siskin Hospital staff work to train and prepare patients to
return to employment and a more active lifestyle based on individual
interests and needs. The program focuses on activities of daily living as
well as employment and transportation, working to prepare individuals
to return to functional independence. Additionally, staff works closely
with potential employers to educate and prepare them for working with
the disabled. Once patients obtain employment, staff works to transition
them into their new job by ensuring their understanding and ability to
perform tasks as they are assigned. Finally, travel training is included as
part of the program so that individuals without transportation are
familiar with mobility options available to them, such as bus routes and
taxi services.
2.
Driver Rehabilitation Program – Siskin Hospital has supported the
community with its Driver Rehabilitation Program for a number of years.
This program includes on and off-road driving evaluations for patients,
screenings and treatment for low vision, cognitive evaluations, education
and support. In addition, the Hospital recently hosted a Drive Safe
Chattanooga event at the North River Civic Center to educate individuals
and their families about ways to continue safely meeting their
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transportation needs. The event included CarFit, free educational
screenings to allow older adults to determine how well their car “fits”
them, and offered assistive devices to individuals needing equipment
following their screening.
Siskin Hospital works closely with the Tennessee Department of
Transportation, Haman’s Driving School, and local ophthalmologists and
psychologists to ensure that individuals who progress through the
Driving Program at Siskin Hospital receive the education, training and
equipment needed to drive safely.
3.
Advancing Continuing Education – Siskin Hospital recognizes the need
for continuing education and supports those who desire to further their
knowledge and training in physical medicine and rehabilitation. A
number of our nursing staff has completed the Certified Rehabilitation
Registered Nurse (CRRN) program to secure additional training for
rehabilitation care. We also encourage and support staff to obtain
specialty certifications in brain injury, stroke, lymphedema and other
treatments. Some tuition costs and expenses are reimbursed through
Siskin Hospital. Nursing scholarships have been provided for a number
of years and were funded by an external grant provided by the WrightBentley Foundation. Additionally, a working partnership with the
University of Tennessee at Chattanooga has developed into a doctorate
program for occupational therapy.
4.
Community Support Groups – Siskin Hospital understands the
importance of camaraderie and encouragement outside the hospital
setting. For this reason, the hospital hosts or sponsors support groups
designed to address the social, emotional, medical, and legal issues facing
community members and their families. Some of the groups offered at
Siskin Hospital include: Amputee, Brain Injury, Lymphedema,
Scleroderma, Epilepsy, Parkinson’s Disease, Stroke, and Chattanooga
Adventurers and Assistance Dogs Social Group. These programs are free
and open to the general community.
5.
Food and Clothes Drives – Several times throughout the year, staff
members organize either food drives to stock the shelves at the
Community Kitchen or for clothes to fill our own Clothes Closet. The
Siskin Hospital Clothes Closet began as a suggestion from a nurse to allow
us to provide appropriate clothing to patients who may not otherwise
have the proper clothing to wear for therapy. The Clothes Closet is
organized through our Community Re-Entry Program and participants in
the program launder, fold and stock the Clothes Closet. Additionally,
Siskin Hospital also has a Patient Care Fund where money is raised
through bake sales, and other activities to be able to provide needed
equipment or adaptive devices for patients who could not otherwise
afford them.
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6.
Community Education Programs – Siskin Hospital believes strongly in
the importance of educating our patients and ourselves. We provide office
space for the Chattanooga Brain Injury Association, the Epilepsy
Foundation, and space for the Certified Nursing Assistant Training
Program at Chattanooga State. We also provide educational notebooks to
patients in the Stroke, Brain Injury and Amputee Programs. These books
provide educational information for all aspects related to their diagnosis.
7.
Unique Therapy Programs - Regionally unique therapy programs to
address identified needs, specialty programs that have been developed to
include Low Vision, Balance and Dizziness treatment, Lymphedema
treatment, Neuropsychological evaluations, and a variety of health and
fitness-oriented programs.
Closing Summary Strategy for Siskin Hospital Community Benefits: Integration of
Federal and State Assessments for People with Disabilities
Siskin Hospital aligns our community benefit strategies with those outlined at the Federal,
State, and County levels. By leveraging health assessments conducted by the various health
and human services agencies, Siskin Hospital identifies where our specific competencies
can be optimized to best meet the needs of the community.
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References:
National Center for Chronic Disease Prevention and Health Promotion, Division of
Population Health, March 2011
U.S. Department of Health and Human Services, The Surgeon General’s Call To Action to
Improve the Health and Wellness of Persons with Disabilities, Office of Surgeon General,
2005, Revised 2007
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Siskin Hospital for Physical Rehabilitation Community Health Needs

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