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Tewksbury HospitalA fully accredited Joint Commission and CMS Certified HospitalFebruary 2015

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Tewksbury Hospital

Presentation Overview and Outline

Welcome & Introductions Campus Overview Patient Population & Clinical Services Admission Process Discharge Planning Partnerships to Date Commonwealth Care Alliance Introduction/Overview Discussion

Tewksbury Hospital

Originally founded in 1854 as an almshouse and has been in continuous operation since then.

Under the auspices of the Department of Public Health, the hospital continues to evolve to meet the increasingly challenging medical and psychiatric needs of many vulnerable residents of the Commonwealth

Tewksbury Hospital is a dynamic campus and health care facility with the goal of assisting patients reach their highest possible level of independent functioning, providing comprehensive treatment, care and comfort to adults with medical illness, mental illness, or comorbid medical and psychiatric disorders.

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Tewksbury Hospital’s Vibrant Campus

Individuals participate in 24/7 active treatment Hospital Inpatients

210 on seven (7) Medical units 161 on five (5) Psychiatric units, including the

only medically enhanced psychiatric unit in the Commonwealth

298 campus clients in treatment programs

669 individuals working with a wide range of skilled staff to reach their highest level of recovery and independence to rejoin their outpatient community

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Tewksbury Hospital

Patient Population and Clinical Services

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Tewksbury Hospital

Who do we care for?

Tewksbury Hospital provides patient focused medical and psychiatric care and diagnostic services within a therapeutic environment designed to meet the needs of patients with complex chronic psychological or social needs in addition to their co-morbid medical conditions.

A vital link in the continuum of care with acute care hospitals, ourselves, and community discharges including personal homes, nursing homes, group homes, transitional residential treatment centers, and shelters.

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Tewksbury Hospital – Why it is not a nursing home

24/7 on site physicians Both a medical and a psychiatric board-certified MD

is in house at all times (BLS and ACLS certified) 24/7 on site registered nurses and NP’s, including many

with advanced certificates of specialized expertise In house Respiratory Therapy, Radiology and

Laboratory Services Care provided for a patient population not accepted by

nursing homes Positive CORI, SORI Complex medical care needs Significant behavioral care needs Medically compromised released DOC clients

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Tewksbury Hospital

Designated Specialty Units forPatients with Complex Medical needs and associated Behavioral Issues

Neuro Rehabilitation Unit Traumatic Brain Injury Post Op Orthopedic procedures – elective, emergency, post

traumatic Neurologic conditions – stroke, MS, spinal cord injuries

Huntington’s Disease Unit (Designated “Center of Excellence” by HDSA) Hemodialysis for behavioral patients not suitable for outpatient

dialysis

Medical/Post Op Services for Department of Developmental Services Clients (DDS)

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Tewksbury Hospital

Specialty Units and Coordinated Services (Medical) forPatients with Complex Medical needs and Behavioral Issues

Medically Enhanced Unit for Psychiatric patients

Medical services for substance abuse and medical/surgical complications– Including Infections related to IV substance abuse that require prolonged (typically 6-8 weeks) of IV antibiotics

All male unit for men with Leveled Sex Offense History and recent incarceration who have comorbid complex medical needs

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Tewksbury Hospital

On Site Clinical ServicesMinimize disruptive and costly transfers and saves emergency room costs Hemodialysis Eye Services – optometry, including eyeglasses for those in

need, and ophthalmology Dental care – full-time dentist and dental hygienist, including

provision of dentures for those in need Podiatry care – including orthotics for those in need Radiology Ultrasound Comprehensive laboratory services, with Quest Laboratories as

the reference lab for send outs if needed Physical Therapy, Occupational Therapy Speech and Language Therapy, including Swallowing

evaluations Recreational Activities Therapy

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Tewksbury Hospital

On Site Enhanced Clinical ServicesMinimize disruptive and costly transfers and saves emergency room costs

Wound Vacs TPN PICC line insertions Gastric and jejunal feeding tubes Holter Monitoring Sleep Studies Tracheostomy care CPAP

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Tewksbury Hospital

On Site Specialty ConsultationsMinimize disruptive and costly transfers and saves emergency room costs Infectious Disease Pulmonary Nephrology Endocrinology Physiatry Neurology Psychiatry Psychology Neuropsychology Substance Abuse Palliative Care Clinical Pharmacy Wound Management Pain Management

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Tewksbury Hospital

Sources of Referrals Medical

Acute Care Hospitals• Boston• Merrimack Valley• Other Massachusetts hospitals• Acute Rehab facilities• Healthcare for the Homeless

DDS – Group Homes Nursing Homes Department of Corrections Self Referrals – families/respite

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Tewksbury Hospital

Support Services Clinical Social Worker assigned to every patient – many

with complex discharge needs.

Rehabilitation Services consist of Physical Therapy, Occupational Therapy, Speech/Language Therapy and Adaptive Equipment

Registered Dietician assigned to every patient 30% of patients are on therapeutic diets 15% of patients are on texture modified diets 13% of patients are on therapeutic and texture modified

combination diets

Approximately 80% of current patients have a secondary diagnosis of substance abuse and/or psychiatric disorder

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Tewksbury Hospital

Contact Information

Sue Doherty, RNC, Admissions

(978) 851-7321 X2527

Ariana O’Neill, MS, RN, CNL, CDDN, Nurse Manager

(978) 851-7321 X2322