WaltonWalton

Rehabilitation Center of Rehabilitation Center of ExcellenceExcellence

Purpose of our COE

To identify priority areas and services and build these into a single Rehabilitation Center

of Excellence. Walton’s COE builds on specialty programs designed around

catastrophic rehabilitation diagnosis so that we are able to address complicated

rehabilitation needs as well as complex medical needs resulting in catastrophic

illnesses.

Elements of our COE

STATE OF THE ARTTREATMENT

COMMUNITYPROGRAMS

HIGHVISIBILITY

RESEARCH

ACCREDITATIONS

PROFITABILITY

PHYSICIANLEADERSHIP

RIGHT STAFF

CONTINUUMOF CARE

SUPERIOROUTCOMES

CUSTOMERSATISFACTION

STATE OF THE ARTEQUIPMENT

WaltonCOE

Evaluation Criteria

How Walton evaluates each element of the Center of Excellence

This is the Walton standard of excellence established for each criteria. Meeting three stars means we have exceeded nationally established industry standards for this element of the COE.

This benchmark means we have met the minimum standards of practice established by national industry norms or regulations when available, or by Walton historical standards.

One star indicates that this element of the Center of Excellence (COE) falls short of our minimum benchmark in one or more of the established criteria.

Physician Leadership

Walton’s Criteria for this element of the COE

Physician leadership is in place with appropriate qualifications and

certifications. Leadership has defined our programs and established strategies for

the delivery of care.

Physician Leadership

Medical Staff Leadership

Board Certified Physicians in Physical Medicine & Rehabilitation and in Internal Medicine.

Physician leadership of Walton’s major program teams: Stroke, Brain Injury, Spinal Cord Injury, and Amputation.

Leadership of outpatient physician practices: Wound Center, Pain Center, Behavioral Medicine and Physical Medicine and Rehabilitation.

Right Staff

Walton’s Criteria for this element of the COE

Nursing and therapy model is fully staffed with appropriate qualifications and

certifications. Retention of all staff is 85% or above. Staff productivity meets or

exceeds established benchmarks.

Right Staff

CASEMANAGER

PHYSICIANLEADER

PTA

AIDE

PT

REHAB NURSING

PT

COTA

OT OT

ST

AIDE

TYPICALTEAM

Walton has multiple Teams:Stroke/Gen Medical/Ortho/SCI

BI/Trauma

Teams are augmented with:Internal Medicine Physicians

PsychologistsNeuro-Psychologists

Respiratory TherapistsDieticians

Each Team provides interdisciplinary

services for a caseload of 14-18 patients

Inpatient Model

Right Staff

Certified Rehabilitation Registered Nurses (CRRN)

LEVEL I LEVEL IIILEVEL II

Certificateof

Completion

Phase 1(Basic Nursing Skills)

Phase 3(Critical Lab Values)

Phase 4(Advanced Competency)

Phase 2(Systems Training)

SkillsLab

SkillsLab

SkillsLab

SkillsLab

SkillsLab

SkillsLab

Certificateof

Completion

Certificateof

Completion

Walton Nursing Career Ladder

CBIS

CVA Specialist

Specialty Certifications

Right Staff

Therapy Staff

CBIS

CVA Specialist

Specialty Certifications

LEVEL I LEVEL IIILEVEL IIEntry Level

& New Hires for Probationary Period

Minimum 4 YearsExperience

Advanced Skills

Assists in clinical supervision and

education

Minimum of 6 YearsExperience

Advanced Skills

Specialty Area

Provides clinical supervisionAnd education

Serves as Mentors in our Mentorship Program

3 YearsExperience

Walton Therapy Career Ladder

LEVEL IV

SkillsEval

SkillsEval

SkillsEval

SkillsEval

SkillsEval

SkillsEval

Inpatient team model with flex scheduling; mentorship program; flex assignments to follow patients to outpatient; assignments to program specific teams. Outpatient model with opportunities for specialty program leadership, education, and certifications. Opportunities to integrate education and research with treatment of a very complex and challenging patient population.

Continuum of Care

Walton’s Criteria for this element of the COE

A seamless continuum of care exists that includes inpatient rehabilitation,

outpatient medical services, outpatient therapy services, wellness programs, support programs, and living options.

Complete Continuum of Care

Assisted LivingAssisted Living

Affordable/Accessible HousingIndependent Living Facilities

Affordable/Accessible HousingIndependent Living Facilities

Independent LivingInformation ReferralPeer Support GroupsAssistive Technology

Life Skills TrainingReturn to Work Programs

Advocacy

Independent LivingInformation ReferralPeer Support GroupsAssistive Technology

Life Skills TrainingReturn to Work Programs

Advocacy

Sports & LeisureCamp TBI

Sports Programs

Sports & LeisureCamp TBI

Sports Programs

Inpatient RehabilitationStroke

Brain InjurySpinal Cord Injury

AmputationComplex Ortho

Inpatient RehabilitationStroke

Brain InjurySpinal Cord Injury

AmputationComplex Ortho Behavioral Med

Inpatient ServicesOutpatient Services

Behavioral MedInpatient Services

Outpatient Services

Outpatient RehabPhysical Therapy

Occupational TherapyCommunication Disorders

Wellness

Outpatient RehabPhysical Therapy

Occupational TherapyCommunication Disorders

Wellness

Outpatient MedicalPain/Headache ManagementPhysical Medicine & Rehab

Wound Care

Outpatient MedicalPain/Headache ManagementPhysical Medicine & Rehab

Wound Care

Walton’s Continuum of Care

Superior Outcomes

Walton’s Criteria for this element of the COE

Exceeds national benchmarks in clinical outcomes.

Superior Outcomes

Caring for the most complex patients

Case Mix IndexE-Rehab Data

% with 1 or moreCo-morbidities

E-Rehab Data

Superior Outcomes

Results that lead toward greater independenceby achieving greater functional improvement

FunctionalIndex

MeasureE-Rehab Data

Superior Outcomes

Exceeding National Benchmarks in Safety!

Medication Errors

Hospital Acquired Infections

Hospital Acquired Wounds

Patient Falls

Critical Lab Values

Superior Outcomes

Returning patients to home!

Discharge Destinations

E-Rehab Data

Customer Satisfaction

Walton’s Criteria for this element of the COE

Exceeds benchmarks in patient and client satisfaction across the continuum of care

(score of 94% or above).

Customer Satisfaction

Would you recommend your hospital to family & friends?

Leading the CSRA in Customer Satisfaction!

State of the Art Treatment

Walton’s Criteria for this element of the COE

Achieves the highest level of development in rehabilitative care and treatment

available at the present time as evidenced by measured improvements in

outcomes related to new treatment techniques

State of the Art Treatment

Home of the Areas Rehabilitation Professionals

Physician lead, interdisciplinary program management teams in Stroke, Brain Injury, Spinal Cord Injury, and Amputation.

Culture of outcome driven practice

Staff ownership in specialty programs and services

Investment in staff education and training

Relationship based patient centered care model

State of the Art Equipment

Walton’s Criteria for this element of the COE

Medical equipment is of the highest level of development in rehabilitative care

available at the present time as evidenced by measured improvements in outcomes related to new equipment and

technology.

State of the Art Equipment

Evidenced Based Strategy

Development of evidenced based equipment needs.

Needs integrated in the Walton Foundation’s strategic plan.

State of the Art Equipment

Walton’s ‘Rehab Ready Rooms’!

Aesthetically pleasing, innovative rehab ready rooms that allow for more productive in-room therapy and increased patient safety.

All disciplines have the opportunity to do more functional activities with lower level patients.

Community Programs

Walton’s Criteria for this element of the COE

Community resources are made available to patients throughout the continuum

which include: Information, education, links to community resources, support

groups, recreational activities, and community immunization offerings.

Community Programs

Speaker’sBureau

CampTBI

Advocacy

Sports &Recreation

ResourceCenters

ImmunizationProgram

AssistiveTechnology

LifeSkills

Training

Information&

Referral

SupportGroups

SupportGroups

ReturnTo

Work

Walton’s Community Impact!

High Visibility

Walton’s Criteria for this element of the COE

The center enjoys high visibility, marketing and public relations which leads to quality differentiation among

providers.

High Visibility

224 Media Hits

Reaching an audience of over 12 million!

Public Relations Effort in 1 Month

Research

Walton’s Criteria for this element of the COE

The Center conducts basic and applied research in the field of rehabilitation. All research meets the standards established

by the Federal Wide Assurance of the Office of Human Research Protections

(OHRP).

Research

Foster theoretically motivated rehabilitation research focused on issues relevant to human function;

Stimulate operations research with the objectives of improving the quality and cost-effectiveness of patient care outcomes;

Improve the quality of patient care by integrating research into ongoing clinical activities and involving treatment staff in clinical research; and

Establish education and training programs that foster the philosophy and methods of effective rehabilitation research.

Research Mission

Walton’s Criteria for this element of the COE

The Center of Excellence is awarded appropriate accreditations and specialty accreditations from nationally recognized

accrediting organizations

Appropriate Accreditations

Appropriate Accreditations

Walton Rehabilitation Hospital

Hospital AccreditationWalton Rehabilitation Hospital

Outpatient Rehabilitation CenterWound Care Center

Behavioral Medicine CenterWalton Medical Associates

Stroke Specialty CertificationWalton Rehabilitation Hospital

TheJoint

Commission

Appropriate Accreditations

Walton Community Services

Communities of QualityWalton Terrace

Walton CommonsWalton HeightsWalton PlaceWalton ManorVincent VillageWalton PointeWalton VillageWalton Ridge

Walton Crossing

National Affordable Housing

Management Association(NAHMA)

Profitability

Walton’s Criteria for this element of the COE

The Health System demonstrates financial and operational efficiencies in the delivery

of care.

Profitability

Balanced Scorecard

Integration of quality and operations/fiscal management

Culture of excellence

Power down to employees

Principles of Gold Standard Management©

Balancing Productivity and Quality

Profitability

SERVICE CENTER PERFORMANCE

EMPLOYEEINCENTIVE

COSTCONTROL

PERFORMANCEMETRICS

IMPROVECUSTOMER

BASE

OUTPATIENT CENTERS&

PHYSICIAN PRACTICES