The Importance of Innovative Case Management for Post-Acute Rehabilitation

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“Case management” is a collaborative process. It involves the assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual’s  comprehensive health needs. The goal of case management is complex in general, and particularly in an innovative post-acute rehabilitation facility such as NeuLife Rehab in Mount Dora, Florida where dual diagnoses must often be managed.

At NeuLife Rehab, case management is best described as fostering and maintaining the accomplishment of defined goals leading to independence. This starts by creating a Client Goal Plan for each catastrophically injured Client. The Client Goal Plan consists of identifying discernible, achievable and measurable physical and cognitive milestones consistent with the Client’s physical and cognitive abilities. After that, a regimen of innovative therapies administered by a team of multidisciplinary professionals is implemented, the object of which is to achieve goals and independence to the fullest extent that the Client’s physical or cognitive abilities allow. Case management at NeuLife Rehab involves coordination with the Client, his or her family, an understanding of the underlying trauma and, importantly, the involvement of NeuLife Rehab’s multidisciplinary team. One of the significant goals of effective case management is the use of available resources to promote quality, cost-effective outcomes.

Once a Client of NeuLife Rehab achieves independence to the fullest extent of his or her physical or cognitive ability, the case manager helps the Client and his or her family identify appropriate living accommodations, providers of care and support systems in the community. While NeuLife Rehab conducts an independent functional assessment when the individual becomes a Client, it is also important to accurately gauge his or her ability to live independently or in a supported living environment upon discharge. Therefore, the multidisciplinary team assesses long-term needs of Clients who have attained independence after post-acute care at NeuLife Rehab from:

  • Traumatic brain injuries (TBI)
  • Mild brain injuries (MBI)
  • Motor vehicle accidents (MVA)
  • Multiple traumas
  • Post-traumatic stress syndrome (PTSD)
  • Spinal cord injuries (SCI)
  • Neurologic injuries
  • Other catastrophic injuries

Our case manager recognizes that it is important that all available resources be used in a timely and cost-effective way. Moreover, it is critical that the Client does not regress from the level of independence that he or she had attained in his or her post-acute rehabilitation at NeuLife Rehab in Mount Dora, Florida. Consequently, the case manager plays a vital role in ensuring the ongoing independence of all NeuLife Rehab Clients. For all that case managers do, NeuLife Rehab in Mount Dora, Florida recognizes Case Management Week (October 11-17, 2015) and case managers everywhere, every day.

When an individual becomes a Client of NeuLife Rehab in Mount Dora, Florida, he or she undergoes an independent functional evaluation administered by a multidisciplinary team of professionals that may consist of:

  • Board Certified Neurologist
  • Board Certified Behavior Analyst
  • Board Certified Physiatrist
  • Neuropsychologist
  • Psychologist
  • Board Certified Psychiatrist
  • Speech Language Pathologist/Cognitive Therapist
  • Physical Therapist
  • Occupational Therapist
  • Nurses
  • Certified Rehab Counselor 

From the results of the independent functional evaluation, the professionals of NeuLife Rehab formulate a Client Goal Plan. The Client Goal Plan guides the clinically relevant services delivered by NeuLife Rehab. The Client Goal Plan guides the cognitive, psychiatric, neurologic, psychological and neuropsychological therapy of the Client. The goal of NeuLife Rehab’s innovative post-acute rehabilitation is the attainment for our Clients of independence to the fullest extent that his or her physical and mental abilities permit.

NeuLife Rehab in Mount Dora, Florida consistently provides the highest standard of care in the delivery of clinically relevant services to achieve successful, sustained outcomes and exceed the expectations of all persons served.

Proper and timely post-acute rehabilitation that may determine the difference between disability and independence is what NeuLife refers to as the “platinum post-acute period” —  the crucial window following acute care that is needed to nurture the whole person to health with specialized, clinically relevant services.

NeuLife, in Mount Dora, Florida, is an accessible residential post-acute program providing specialized rehabilitation to individuals diagnosed with traumatic brain injuries (TBI), spinal cord injuries (SCI), amputations, burns and other catastrophic injuries and challenging diagnoses.

 

2725 Robie Avenue

Mount Dora, Florida 32757

Philosophy & Mission

It is the mission of NeuLife as an organization to provide a comprehensive program of neurologic rehabilitation to support and promote the improvement of the quality of life for our patients.

As with all NeuLife provisions and specialized services, clients and designated family members and/or legal guardians participate in the referral, assessment and admission process. All services provided and those offered to our clients are arranged and coordinated by our care coordinators and are all-inclusive in a comprehensive per diem specific to each client.