VCU Physical Medicine and Rehabilitation

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Comprehensive Integrated Inpatient Rehabilitation Program

Following admission, patients undergo a comprehensive interdisciplinary evaluation that leads to the development of an individualized treatment plan. Patients and family members are actively involved in planning the rehabilitation process. This outcome is accomplished through team meetings with participants and family members, education and training from case manager, therapists and medical staff, individual counseling and support groups.

Specific program treatment is offered Monday through Friday (excluding holidays) from 8 a.m. to 4:30 p.m., with carry over activities conducted by covering therapists and nursing, on weekends and federal holidays.

In preparation for discharge, patients may participate in weekend therapeutic passes with their families or caregivers to determine level of assistance required to function in the community.

Program features

• CARF accredited
• Case management
• Specialized treatment staff
• Individual and group therapeutic activities
• Patient and family education
• Support group
• Community reintegration activities
• Driver’s training and evaluation
• Individualized discharge planning

Clinical team

• Attending physician specialized in physiatry
• Resident physician
• Case manager/ Clinical nurse specialist
• Nursing with rehabilitation experience
• Kinesiotherapist
• Occupational therapist
• Physical therapist
• Speech language pathologist
• Therapeutic recreation specialist
• Social Worker
• Dietitian

What we treat

We specialize in the evaluation and treatment of activity limitations resulting from, but not limited to:

• Neurological diseases.
• Vascular diseases.
• Amputation.
• Orthopedic conditions.
• Debility.
• Medically complex conditions.

Admission criteria

• 18 years of age or older
• Medically stable
• Off ventilator
• Has potential to participate in three to five hours of rehabilitation programming with needs for multiple therapies
• Does not require one-to-one staffing for medical or behavioral reasons
• Eligible veteran or active duty military member

Ethics

We believe that a critical facet of the rehabilitation process is to assist individuals and families affected by brain injury in exploring what constitutes quality of life for them, and to help them in attaining that quality of life.

Ethical problems that concern individual patients or hospital staff may be brought to the hospital Ethics Committee by patients/designee or by hospital staff. In these cases, the view of the committee will be communicated verbally to the appropriate parties.

All patients have the right to the same level of medical care regardless of their age, gender, cultural background, language spoken, sexual orientation, spiritual beliefs, socioeconomic status, or whether or not they have third party health insurance.

Strategic plan

The strategic plan of the Comprehensive Integrated Inpatient Rehabilitation Program is based on the Key Drivers of the Physical Medicine and Rehabilitation Service of the Veterans Hospital Administration:

• Assure VHA Rehabilitation Programs Meet Quality Standards of Care:
• Receive re-accreditation by CARF.
• Maintain excellent outcomes in CIIRP while improving efficiency of services.
• Obtain more complete data regarding patient satisfaction upon discharge.
• Improve access within our service delivery system.
• Assure integration of rehabilitation into the continuum of care:
• Explore need for a more extensive outpatient program.

Insure quality providers:

• Increase participation in continuing education activities.
• Develop resident and fellowship training series.
• Enhance existing staffing and better utilize existing resources.

Continuum of care

The Richmond VAMC Comprehensive Integrated Inpatient Rehabilitation Program is the only acute inpatient rehabilitation program in the regional VA system, VISN 6. As such, the Richmond CIIRP serves as a referral and consultation center for the other VA hospitals in the region.

The intervention team, which includes the patient and his or her caregivers, works to plan and organize the rehabilitation process from the time of the referral to the program to discharge and follow up. The CIIRP Case Manager is primarily responsible for assisting individuals and their families with getting access to available resources. Through the cooperation with referral agencies, families and community resources, we ensure that patients receive appropriate services along the continuum of care.