Transcript Title

VHA Polytrauma
System of Care: Current
Developments
Micaela Cornis-Pop, Ph.D.
VA SLP National Conference
Dallas, 2006
A New Generation of Veterans
I am 26 years old, back from the war in Iraq, and live in
the VA Nursing home in Washington DC
I am married to Jason and we
have a daughter
LtCol Maxwell Tim USMC
Nine months ago, Marine Lt. Col. Tim
Maxwell could barely speak. His right
side didn't work - none of it from his
vision down to his foot. Thoughts got
jumbled in his brain. His left arm was
almost useless.
But Maxwell isn't the kind of guy who gives up easily.
It's probably why Maxwell, 40, is where he is today - a
Marine still on active duty looking for ways to improve
himself and the Marine Corps.
Devil Dog Marines Blog, March 2006
New Patient Population
• Complex injuries with resulting long
term disabilities
• Require access to a broad spectrum of
services
• Providers should have specialized
training and experience in polytrauma
• Mild injuries can produce functional
impairments with delayed onset
High Expectations
• Patients and families
– State of the art care
– Advanced rehabilitation opportunities
– Extended inpatient rehabilitation
• VA Leadership
• External stakeholders
Polytrauma System of Care
• Polytrauma Rehabilitation Centers
– Regional, acute rehab, training, research
• Polytrauma Network Sites
– VISN, post acute rehab, community re-entry
• Polytrauma Facility Team
– Local, follow up per expertise
• Polytrauma Case Management
– Local, case management
Designated Polytrauma Sites
• Richmond
•
•
•
•
•
•
Boston (1)
Syracuse (2)
Bronx (3)
Philadelphia (4)
Washington D.C (5)
Richmond (6)
Designated Polytrauma Sites
• Tampa
•
•
•
•
•
Augusta (7)
Tampa (8)
Nashville (9)
Houston (16)
Dallas (17)
Designated Polytrauma Sites
• Minneapolis
•
•
•
•
•
Cleveland (10)
Indianapolis (11)
Hines (12)
St. Louis (15)
Minneapolis (23)
Designated Polytrauma Sites
• Palo Alto
•
•
•
•
•
Tucson (18)
Denver (19)
Seattle (20)
Palo Alto (21)
West LA (22)
Implementation of PNSs
Current efforts:
• Interdisciplinary teams and processes
• Setting up programs, space, and
equipment
• Outreach to patients and services within
facility and the VISN
• Communication with other programs
• Education and training
Polytrauma Rehabilitation Care
A & SLP
Program
Spinal Cord Injury
Program
Hearing
Loss
Cord
injury
Polytrauma
Rehabilitation Center
Head
Injuries
Brain Injury
Program
Pain
Amputations
Soft
Tissue
Trauma
Vision
Loss
Emotional
Shock
Pain
Management
Amputee
Program
Rehabilitation
And
Orthopedic
Programs
Blind
Rehabilitation
Program
PTSD
Program
Rehabilitation Care for the
New Generation Of Veterans
•
•
•
•
•
•
Coordinated multidisciplinary rehabilitation
Challenging goals
Age appropriate materials and procedures
Participation in life activities
Computer savvy
Strong family and community support
Education and Training
• Polytrauma: Acute Clinical Care Issues, 7/05
• Polytrauma Rehabilitation Processes and
Challenges, 8/05
• Health Promotion and Reintegration after
Injury during Deployment, 8/05
• Traumatic Brain Injury, 1/04, VHI
• Polytrauma Symposium, Las Vegas, Aug 1-3
Telehealth
•
•
•
•
•
•
Links PRCs & PNSs
Videoconferencing
Coordination of care
Consultations
Clinical services
Education