Scope of Services
Southwest Regional Rehabilitation Center is an independent privately held not for profit Physical Medical Rehabilitation facility accredited by the Joint Commission.
Clinical services are provided under the direction of the Medical Director - Zihni Yilmaz, M.D., Board Certified in Internal Medicine. Under his management, patients are provided specific medical and rehabilitation oversight pertaining to his diagnosis and/or condition.
Our interdisciplinary team is comprised of professionals in the areas of rehabilitation nursing, physical therapy, occupational therapy, aquatic therapy, audiology, speech/language pathology, medical social work and sports medicine.
The following comprehensive services are available to patients on either an inpatient or outpatient basis:
- Aquatic Therapy
- Audiology Screening
- Case Management
- Dietary Consultation
- Hearing Aid Sales, Services & Repair
- Medical Social Work
- Occupational Therapy
- Orthotic Services
- Physiatry
- Physical Therapy
- Prosthetic Services
- Psychological Services
- Recreation Therapy
- Rehabilitation Nursing
- Respiratory Therapy
- Speech Language Pathology
- Sports Medicine - Athletic Training
To facilitate physical medical rehabilitation inpatient admissions, an admitting case manager conducts an evaluation of the prospective patient to identify their rehabilitation needs. The case manager collaborates with Southwest Regional Rehabilitation Center's Medical Director in determining the status for admission. Southwest Regional Rehabilitation Center accepts referrals from physicians, social workers, nurses, therapists, discharge planners, insurers, and case managers.
Over the course of the past 43 years in providing physical medical rehabilitation services to the surrounding Battle Creek area, specific programs have been developed to meet the needs pertaining to specific diagnostic groups. Through the evaluation of the medical staff executive committee, and recommendation from providers in the medical community, Southwest Regional Rehabilitation Center has recently enhanced our program capabilities to meet the medical rehabilitation needs of persons involved with traumatic brain injury.
The following scope of programs is provided:
Our treatment team works with the patient to achieve their goals in the areas of:
- Self Care
- Mobility and Locomotion
- Communication
- Cognitive Functioning
- Psychological and Social Adjustment
- Vocational and Educational Activity
- Adaptation to Disability
- Bowel and Bladder Management
- Pain Management
- Patient and Family Education
- Adaptive Equipment Needs
When considering a patient for physical medical inpatient rehabilitation pertaining to the described programs, our interdisciplinary team evaluates the following areas.
- Medical stability and needs: Is the patient medically ready to participate
in rehabilitation. Medical stability also includes psychiatric stability. If the
patient's psychiatric status interferes with rehabilitation; other disposition
options should be sought. The patient's medical diagnosis should be consistent
with potential for rehabilitation.
- Functional Disability: Does the patient have a disability that interferes
with independent functioning. If not, the patient does not require
rehabilitation. Examples of disabilities include: impaired Activities of Daily
Living gait
abnormality, impaired mobility, abnormal speech, and dysphagia. To be a
candidate for inpatient rehabilitation, the patient's disabilities, taken
together, must make community discharge unsafe.
- Mental Status: Can the patient learn. Patient education is a vital part of
rehabilitation. If the patient cannot retain information from moment to moment,
it is unlikely that they will learn basic skills such as proper equipment use,
following exercise regimes, managing bowel and bladder functions. Some patients
are exceptions; including those cognitive status is likely to improve in a
reasonable period of time. Other exceptions include patients whose
family/friends are committed to assuming the care of the patient and are
available, willing and able to participate in daily training.
- Achievable goals: Does the patient have achievable goals. Can these goals
be achieved in a reasonable length of time? Typically the goal of inpatient
rehabilitation is safe discharge to the community. Additionally, the patient
must be able to demonstrate continuous quantifiable progress toward their goals
during inpatient rehabilitation.
- Need for coordinated therapies: What therapies does the patient require?
If only a single therapy, i.e. Speech or Physical Therapy is needed, this
patient can be served as an outpatient or in an extended care facility. To be
eligible for an inpatient rehabilitation program, guidelines state that the
patient must need at least 2 different therapy programs.
- Patient endurance: What is the patient's endurance? Can the patient actively participate in therapy. While on
the physical service, has the patient demonstrated good participation during
therapy sessions? If so, are they able to meet the demands of inpatient
rehabilitation and participate in a minimum of 3 hours of therapy per day?
- Level of patient independence: How much assistance does the individual
require for mobility and activities of daily living? If the patient is
independent, an inpatient setting is not required. However, if the patient
requires moderate or total assistance, consideration should be given to inpatient
rehabilitation programs. Most payers will not recognize the need for intense
inpatient rehabilitation for patients who are ambulating 100 feet or more
independently or only require minimal supervision.
- Ultimate Discharge Disposition: Where and with whom will the patient live.
An ultimate discharge disposition must be identified. Will an inpatient
rehabilitation program be the safest in regards to the patient's ultimate
discharge disposition, i.e. make the difference between a patient returning home
or living in an extended care facility or skilled nursing facility.
- Patient consent: Does the patient want to participate in a rehabilitation
program? If the patient is unable to participate in the decision, is the
patient's family (or significant other) committed to the rehabilitation process,
i.e., will they actively participate in the rehabilitation program. Does the
patient or family understand what rehabilitation is and what goals can be
achieved?
- Continuity of Care: For which type of rehabilitation setting does the patient qualify. The rehabilitation setting for which the patient qualifies can change over time. Patient needs and abilities change. Therefore, rehabilitation plans may need to be altered to meet the evolving needs of the patient.
Examples of conditions that may cause disability necessitating rehabilitation admission:
- Stroke
- Spinal cord
- Congenital deformity
- Amputation
- Major multiple trauma
- Fracture of femur (hip fracture)
- Brain injury
- Polyarthritis (including rheumatoid arthritis)
- Neurologic disorder such as Parkinson's, Multiple Sclerosis, and Guillain-Barre Syndrome.
- Extensive brain injury.
To benefit from inpatient rehabilitation it is required that the patient have a reasonable expectation for significant improved function as a result of the rehabilitation program which may include the following:
- Ability to live independently.
- Ability to live at home in lieu of institutionalization.
- Significantly reduce the amount of attendant or nursing care required.
- Achieve optimum stabilization of any chronically disabling medical condition.
- Improve mobility and/or independence in activities of daily living.
- Reduce disabling pain and/or maladaptive pain related behavior.
- Return to social, cultural, spiritual and vocational involvement in the community.
To maximize the rehabilitation process and to complete the inpatient criteria, the patient should have an appropriate discharge plan, and be willing and able with their family to participate in the rehabilitation program.
Admission into the physical medical inpatient setting requires the person to be minimally 15 years of age. Southwest Regional Rehabilitation Center's goal is to maximize the person's ability to return to their home. We succeed in this focus with 84 percent of our discharges from inpatient services transitioning to the home setting. Those who are not able to transition back into their home are typically discharged to an extended care or skilled nursing facility. The average age of the patient we serve in the physical inpatient medical rehabilitation setting is 71 years of age, with an average length of stay of 9 days for all related rehabilitation impairment groups.
Southwest Regional Rehabilitation Center is not able to provide clinical support of patients with the following conditions:
- Positive Tuberculosis
- Rancho Los Amigos scale 2 or under
- Requiring mechanical ventilator support
Patients who fall into any of these categories will be assisted by either the hospital's case manager and/or medical social worker in identification of alternative medical rehabilitation resources which can support their clinical management.
Southwest Regional Rehabilitation Center offers comprehensive therapy services for all age groups and cultural diversity. It is our goal to assist the patient in attaining the highest functional level possible and to enhance their quality of life though the rehabilitation process.
Southwest Regional Rehabilitation Center is committed to the care and improvement of human life. In recognition of this commitment, we continue to strive to deliver high quality, cost effective health care services in the community and region we serve.
In pursuit of our mission, we believe the following value statements are essential and timeless:
- We recognize and affirm the unique and intrinsic worth of each individual.
- We will provide each patient and family individualized care through teamwork and collaboration.
- We treat all those we serve with compassion and kindness.
- We act with absolute honesty, integrity, and fairness in the way we conduct our business.
- We treat our colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect, and dignity.
- We will educate others about all aspects of life of those with impairment or disabilities.
Southwest Regional Rehabilitation Center places significant emphasis on patient rights and promotes, in highest regard, the principles of ethical conduct. In the delivery of our services, patients have a right to considerate care that safeguards their personal dignity and respects their cultural, spiritual and psychosocial values.
The hospital demonstrates particular importance on meeting the cultural diversity of those we serve. Assessment of the patient's cultural background and/or unique beliefs is obtained upon admission to the hospital. Environmental support is provided to meet the specific needs and to insure respect, privacy and acknowledgment of their values while in our facility.
To ensure that patient's rights are met, a patient relations program is in place to verify our commitment to those we serve. The hospital is devoted to respect the rights of patients and to conduct business relationships with patients, their families and the community in an ethical manner. Information describing patient rights and the process to which patients may convey information regarding care received is directed to a patient representative. This process is described to all patients and families upon admission to our facility.
| Southwest Regional Rehabilitation Center 393 E. Roosevelt Battle Creek, Michigan 49017 269.965.3206
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