glenrose rehabilitation hospital - alberta health services · the glenrose rehabilitation hospital...

September 2014

“Once you set aside the acute phases or crises that mark injury or disease, much of modern health care is indeed rehabilitation in one form or another.” Dr. David Naylor, Former President, University of Toronto (2005-2013)

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“Celebrating 50 Years of Building Abilities for Life™”

Report to the GRH Foundation & Friends

Glenrose Rehabilitation Hospital

LEADER IN PROVIDING SPECIALIZED REHABILITATION

Specialized Rehabilitation Outpatient Program (SROP) Update – The SROP program has assisted with patient flow from our inpatient programs as well as in the community.

o In the month of July, 2014, SROP clinical staff saw 603 patients, with 2119 patient appointments, totaling 5100 hours of patient care.

o In Q1, 2014 we saw 220 patients from GRH inpatient units and clinics. This has decreased our length of stay on IP units and increased our IP capacity. We are able to follow our patients as they continue to work on their rehabilitation goals while not occupying a bed.

o Our referrals from external sources continue to grow. In Q1, 2014 we received 234 referrals from external sources. This helps patients to build function and avoid functional decline that may lead to hospitalization. SROP patient data collected by the Destination Home team suggests a 42% decrease in ED visits and 62% fewer inpatient admissions six months post referral.

o The Interprofessional Student Services program assists with building our capacity to treat patients, as well, it has become a recruiting tool for Glenrose staff. Since January, 2012 the program has worked with 126 students who saw 1932 patients with 6278 appointments for a total of 8651 patient care hours.

o 83% of patients reported a clinically significant improvement for the last quarter (Q2, 2014-15).

Stroke Early Supported Discharge Program – The

Stroke Early Supported Discharge Program (SESD) will be moving to the Glenrose this fall. Survivors of mild to moderate strokes can leave hospital sooner and return to the comforts of home knowing a comprehensive Alberta Health Services (AHS) team will come to them with all the tools needed to work towards restoring their abilities, confidence and

"Once you set aside the acute phases or crises that mark injury or disease, much of modern health care is indeed rehabilitation in one form or another.” Dr. David Naylor, Former President, University of Toronto (2005-2013)

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independence. A multidisciplinary team of physiotherapists, occupational therapists, speech therapists and social workers help patients head home, on average, after two weeks in hospital, compared to a typical stay of four weeks or more. Referrals to the SESD Program come from four Edmonton hospitals that have a stroke program: Royal Alexandra, University of Alberta, Grey Nuns and the Glenrose. We look forward to welcoming the SESD Program to our site as part of the Specialized Rehabilitation Outpatient Program.

Telehealth Pilot – GRH Developmental Pediatricians Partner with the Camrose Pediatric

Specialty Service – The provision of comprehensive, specialized, developmental pediatric services to clients and families in the communities in which they live can often be challenging, particularly in rural communities. The Glenrose Rehabilitation Hospital and the Camrose Pediatrics Specialty Clinic are now piloting the use of telehealth as a means of overcoming many of these challenges. Camrose possesses a terrific multidisciplinary rehabilitation team consisting of occupational therapists, physical therapists, speech language pathologists, psychologists, and social workers who provide services to complex pediatric patients and their families. Often however, these patients require the specialization of a Developmental Pediatrician, a resource not currently available in Camrose, thus limiting the full capacity of this team. As a result, patients and families are forced to travel long distances to be seen in larger centres and / or wait for lengthy periods to receive this service. This pilot project enables Glenrose Developmental Pediatricians and Fellows to join monthly Camrose multidisciplinary team meetings to review patient referrals and triage for appropriate services. Children identified as needing the services of a Developmental Pediatrician are scheduled for a multidisciplinary clinic visit in Camrose, which includes an assessment done by the Glenrose physician via telehealth. Following this assessment, the Glenrose physician then joins the team conference via telehealth for a comprehensive review of the results followed by a family conference with the patient / family, full multidisciplinary team, and local stakeholders for discussion and collaboration on next steps. Through the utilization of telehealth, the Camrose Pediatric Specialty Service is able to function at full capacity to deliver comprehensive, specialized, pediatric services to patients and families effectively and efficiently in their local community. This collaborative, team-based model of telehealth service delivery supports safe, comprehensive, patient-centred care. It may be used as a template for a variety of health care programs that can benefit from collaboration of local resources with urban specialists to improve health outcomes.

Glenrose Hospital Electromyograpy (EMG) Clinic – Electromyography or 'EMG' for short is a diagnostic test used to investigate any disease or injury to the peripheral nervous system. Patients at

the Glenrose are heavy users of the EMG clinic because the GRH admits and cares for many patients with neuromuscular disease. EMG testing is considered essential in many conditions ranging from motor neuron disease e.g. (ALS), Guillain Barre Syndrome, Muscular Dystrophies, Poliomyelitis (e.g. West Nile disease) etc. and many nerve injuries from major trauma through to carpal tunnel syndrome. Any patients with weakness, numbness, pain or balance and coordination issues are referred for EMG studies. We operate the


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only province-wide clinic for brachial plexus injuries in conjunction with the peripheral nerve surgeons, as well as a variety of sub-specialized clinics such as the post-polio clinic.

Edmonton has two EMG labs (the other located at the UAH) hence the GRH lab has direct responsibility for all Edmonton Zone hospitals except the UAH, including the intensive care units at the RAH, Misericordia, Grey Nuns and Sturgeon hospitals. About 15% of our patients are inpatients and the 85% are referred from the northern half of the province, parts of British Columbia and Saskatchewan. The age range of patients is from newborn infants through to the eldest seniors. We see about 2300 new patients a year making the EMG Clinic one the busiest clinics at the GRH.

GRH Seating Services – More advanced custom seats are manufactured at the Glenrose using digital methods that save time and shorten waitlists.


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PROVIDER OF NEW KNOWLEDGE

GRH Autism Research – The Autism Research Centre (ARC) at the Glenrose is co-directed by Dr. Lonnie Zwaigenbaum, Stollery Children‟s Hospital Chair in Autism Research, Department of Pediatrics, University of Alberta and Dr. Joanne Volden, Professor, Faculty of Rehabilitation Medicine, University of Alberta. The ARC team is investigating topics including earliest signs of Autism Spectrum Disorder (ASD), factors that relate to more positive outcomes, genetic influences on ASD, and the medical issues faced by some children with ASD. Infant Sibling Research Parents often report that they were concerned about their child by their first birthday. Our Infant Sibling research group followed the younger siblings of children diagnosed with ASD (Sibs) and infants without a family history of ASD (non-Sibs) to understand the development of ASD. By 12 months of age, the children who will be diagnosed with ASD (1) have trouble looking away from one object to look at another, (2) are less active (running around), (3) are more irritable, (4) first words occur later, and (5) they use fewer gestures (pointing). Understanding the early signs in children who will later be diagnosed with ASD is important for identifying ASD. Zwaigenbaum et al., International Journal of Developmental Neuroscience. 2005; 23:143-152

Early detection can help to ensure that proper supports and services are in place for children and their families

Autism Speaks-Autism Treatment Network Edmonton is proud to have been renewed for another 3 years as one of two Canadian sites to take part in Autism Speaks-Autism Treatment Network (AS-ATN), a North American initiative aimed at improving

the quality of medical care for children and adolescents with ASD. The ultimate goal is to provide comprehensive, collaborative care to children and adolescents with ASD by identifying and addressing physical health issues. The AS-ATN collaborates with the child‟s parents and Glenrose physicians to track health and well-being for 3 consecutive years. A recent AS-ATN study looked at the relationships between difficulties with sleeping and the daytime behaviours of children with ASD. Families and their children represented 14

major cities in the United States, totaling 1193 children with ASD. In general, results suggested that children with parent identified sleep problems (i.e. getting to sleep, staying asleep) had greater behavioural difficulties (i.e. anxiety, aggression). By demonstrating this relationship, the need for families and health professionals to address sleep issues in a timely manner is especially important. Sikora et al., Pediatrics. 2012; 130:583-590

Autism Spectrum Disorder (ASD) Pathways to Better Outcomes Edmonton is one of five sites across Canada dedicated to the „Autism Spectrum Disorder: Pathways to Better Outcomes‟ study. The study began eight years ago and the goal of the study is to describe the developmental paths of children with ASD and to identify factors associated with optimal social, communication, adaptive, and


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behavioural outcomes. A recent finding comparing early language development in monolingual and bilingual exposed young children with ASD found no significant differences between the two groups regarding age of first words or phrases, severity of autism-related communication impairments, receptive or expressive language skills, and functional communication abilities. Results of this study indicate that a bilingual language environment does not interfere with the developing language system of young children with ASD. This is positive news for the growing number of bilingual families. Ohashi et al., Research in Autism Spectrum Disorders. 2012; 6:890-897

PARTNERING WITH PATIENTS & COMMUNITY

GRH Driver Evaluation and Training Service (DETS) – The GRH Driver Evaluation and Training Service (DETS) provides comprehensive driving evaluation and training for new and experienced drivers with a wide variety of disabilities and/or health conditions that may affect their ability to drive safely. Services are delivered by an Occupational Therapist and a Certified Driver Instructor.

The DETS program has made significant improvements over the past year. The program‟s waitlist has been reduced significantly as a result of the team‟s process improvement work and participation in the AIM 20 Collaborative. The current waitlist is 1.5 months down from the previous 6-8 month wait times. The DETS program has clarified its target population and created additional capacity in the GRH Specialized Rehabilitation Outpatient Program (SROP). SROP now

provides the first part of the driving assessment for some patients. This has ensured that patients receive access to services in a timely way. The DETS program also received a new Honda Odyssey Van in 2013. The van enables staff to provide services to a wider variety of patients across Alberta, British Columbia and Saskatchewan.

GRH MoveEZ Program – The MoveEZ program has

been engaging Glenrose Hospital volunteers to help motivate patients to be more active since January 2013. MoveEZ has now expanded to include inpatient Unit 3D. Volunteers have started taking 3D patients on walks and helping patients with light exercises. The program has also been implemented at the Cross Cancer Institute and Royal Alexandra Hospital.

Glenrose Arts in Rehab Council Update – The Glenrose has three art galleries: Art on the Inside, Mezzanine and Blue Curve. The art work on display is for sale through the Corner Store, with a portion of each sale going towards the Art in Residence Program. Mezzanine Gallery Now showing “MODERN Splash” Batik Painting – A celebration of creativity through color. This exhibit runs until October 14th and features several artists from the In-Definite Arts Society (IDAS), a non-profit community organization that supports adults with developmental disabilities to express themselves through art.


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Art on the Inside Gallery Featuring Jeannine Chalifoux from Morinville AB. Her exhibit, “Exploring the World‟s Beauty” is a collection of oils, pastels and watercolours and will be on display until October 14th.

Blue Curve Gallery Now showing “Inspiration” until October 31st by international artist Darlene Adams. This show features bright colours inspired by the world around her.

GRH PHYSICIANS, STAFF & VOLUNTEERS

GRH Executive Associate & GRH Dental Clinic Business Coordinator – It is with mixed emotions that we announce the departure of Susan Miskiman, GRH Executive Associate and Business Coordinator, GRH Dental Clinic. Susan has accepted the Edmonton Zone (EZ) Business Relation Partner position with Information Technology EZ and will commence in her new role effective October 16, 2014. Susan has been with the Glenrose Rehabilitation Hospital for the past 13 years and has made many significant contributions to our site including the revamping of the GRH Work On Wellness Committee (WOW), roll out of the PC Refresh project, co-chairing the GRH Emergency Preparedness Committee and the GRH Information Technology Committee, coordination of Adult Brain Injury/Rehab Provincial Accreditation under the leadership of Isabel Henderson, GRH Savings Initiative and Mitigation as well as applying business improvement principles at the GRH Dental Clinic. Susan will continue to lead the EZ United Way Campaign and the 2030 Service Planning Focus Group in Information Technology/Telehealth/Knowledge Management for the RAH/GRH/Norwood Campus. We will greatly miss her effervescent personality, her support and enthusiasm to make things happen. Please join us in thanking Susan for her many contributions to the Glenrose and wishing her well in her new position.

GRH Nursing Staff Update – It is our pleasure to announce Michelle Wallace,

Patient Care Manager of the Spinal Cord / General Neurology (3B/3BN) and Brain Injury (4B) Service. Michelle has worked at the Glenrose since 2000. She was initially hired as a staff nurse on Unit 3B, before moving into the Outpatient Coordinator role for Unit 4B in 2006. In addition to her Outpatient Coordinator position, Michelle also worked as Coordinator for 3B. Michelle has a BScN from the University of Alberta. She has completed the AHS Leaders in Rehabilitation Mentorship Program and Lean for Health Care training. She is currently pursuing her Master of Nursing through Athabasca University. Please join me in welcoming Michelle to her new role. We would like to also acknowledge Rashim Nand for her support to the portfolio prior to moving to MSK (Unit 4A).

Sad News – We regret to announce the passing of former MLA Drew Hutton, Executive Director of the GRH Foundation (1999-2001). During Drew's leadership with the Foundation, the premier Chocolate Affair Gala was launched and the Glenrose was catapulted into a new era of technology leadership with the opening of the I CAN Centre, the completion of upgrades to the Glenrose (Dr. Bill Black) Auditorium and


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the creation of the Syncrude Centre for Motion and Balance. A marathon runner for many years, Drew was also a strong supporter of the Glenrose Heartbeat of Edmonton race, organized jointly by the Cardiac Rehab program and the GRHF. A Tribute in Drew's honour will be held at the Old Timer's Cabin on Wednesday October 1, 2014 at 1:00 pm.

AWARDS & HONOURS

Best Abstract Award Recipient Honoured – Dr. Ming Chan, GRH Research Affiliate, received The Best Abstract Award at the American Association Neuromuscular and Electrodiagnostic Medicine (AANEM) meeting in Savannah, Georgia for his work entitled, “Post-Surgical Electrical Simulation Enhances Sensory Function Following Digital Nerve Transection: A Double Blind, Randomized Controlled Clinical Trial.” The AANEM has made a strong effort to provide a nurturing environment which allows clinicians with an interest in neuromuscular disease to develop and grow.

EVENTS

Glenrose Celebrates with Great Fashion – When Judith Krupp came to the GRH 50th. Anniversary planning meetings earlier this year she said; “How can The Friends of Glenrose help”?” The membership‟s challenge was to bring back some of the fashions from 50 years ago while entertaining trends of today. Well they did that with class on Sunday, September 7, 2014. The GRH Bistro Dining room was turned into a fashion show runway to a sold-out crowd. They were enlightened with Bianca Nygard fashions by 13 models. Arlene Gort led the parade of fashion wearing her 50 year old nurses‟ uniform as the crowd cheered and clapped. Louise Miller captured everyone‟s attention with her outfit and with her modeling skills and twirls. We are very grateful to all the models who volunteered for this event. Hats off to Gina, Mario and Jac who provided free hair care and style to our models; to Becky from Arbonne who donated cosmetic supplies and skilled associate‟s time and to our very own members that donated their time for this event. Proceeds from this event are put back into patient comfort needs for the Glenrose Hospital clients such as equipment and incidental expenses that aid in a patient‟s rehabilitation journey. If you are interested in becoming a member of The Friends of Glenrose, please call Judith Krupp, President, at 780-735-7986.


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Glenrose Hosts Future Saudi Doctors and Allied Health Professionals – The students came to the Glenrose in July for clinical observations. They visited Prosthetics and Orthotics, Brain Injury, the Building Trades of Alberta Centre (BTACC), Computer Assisted Rehabilitation Environment (CAREN) Centre, GRH Dental Clinic, START Psychiatry, Specialized Rehabilitation Outpatient (SROP) and Syncrude Centre for Motion & Balance (SCMB). They also met with Dr. Lalith Satkunam to discuss the processes of attaining foreign placements in Canada.

The training is part of the Health Sciences Visiting International Program, a pilot offered by University of Alberta International in partnership with the School of Public Health and Faculty of Rehabilitation Medicine. One of the program‟s main goals is to help meet the growing demand for health-care training in Saudi Arabia amid a growing and aging population. A big thank you to the many staff at the Glenrose who came together to provide excellent experiences for these Saudi students.

GRH Work on Wellness (WOW) Golf Tournament – This year marked the 13th anniversary of the GRH Staff and Friends Golf Tournament. Held on Friday, September 5th at the Fort In View Golf Course in Fort Saskatchewan, 16 teams consisting of Glenrose hospital staff, GRH Foundation members, physicians, friends, and senior AHS leads enjoyed beautiful weather, a round of golf and an evening barbeque. Feedback on the annual tournament has been extremely positive with a number of staff already excited for next year‟s event. A huge thank you goes out to the WOW Golf organizing committee who once again provided exceptional service and attention to detail.

Photo – Virginia Quist


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Edmonton Hosts World Paratriathlon Events – All eyes

were on Edmonton and our scenic river valley from August 26 - September 1 as the World Triathlon Grand Final returned to Alberta‟s Capital City. Glenrose physicians, staff and former patients were proud to witness the top athletes in the world competing in the paratriathlon events. Paratriathlon offers a unique and inclusive global opportunity for athletes of all disabilities to perform at elite levels. In the paratriathlon races, six athletes won world championship titles for the first time. The British team again dominated with eight medals, closely followed by the US with three gold medals. Paratriathlon, a sport two years away from making its Paralympic debut at Rio 2016, took centre stage at Hawrelak Park!

ALS Ice Bucket Challenge – Our Glenrose Physical Medicine & Rehabilitation (PM&R) residents were brave enough to complete the Ice Bucket Challenge! To view the video go to this link: https://www.youtube.com/watch?v=1l9A2CkX6qU

UPCOMING EVENTS

AHS Staff Influenza Campaign – This year‟s AHS Staff Influenza campaign will be starting earlier than last year - on October 6 - and will end 4 weeks later. Last year, the GRH staff rate of immunization was ~ 51%. The target immunization rate for AHS staff across the province this year is 80%. Sharon Schwindt and Chad Herbers are the Super Site Champions and because of the commitment of GRH staff, they believe this can be achieved. Staff are strongly encouraged to attend one of the on-site clinics being held in the Bistro October 7, 16, 21 and 27. In addition, roving clinics will again be available for staff meetings as well as trying to catch any staff that were unable to attend the regularly scheduled clinics. Small door prizes will be available for staff attending the clinics and roving carts and achievement certificates will be handed out to areas reaching the target. Let‟s show the other sites and programs across the province how committed we are to protecting patients, ourselves and others by reaching this year‟s target of 80%!

September Pitch Party – Friday, September 26, 2014 – 7:00 – 10:00 pm – Pixel Blue College, Suite

200, 10080 Jasper Avenue – Sponsored by Awesome Edmonton Foundation, Doug Klein, Department of Family Medicine, U of A, will be presenting his pitch to win a $1000.00 grant on his idea called MOVE, a free weekly exercise program that provides the opportunity for Edmontonians to be physically active alongside a family physician and a kinesiologist. The exercise program combines walking, strength training, and physical activity in the beautiful surroundings of Hawrelak Park. The audience votes on the best pitch idea to determine who wins the award. For more information go to: http://edmontonawesome.com/index.html

Medical Speech Pathology: The Influence of Body Systems on Communication and Swallowing Interventions – October 4 and 5, 2014 in the RAH Robbins Centre.

https://www.youtube.com/watch?v=1l9A2CkX6qU

http://edmontonawesome.com/index.html


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Spotlight on Research Breakfast – Wednesday, October 15, 2014 – 7:00 – 9:00 am at the Northlands Expo Centre. To view Dr. Hugh Herr‟s TED Talk please click here and Register Here! to purchase your tickets.

2014 Courage Awards – November 5, 2014 – Noon – 1:00 pm in the Dr. Bill Black Auditorium.

Glenrose Long Service Awards – November 18, 2014 – 2:00 – 3:30 pm – GRH Bistro Level 0.

The Cognitive Orientation to Daily Occupational Performance (CO-OP) Approach – March 14 – 15, 2015 at the Glenrose with speaker Sara McEwen, PT, PhD, St. John‟s Rehab Hospital Toronto and Assistant Professor, Department of Physical Therapy, University of Toronto. Registration will be open in November 2014.

Annual WOW Committee Staff Christmas Tea – Wednesday, December 10, 2014 - 2:00 - 4:00 pm – GRH Bistro Level 0.

Respectfully Submitted, Grace Maier Acting Senior Operating Officer

https://www.ted.com/talks/hugh_herr_the_new_bionics_that_let_us_run_climb_and_dance

https://glenrose.dojiggy.com/registration2/?455721500D750B0406707D01061324452459440F7C7E7004087401

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