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ALSO INSIDE: Fast Track for Stroke Patients >>Page 3 Research VP Dromerick Sets Agenda for the Future >>Page 6 Building a High Reliability Culture >>Page 8
We worked closely with MedStar Health and MedStar Georgetown University Hospital to design a center that would provide a continuum of care, and include the services of rehabilitation experts, orthopaedic surgeons, neurologists, neurosurgeons and radiologists, Brickley adds. Patients can get radiologic diagnostic testing and access the services of physician specialists, and a rehabilitation team all in one convenient location. Co-locating highly skilled rehab medicine experts and therapists with medical specialists from other MedStar Health facilities is a strategy were pursuing across the region, he explains. Its a model that makes sense for patients and referring physicians, explains Kathleen Fink, MD, attending physical medicine and rehabilitation physician at the McLean center. Theres a real benefit to coordinated care, ease of referral and open communication between referring physician and the rehabilitation team, says Dr. Fink.
Continued on page 2.
AlterG Anti-Gravity Treadmill, used to advance therapy for athletes and patients with lower extremity problems
Focused on You
Ortho-Rehab Expertise
Dr. Fink works in tandem with a team of highly experienced physical and occupational therapists, and speechlanguage pathologists, who provide a broad range of neurologic and orthopaedic rehabilitation services. The center also provides special orthopaedic rehab programs, including the MedStar NRH Sports Medicine program, which focuses on early intervention after injury for active adults, and both amateur and professional athletes, as well as the development of training regimens to promote safe performance and prevent re-injury. A unique Runners Clinic at the McLean center offers dual camera video gait analysis to assess running gait abnormalities, and incorporates the
Therapy focuses on restoring a patients communication skills, cognitive abilities, physical strength, and independence in their everyday life. In addition, the McLean center offers the highly specialized services of MedStar NRHs unique Concussion Clinic, which provides assessment and treatment for people who suffer from the lingering and often life altering effects of concussion. Ultimately, we hope to expand hours and services offered at the McLean center with additional physiatrists and other specialty services, such as oncology and cancer rehabilitation, Brickley adds.
We work closely with community physicians to identify goals and develop treatment plans, while providing routine updates on their patients progress.
Kathleen Fink, MD
To refer a patient for rehabilitation services at the McLean center, call 703-288-8260. 2
MedStar National Rehabilitation Network
Team Members employ a combination of therapeutic techniques to help patients re-learn to utilize facial muscles spontaneously, including traditional
MedStar NRH-developed Mirror Book Therapy tricks the brain into normal facial expressions.
NoteWorthy
Arthur De Luigi, DO, Recognized
Arthur Jason De Luigi, DO, director of Sports Medicine at MedStar NRH, (pictured left with American Academy of Physical Medicine & Rehabilitations Kurtis Hoppe, MD) was the recipient of the Outstanding Council Service Award in Musculoskeletal Medicine at the 2012 American Academy of Physical Medicine & Rehabilitation (AAPM&R) annual meeting which recognizes the service and volunteerism of members of the AAPM&R. Dr. De Luigi is board certified in Physical Medicine and Rehabilitation, Sports Medicine and Pain Medicine, and recently earned an additional board certification in Musculoskeletal Ultrasound by the American Registry for Diagnostic Medical Sonography. Dr. De Luigi serves as director of Sports Medicine at MedStar NRH and is an internationally recognized leader in adaptive sports.
Alexander Dromerick Named MedStar NRHs First VP for ResearchSets Agenda for the Future
John Rockwood, president of MedStar NRH and senior vice president, MedStar Health, ushered in a new era naming Alexander Dromerick, MD, the networks firstever vice president for research and chief research officer, overseeing all research endeavors. Dr. Dromerick, who previously served as associate medical director for research and academic affiliations and director of the neuroscience research program, continues to serve as codirector of the Center for Brain Plasticity and Recovery, a joint collaboration with Georgetown University. His appointment comes at a time of challenge for all medical researchand a coming of age for rehabilitation research, a fledgling field with increasing importance to the health of an aging U.S. population. Diminishing funding demands that our approach to research evolves, Dr. Dromerick explains. We have to find creative ways to ensure that new ideas reach the investigation stage. At MedStar NRH, were consolidating efforts, and putting our energies into the strongest research with the potential to impact the greatest number of people, he adds. Going forward, well choose our research questions carefully, and find ways to accelerate the investigational process. Our goal is to turn MedStar NRH into a great research hospital in the image of some of the nations best cancer facilities that offer patients top quality clinical care, and access to cutting-edge research. Were shaping the hospital into the academic model in which every patient can have the option of participating in a clinical trial, Dr. Dromerick says. There are only a handful of facilities with the capabilities to achieve this end, Dr. Dromerick explains. Weve built our capacity through strong collaborations with other regional academic institutions, and non-traditional partners, such as Walter Reed National Military Medical Center, and not-for-profit organizations and foundations. The Center for Brain Plasticity and Recovery is a model for the kind of collaborative effort we want to continue to pursue, he adds.
Stroke
Reach Forward: Mechanisms of Practice-Induced Reaching Improvement after Stroke January 20, 2010 December 30, 2014 Funding Source: Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health; National Institute on Disability and Rehabilitation Research, U.S. Department of Education Stroke Disparities Project: PROTECT DC September 30, 2007 August 31, 2012 Funding Source: Georgetown University; National Institute of Neurological Disorders and Stroke, National Institutes of Health
Interdisciplinary Comprehensive Arm Rehab Evaluation (I-CARE) Stroke Initiative July 1, 2007- July 31, 2013 Funding Source: University of Southern California; National Institute of Neurological Disorders and Stroke, National Institutes of Health Grip Force Control as a Diagnostic Tool for Mild TBI September 1, 2010 January 31, 2012 Funding Source: Navy Bureau of Medicine SISTERS: Spasticity in Stroke Randomized Study September 19, 2012 September 18, 2017 Funding Source: Medtronic International
The center is focused on the brain, its resilience and response to therapy. While we are beginning with a concentration on stroke recovery, what we learn will be relevant to all kinds of disabling conditions stroke, brain injury, SCI, MS, CP, amputation, even Alzheimers and Parkinsons disease. And what Dr. Suzanne Groah and her team are learning about maximizing function and reducing secondary complications for people with spinal cord injury and disease is relevant to other types of neurologic problems, as well.
ZeroG overground weight support system
Were shaping the hospital into the academic model in which every patient can have the option of participating in a clinical trial.
Alexander Dromerick, MD
Just 27-years-old, MedStar NRH already has an impressive portfolio of investigations and researchers. Currently there are three young investigators with active NIH-funded career development awards. Few if any rehab hospitals in the U.S. can compare.
Transcranial Magnetic Stimulation
In the next five years, Dr. Dromerick predicts, our group will be stronger and largerand MedStar NRH will be a national model for innovative translational and clinical rehabilitation research and the most advanced rehabilitation interventions.
Rehabilitation Robotics
Left Lateralization Using Transcranial Direct Current Stimulation July 1, 2012 June 30, 2013 Funding Source: Doris Duke Charitable Foundation
Assistive Technology
Assistive Technology and Research Center at MedStar National Rehabilitation Hospital December 6, 2004 October 28, 2014 Funding Source: U.S. Army Medical Research and Materiel Command (USAMRMC) Functional Ambulation: Standard Treatment vs. Electrical Stimulation Therapy (FASTEST) Trial in Chronic PostStroke Subjects with Foot Drop June 1, 2010 May 31, 2013 Funding Source: Bioness, Inc.
Overground Gait Training with a Novel Dynamic Body-Weight Support System October 1, 2010 September 30, 2013 Funding Source: National Institute on Disability and Rehabilitation Research, U.S. Department of Education
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MedStar NRH is accredited by: CARF, the Commission on Accreditation of Rehabilitation Facilities The Joint Commision
Michael Yochelson, MD, MBA, VP of Medical Affairs and Chief Medical Officer
all reports, and be responsible for analyzing trends, educating staff, and, when needed, developing procedures and protocols to prevent future incidents. We want to encourage staff at all levels to recognize and report any problems from a slippery floor to a medical order left unfilled. Transparency and open communication and a team approach to error prevention are critical to our success. Through the program, we hope to shift away from fear of punishment or reprisal to one that relishes reports as an opportunity to serve our patients more effectively. Each report of a near miss gives us the opportunity to educate team members, re-examine our practices, and reinforce an important tenant for every health care professionaldo no harm. This initiative comes at a time of expansion for MedStar NRH. In addition to the two new medical staff introduced in this issue of New Dimensions [page 5], new medical staff with special expertise in Sports Medicine and Interventional Pain management will soon join our outpatient centers in Friendship Heights, Bethesda, MedStar Georgetown University Hospital, and MedStar Montgomery Medical Center.
Connect to MedStar NRH at MedStarNRH.org. Quick Referral to MedStar NRH Expertise Inpatient care: 202-877-1152 Day treatment: 202-877-1945 Outpatient services: 202-877-1621