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The Correlation Between Outcomes & Cost of Acquired Brain Injury Rehabilitation

According to scientifically validated research, post-acute brain injury rehabilitation, one of the specialized services we offer at our brain injury facility – NeuLife Rehab, improves the quality of life of individuals who have experienced an acquired brain injury (ABI) and reduces lifetime medical costs.

The Centers for Disease Control and Prevention (CDC) reported that ABI is a major cause of death and disability in the United States. ABIs contribute to about 30.5% of all injury-related deaths. Those who survive an ABI can face short term effects or long-term effects that could last the rest of their lives. In the United States, approximately 5.3 million people have ABI-related disabilities that include long lasting cognitive and psychological impairments. The effects of ABI can include impaired thinking, attention or memory, movement, balance, sensation (e.g., vision or hearing), or emotional functioning (e.g., personality changes, depression). These issues not only affect brain injury survivors and their ability to work, perform household tasks, drive and engage in other activities of daily living but have profound effects on families and communities. Permanent ABI-related disability can also result in enormous financial burden including significant medical costs.

Rehabilitation is the predominant post-acute treatment for individuals with ABI. Scientific research confirms that a post-acute rehabilitation program with a multidisciplinary approach such as the program we provide at our brain injury facility – NeuLife Rehab , is more likely to be effective in the treatment of ABI patients. NeuLife’s multidisciplinary program includes, but is not limited to physiatry medical management, nursing services, psychiatry, internal medicine, physical, occupational, speech, recreational and neuropsychological/neurobehavioral therapies, community re-integration and vocational evaluation.

In an article published in the May 2015 issue of Journal of Neurotrauma called “Post-Acute Acquired Brain Injury Rehabilitation: Effects on Outcome Measures and Life Care Costs” written by Grace S. Griesbach, Lisa A. Kreber, David Harrington and Mark J. Ashley, the authors scientifically evaluated and measured both the functional effectiveness and cost effectiveness of post-acute ABI rehabilitation by comparing outcome measures and life care costs with that of patients with cerebrovascular accident (CVA) who underwent a similar multidisciplinary rehabilitation program. In this retrospective study of 36 former ABI and CVA rehab patients, functional effectiveness was determined through an assessment of the patient’s level of functional independence at least one (1) year post discharge, using outcome scales that evaluate level of disability as well as social, cognitive, emotional and physical problems. Cost effectiveness was determined by completion of life care plans, or lifetime cost projections by independent certified life care planners for each of the 36 patients, both prior to, and after, post-acute rehabilitation, i.e., with and without post-acute rehabilitation. Of note, the majority of the patients in the study completed a residential post-acute rehabilitation program for 5 days per week for variable lengths of stay; however, the median duration of treatment was 197 days of rehabilitation.

The data conclusively revealed that post-acute rehabilitation, with or without traditional acute rehabilitation, significantly improved functional outcomes for all 36 patients. These patients demonstrated improved quality of life, higher levels of function and independence, decreased disability and level of assistance needed for daily living, reduction in ABI-related morbidity and increases in occupational status or ability to return to work or vocation. The team of clinical experts at NeuLife proudly stands behind its quality clinical outcomes including, but not limited to its functional, cognitive and behavioral outcomes.

In addition to improved functional outcomes and quality of life, the study concluded that ABI-related lifetime cost projections markedly diminished after post-acute rehabilitation, referred to throughout the study as “rehabilitation savings” (RS). In other words, those patients who underwent post-acute ABI rehabilitation were projected to incur lower life care costs compared to patients who did not continue rehabilitation during the post-acute period. More specifically, the costs needed for long term needs such as hospitalizations, medical procedures, nursing, attendant care, medications and the like over the patient’s life expectancy significantly decreased after post-acute ABI rehabilitation. In fact, the study showed that on average, over $2 million was saved in lifetime costs per patient for those who received post-acute care. Cost and functional effectiveness was more pronounced when post-acute rehabilitation was initiated within the 1st year after ABI.

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About NeuLife Rehabilitation
NeuLife Rehabilitation is one of the largest residential post-acute rehabilitation programs of its kind specializing in catastrophic rehabilitation for Acquired Brain Injury (ABI), Spinal Cord Injury (SCI) and other complex injuries. Individuals who have experienced a catastrophic or complex work injury or illness such as an acquired brain or spinal cord injury, amputation, severe burn, complex orthopedic injury, stroke or other debilitating condition can now access quality specialized rehabilitation in a therapeutic, residential environment that offers individualized care and programming that will help them achieve the highest level of functional independence and the best quality of life.

NeuLife’s mission is to provide a comprehensive outcomes-based program of neuro rehab to support and promote the improvement of the quality of life of our patients. Based on our most recent data, our patients achieve an average functional improvement of 80% from admission to discharge. Our average length of stay varies depending on patient need. In addition, 86% of our patients are discharged to home, work or school and successfully reintegrated into the community, resulting in substantial rehabilitation savings for our patients with ABI, their families and other stakeholders.

NeuLife is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). Programs include inpatient general and neurological rehabilitation, behavioral/cognitive therapy, community reintegration and Supported Living.

For additional information about NeuLife, please visit our website or call us at 1-800-626-3876. Please also feel free to contact our Clinical Liaisons, Wendy McCracken at 904-534-2518, Brandy Narciso at 813-892-5471 or Fred Langan at 727-308-8073 to discuss a possible referral.

NeuLife and Hurricane Irma – Patient Safety is #1 Priority

The doors to NeuLife Neurological Rehabilitation Services, an inpatient rehab facility in Mount Dora, Florida, remained open to serve patients, families, pets and staff during Hurricane Irma. NeuLife was, and continues to be, fully operational to serve the needs of its patients and the community, thanks to a highly professional and committed staff and the purchase of a $200,000 emergency generator, last year, which provided continuous electricity and air conditioning throughout our care facility.

Immediately prior to Hurricane Irma, NeuLife implemented its highest level of emergency readiness in preparation for winds predicted to reach 129 mph with higher gusts, according to Lake County officials. Clinical and non-clinical staff designated as Team A, the “Preparation” team, reported to the facility on Saturday, September 9, prepared to stay in-house with their families and pets until after the hurricane. Dedicated family and staff sleeping areas were assigned, a child care center was established, complete with a game room for entertainment and a pet shelter was created for the family pets.

Hurricane Irma tore through Mount Dora overnight Sunday and into Monday, bringing maximum sustained winds that reached as high as 76 mph, causing downed trees, blocked roadways and widespread power outages. As soon as the County announced it was safe to travel on local roads, NeuLife Team B, the Recovery Team, including clinical, non-clinical and support staff (therapy) relieved Team A and assisted in hurricane clean-up and other recovery efforts.

Throughout the storm, NeuLife maintained its focus – the safety and well-being of its patients. To its credit, NeuLife was able to maintain continuity and continue to provide high quality patient care and staffing without disruption.

Nikki Eldridge, RN, Director of Nursing at NeuLife Rehab said “Everyone did an awesome job during Hurricane Irma. Everything ran smoothly and we were able to continue to provide excellent care to those we serve. I have received many compliments from client’s and their families about how well the team did during the hurricane. We had several go above and beyond to be sure everything ran smoothly. I am honored to be a part of the team. I am very proud of everyone’s compassion and team work through this exhausting time.”

About NeuLife Rehabilitation Services
NeuLife Rehabilitation is one of the largest residential post-acute rehabilitation programs of its kind specializing in catastrophic rehabilitation for Traumatic Brain Injury (TBI), Spinal Cord Injury (SCI) and other complex injuries. Individuals who have experienced a catastrophic or complex work injury or illness such as a traumatic brain or spinal cord injury, amputation, severe burn, complex orthopedic injury, stroke or other debilitating condition can now access quality specialized rehabilitation in a therapeutic, residential environment that offers individualized care and programming that will help them achieve the highest level of functional independence and the best quality of life.

NeuLife is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). Programs include inpatient general and neurological rehabilitation, behavioral/cognitive therapy, community reintegration and Supported Living.

NeuLife’s mission is to provide a comprehensive outcomes-based program of neuro rehabilitation to support and promote the improvement of the quality of life of our patients. Based on our most recent data, our patients achieve an average functional improvement of 80% from admission to discharge. Our average length of stay is 60 days. In addition, 86% of our patients are discharged to home, work or school and successfully reintegrated into the community.

Read more about our Brain Injury Center, Post Acute Rehab, and Residential Rehabilitation programs.

For additional information about NeuLife, please visit www.NeuLifeRehab.com or call us at 1-800-626-3876. Please also feel free to contact our Clinical Liaisons, Wendy McCracken at 904-534-2518, Brandy Narciso at 813-892-5471 or Fred Langan at 727-308-8073 to discuss a possible referral.

Tragic Accident Unites Two Friends at NeuLife

marine 225x300 - Tragic Accident Unites Two Friends at NeuLife
Patrick & McCloe at NeuLife Rehab

Jason McCloe and his fellow band members (Adrenaline Mob) were traveling when their RV got a flat tire. McCloe had been driving when he pulled over to fix the tire. Before he could return to the driver’s seat, he was violently struck from behind by a semi-truck. The driver of the semi-truck had fallen asleep at the wheel, and lost control of the vehicle. His semi collided with the RV and an SUV that had been traveling with the band.

22-years-old Lance Corporal Reservist Patrick Dumo witnessed the accident. He quickly pulled over and proceeded to pull McCloe from the wreckage. Due to the impact and the explosion that followed, McCloe was ejected from the RV through the front windshield. However, as the vehicle continued to roll forward, his body was slammed against the road until he eventually ended up inside the vehicle again.

Based on McCloe’s report of the accident, he was attempting to escape the burning RV and collapsed. Luckily, Patrick saw him and was able to pull him from the wreckage and remove him from danger. As Patrick pulled McCloe from the wreckage a second explosion occurred, placing him dangerously close to the flames. He was able to pull McCloe to safety for approximately 75 feet. When the ambulance arrived, Patrick remained with McCloe until the paramedics could provide care. He was with McCloe, and the other band member for more than seven hours.

At only 22-years-old, Patrick is attending school to pursue his education in the technology field. Due to being a reservist, Patrick does not have full military benefits and is trying to make ends meet by working as an aid for elderly people and being part of the Marine Corps.

When Patrick came to NeuLife to visit McCloe, he was impressed by their facility and the quality of care they provide to their clients. McCloe has also been impressed with NeuLife since day one. He said everyone welcomed him, made him feel comfortable and called him by his first name. He feels his care has been outstanding.

NeuLife salutes our everyday heroes, our patients. We also honor our country’s heroes for the sacrifices they make on our behalf.

NeuLife Rehab Logo - Tragic Accident Unites Two Friends at NeuLife