Comprehensive Integrated Inpatient Rehabilitation Program (CIIRP)

Based on the individual medical and rehabilitation assessment/needs of the person served, both pre-admission and during admission, services provided on CIIRP include an interdisciplinary

team led by a board-certified Physical Medicine and Rehabilitation Physician.

Inpatient rehabilitative services are available for eligible Veterans 17 years of age or older who are medically stable and require 24-hour rehabilitation nursing care.  Clients treated on

the CIIRP floor may have any of the following impairments:  stroke, other neurological disorders, limb amputations, arthritis, other orthopedic conditions, and other disabling impairments.

Staff members of the CIIRP team include dedicated specialists in the following areas:  Physical Therapy, Occupational Therapy, Speech Language Pathology, Aquatic Therapy including Underwater

Treadmill Training, Recreation Therapy, Vocational Rehabilitation, Neuropsychology, Optometry, Audiology, Vision Rehabilitation, Driver Training and Evaluation, Rehabilitation Psychology,

Social Work/Case Management Services, Nursing Clinical Care Coordinators, Rehabilitation Nursing, and Registered Dieticians.  Personnel in each area have achieved specialized education and

certification in their specific discipline.

Intensity and frequency of services provided are based on the individual needs of the patient.   Typically, Physical Therapy and Occupational Therapy is provided for a minimum of one hour

five times per week.  The remainder of services are delivered on an as needed basis, depending on individualized patient assessment and patient goals.

Education of the person served, and family/support system takes place throughout the patient’s stay, individualized to the person’s needs and medical conditions.  On site access to

comprehensive medical and surgical services is available.  Discharge planning begins from the time of admission and is targeted to patient and family/support system goals.

Patients receive 1-2 hours of physical therapy on weekdays, which may include physical therapy on the Rehab-3-unit, Aquatic therapy, or Neurology Gait and Balance physical therapy.

Patients receive a minimum of one hour of occupational therapy on weekdays.

Clients may be admitted to the CIIRP for any of the following reasons:

(2) Functional impairments requiring assistance in mobility, activities of daily living, cognition, use of adaptive equipment, application of safety techniques, or energy conservation.

(3) Medical complications resulting in regression of functional status (physical, cognitive, psychosocial).

(4) Limited or no previous access to a full range of comprehensive rehabilitation services specific to rehabilitation impairment or disability.

(5) Undetermined potential for functional gain from participation in comprehensive, inpatient rehabilitation.

(6) Clients must be medically stable, non-ventilator dependent, require 24-hour rehabilitation nursing care and be able to be managed safely on the Inpatient Rehabilitation Unit.

(7) Clients must have the potential to participate in and benefit from a Comprehensive Interdisciplinary Program offering a minimum of 2-3 hours of rehabilitation therapy per day or have the

potential to benefit from a comprehensive rehabilitation evaluation with outcome recommend

a. When the patient has met his/her established treatment goals or reached a plateau in functional status.

b. When the patient is not able to participate physically, emotionally, or cognitively in rehabilitation and requires placement.

c. When the patient is unwilling or refuses participation in rehabilitation.

d. When the patient is medically or surgically unstable and requires an admission to Medica-Surgical units or ICU.

PATIENT SATISFACTION DURING FISCAL YEAR 2022 (October 2021-September 2022)

(Calculated using MedTel data, obtained 3 months after discharge)

The following scores are calculated based on agreement with the following statements:

4 very satisfied, 3 somewhat satisfied, 2 somewhat dissatisfied, 1 very dissatisfied.

CIIRP OUTCOMES DURING FISCAL YEAR 2021 (October 2021-September 2022)

Comprehensive Integrated Inpatient Rehabilitation Program (CIIRP)813-972-2000, ext. 6149