Rehab Services
13
Plan of Care Conference As a component of the Driscoll Children’s Hospital Medical Rehabilitation program, the DCH Medical Director consults with the Rehabilitation Staff members on multi-discipline and/or complex cases. Cases are selected and reviewed monthly with the Medical Director for input, recommendations and oversight of the provision of therapy services. Barriers to progress are also identified at this meeting and the Rehab Care Planner works with therapists and families to assist in the removal of those barriers to progress. Care Coordination Each patient who is a recurring patient is assigned a care coordinator. If the patient is seen by a single discipline, the primary therapist is the care coordinator. If the patient is a multi-discipline patient or a complex case, the care coordinator is determined by the treatment team and may be one of the clinicians or the Rehab Care Planner. The role of the care coordinator is to provide a point person for the family in the event of questions / concerns and to assist the family with problem solving and care planning as needed. Support Systems DCH Rehabilitation Services believe the best outcomes are achieved when rehabilitation does not occur in isolation; but when a child’s support network is engaged in programming. We work to ensure an open line of communication with the child’s community to include school, preschool, athletics and the home environment. We seek permission when appropriate to communicate with people important to the progress of the child.
Made with FlippingBook - Online Brochure Maker