(Comprehensive
Neuro Rehabilitation)
NeuroRehabilitation Services include:
- Inpatient, Comprehensive Rehabilitation for Neurologic Disorders
- Traumatic Brain Injury
- Coma Recovery Program
- MS Care Center
The HJD Neurorehabilitation Service is a Center of innovation and excellence for treatment of neurobehavioral disorders. We offer highly effective, interdisciplinary, individualized care for people recovering from:
- Traumatic Brain Injury
- Cerebrovascular Accidents
- Coma
- MS
- Brain Tumors
- Aneurysms
- Hemorrhages/Hematomas
- Hydrocephalus
- Neuromuscular Disorders
- Gait Disorders
- Neurosurgical Procedures
- And Other Brain Disorders
The goal of our program is to re-establish independence and self sufficiency for the purpose of continuing a full, rewarding, and enjoyable life. Our program is cost-effective, patient centered and family focused.
Patient Population
Since the inception of the Neuro-Rehabilitation Unit a few years ago, more than 3000 patients have been treated in our program. Of the 290 inpatients discharged during the year 2002, the average age was 59 years, 53% were female, 47% were male and 55% were discharged to home. Patients were admitted from various settings including acute hospital, community, and restorative care facilities. Most patients fell within five diagnostic categories: Stroke, MS, Brain Injury, Neurological and Traumatic Brain Injury.
Measuring Functional Improvement
The Brain Injury Unit strives to provide rehabilitation services that will help our patients function more independently when they return home. The chart below summarizes the improvement in our patients’ level of functioning in four different diagnostic categories for the period January - December 2002 based on the Functional Independent Measurement FIM™. The FIM™ is a nationally recognized standard used by the rehab team to rate 18 activities encompassing mobility, self care, and speech / cognition. The FIM™ score is the total of the ratings of these 18 items. The higher the score, the more independently the individual is able to function. The changes in the FIM™ scores between admission and discharge show that, as a result of inpatient treatment, patients in specific diagnostic categories show higher overall levels of independence in functioning at discharge (see graph below).
Patient Family Participation
In addition to developing a specialized interdisciplinary treatment plan for each patient based on an intake evaluation by each discipline, our program emphasizes the importance of involving the patient and family members in the rehabilitation process. Together with the family members, the patient identifies specific goals they wish to achieve during their time in rehabilitation. For the year 2002, more than 86% of the specific patient/family self stated goals were met. Upon discharge, patients/family are also asked to complete a Consumer Satisfaction Survey. Patient/family satisfaction ratings have consistently ranged from 85% to 95% for each of the categories of Medical Care, Nursing, Psychology, Physical, Occupational, and Speech Therapy, Social Work, and Rehabilitation.
Below are just a few of the many positive comments we have received:
“ Although my aunt was a very difficult patient, the patience and professional care of the entire staff was extraordinary!”
“ The medical care here was the best I have received in an overnight hospital. They really put emphasis on the word ‘care’”
“ … interaction with patient and family was excellent” (Regarding Psychology)
“ Dr.(…) was very helpful and supportive”
“The speech therapist was very helpful”
“ Dr. (Neuropsychologist) attention made a profound difference and we will always be grateful”
“ Exceptional the physical therapist (…) has a special talent for motivating the difficult patient. Very caring and compassionate”
“Occupational Therapist ( …) is wonderful and helpful, encouraging, caring and compassionate”
“ All nurses were extremely supportive and helpful as well as encouraging”
“ Nursing was helpful and supportive”
We have developed a reputation for consistently successful outcomes for the hundreds of people who have put their trust in us. Our experienced and dedicated team of professionals include:
Neurologists
Neuropsychologists
Physical Therapists
Speech/Language Pathologists
Recreation Therapists
Medical Social Workers
Rehabilitation Nurses
Dietitians
Consulting Physicians as needed
We realize that each patient's injury and life situation are unique. As such, patients' goals are incorporated into an individualized treatment program that is continually modified as recovery proceeds.
The active participation of family and friends is encouraged. Along with family/caregiver education, training and support, patients receive individual and group treatment to enhance.
Health
Mobility
Activities of Everyday Life
Functional Communications
Thinking Skills Including Reasoning, Problem Solving and Memory
Emotional and Behavioral Control
Leisure/Recreation
HJD is not-for-profit organization accredited by the Joint Commission of Healthcare Organizations (JCAHO) and the NY State Department of Health and is Diagnostic Related Groups (DRG) exempt. The Neurorehablitation Service has special certification from the State of New York as an Inpatient Brain Injury Rehabilitation Program.
HJD also has teaching affiliations with numerous academic institutions.
Staff
Joseph Herbert, M.D.
Medical Director, HJD Neurorehabilitation Associate Professor of Neurology,
NYU School of Medicine
William Foresman
Administrator
Rehabilitation Services
To Make a Referral
Patients must be medically stable but can be admitted with tracheostomy, catheter, feeding tube, intravenous lines, orthopaedic needs, and decubitus.
To make a referral call:
Geoffrey Camp, M.H.A.
Rehabilitation Admission Coordinator
Phone: (212) 598-6265
Nancy Livingston, M.S.W., C.S.W.
Clinical Liaison
Phone: (212) 598-7692
An assessment is performed within 24 hours of referral and a clinical decision within 48 hours of referral.
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