Search

Transition into the new year with our Transitional Care Coordinators at Renown Rehabilitation Hospital!  As a patient, your healthcare journey may seem overwhelming and confusing. Add a significant injury to the equation, and now you potentially have a rehabilitation detour on your road to recovery. Then you have to think about what happens next after you head home? In-home physical therapy? Home health? More rehab? There are many questions to answer about the next steps in your journey.  Enter: Renown Rehabilitation Hospital’s Transitional Care Coordinators (TCCs). As a rehab patient’s key support in the transition from hospital to home, this department ensures everyone on a patient's care team has the best information to deliver care after discharge while remaining in constant communication with the patient and family to meet their unique health needs.  At the Right Time, In the Right Place The role of our Transitional Care Coordinators at our rehab hospital is exactly what it sounds like: helping patients transition from a hospital or rehabilitation setting back to their home or a lower level of care. Every step of the way, these experts are laser-focused on making sure patients continue to receive the support they need during this key transition period.  "The main goal of the Transitional Care Coordinator is to get the patient to the appropriate level of care at the right time and the right place,” said Marty Ackerman, Senior Transitional Care Coordinator. “Our day involves collaborating between the inpatient physiatry team, consulting team and attending team at the acute level, as well as the discharge planning team. We work with the patient’s family to come up with the best plan of care, whether it’s home health, inpatient, outpatient or acute care. Day to day, we see about 20-25 patients.”  Once a patient is released to go home after rehab, our Transitional Care Coordinators ensure each patient is properly set up with physical, speech and occupational therapy in an outpatient setting or at home. Working closely in tandem with the TCCs, the Discharge Planning Assistant sets up transportation, equipment and more.  “I start by listening in on our morning meeting to see who we might bring in, what the doctors say and what the rest of the team thinks in regard to seeing if a patient is appropriate for care at Renown Rehabilitation Hospital,” said Emma Van Patten, Discharge Planning Assistant. “I work closely with case management, so if any patient needs discharge equipment to safely get around, such as a wheelchair or a walker, I will order it from a durable medical equipment (DME) company or home health if the patient needs more assistance at their house when they leave. I set up transport for all the hospital admits and make sure everyone gets their equipment on time before they leave.”  The reach of the TCCs goes beyond hospital walls. In fact, their reach even goes beyond state lines and country borders. If a member of our community is injured and wants to come back to Reno for treatment, our TCCs will work with teams around the world to make that a reality.  "Recently I was able to help a member of our community, who was injured in California, come back to Reno and undergo rehab here,” said Sharon Trimmer, Transitional Care Coordinator. “It was a collaborative effort with the team that we got the referral from in California, working closely with insurance companies, working with doctors here, coordinating the transfer back from California – it was all especially rewarding. The patient was so grateful to be back home.”  "I love it when we work with these externals and get them back home,” added Marty Ackerman. “It is really quite an accomplishment. A patient can be in Europe, Asia, anywhere – we will help them. I was able to admit someone from Latvia by working with a global travel insurance company. We got medical records transcribed from Russian to English, and the patient’s family was very helpful with the translation.”  Thanks to the above-and-beyond efforts of the entire team at Renown Rehab and the best-in-class level of care they provide, our rehab hospital has been nationally recognized. And this award will certainly not be the end of the accolades the hospital collects.  "Becker's Hospital Review recently ranked Renown Rehabilitation Hospital as a top rehab facility in the state of Nevada and the U.S.,” said Marty Ackerman. “This was a very proud moment for us.”  “Every day is different. Each day we continue to experience new situations and challenges,” added Sharon Trimmer. “I appreciate the help of the team members who each bring unique perspectives and experiences to problem solve for the best outcomes. I love the opportunity to continue learning on daily basis.”  Our Transitional Care Coordinators would like to emphasize to readers that anyone is more than welcome to come to Renown Rehabilitation Hospital for a tour. They look forward to sharing what they do with our growing community.

Read More About Department Spotlight: Transitional Care Coordinators

As the leaves turn golden and the air gets crisper, it's not just pumpkin spice lattes that should be on your mind – it's also time to think about your health. Fall time also means it’s flu season and with new cases on the rise, we at Renown Health encourage you to do your part in keeping your Fall activities community safe. How can you protect your whole community you ask? Through something called Herd Immunity. We spoke with Renown Health infection prevention expert, Susanne James to talk about how getting your flu shot is vital for staying healthy and protecting your families and community.

Read More About Slow the Spread of the Flu with Herd Immunity

Read More About Meet Our Residents