Editor’s note: This post is brought to you by Lakeland Regional Health Systems.

Today in PT Lakeland

Jill E. Haladay, PT, DPT, MPH, GCS, director/chief rehabilitation officer at Lakeland Regional Medical Center

A couple of months ago, I wrote an introductory overview of the Bannasch Institute for Advanced Rehabilitation Medicine, a brand new 32-bed inpatient rehabilitation hospital that is under construction on the Medical Center campus of Lakeland Regional Health in Lakeland, Fla. I am extremely excited to be a part of this cutting-edge facility, and here are three reasons why:

1. Intensity of services

Inpatient rehabilitation is considered to be the most intensive rehabilitation setting available for patients; yet, traditionally, a patient participates in only three hours per day of mandatory rehabilitation services, five days per week. This is a missed opportunity. A patient in this setting is essentially a captive audience whose time could be spent maximizing his or her potential for recovery. Assuming that a patient would need eight hours of sleep in addition to the three hours of mandatory therapy, 13 hours remain in which the patient could be participating in some form of rehabilitation. Why isn’t that time being used productively?

The notion of increased intensity is supported by current scientific evidence: An increased dosage (higher repetitions, longer durations of the right tasks) results in better outcomes. At the Bannasch Institute, we have that covered. In fact, patients will be participating in an additional three to seven hours of targeted activities while they are with us, for a total of six to 10 hours per day.

2. Collaborative model

The nature of inpatient rehabilitation is clearly interprofessional with ongoing collaboration between PT, OT, SLP, social workers, nurses and physicians. Ironically, documentation is usually maintained in silos. In these instances, patients and families become frustrated answering the same questions multiple times, and therapists find themselves duplicating services provided by another professional. Enhanced communication among the members of the care team would minimize redundancy and increase documentation efficiency, ultimately providing the patient with a more comprehensive rehabilitation experience.

We have that covered, too. In fact, we are breaking down those traditional silos and developing a highly-integrated, uniquely interdependent collaborative care model.

3. Evolving evidence-based clinical pathways

When I first started practicing as a PT, critical care pathways, a one-size-fits-all approach to therapy, was being phased out and individualized, patient-centered care was the new gold standard. Next, evidence-based practice became the rage, as did the goal of providing individualized care supported by evidence. Most recently, clinical practice guidelines (which sound strangely like critical care pathways) have become popular. Why not take it one step further? Why not recycle the old critical pathway notion, base it on evidence, and make sure it continually reflects best practices?

Once again, the Bannasch Institute has that covered. Patients will participate in clinical pathways that will evolve as new evidence is revealed. We will also conduct clinical research that will contribute to the evolution of rehabilitation science and promote optimal patient outcomes.

Are you intrigued? I hope so. I am invigorated by the innovative spirit of this endeavor. It’s an opportunity to challenge the status quo, to break down traditional barriers and silos, and to be part of the future of rehabilitation.

Learn more about Lakeland Regional Health and the Bannasch Institute for Advanced Rehabilitation Medicine on our website.

If you have questions or thoughts, please feel free to email me directly at jill.haladay@lrmc.com or come and visit me at booth #642 at CSM. See you in Indiana!


Jill E. Haladay, PT, DPT, MPH, GCS
Director/Chief Rehabilitation Officer
Lakeland Regional Medical Center