![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practices/main_display_images/000/000/018/thumb/Tele_rehab_384x216.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NHDGR45RE%2F20240831%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240831T235248Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEHoaDDKECtsYTbrDDDK68SLkBMIThmvG59S47ri%2BJYYrIBkquCJpAWF3M3DrhVu6F4jQjmPuTGKpKcV4Ovd2UafJ3UT2q8DFdLH2D9baM%2BEGRsSg2rFf8OWsC66MC5s4jIfG7YmYyqMR1G1FOKTYtYCBDtOUzLYV9wG8wzsHDF0cxJg42O26HXvfjqAXPELrHrE8lMh05qklBqurg5600dGzijKwYn3xy0Hmk2H%2FWIGkp8drAx36uQqBRjxi7Ogtg1zyT%2B01dsfqHD74LFCaBU18qw3UxDBXCFB6UiyapVazqpMpxSKCr8M59%2BoT3BxwZOcgUlj5rGaa2RUMb8KsG9MZSd8z3Tbjy1XRDwrXhBZ7YqebG8WZ937ZZrAkQxW71v0YoQlumKSUVrsOyx64zx8xYKeWg5N4NNJo4t%2B6df4oWIdmjxBsBKub3mwGP6v09zkXxsm07OdbhXNxL0%2F%2BIxRubVUODFtCRVgDVYkZKnUqYBqpbX%2F70%2B%2FktQc6ddzbYARcWFUArBqHVxrwzcPa12xovxRLidB0uqOnBfm8ysOSlBNBrTlf9NgK%2BNwMEurhiliBu9BocdZJ93%2B1EFFgZLCvfJ9XnZVxFnbQB456xxDKN2%2F%2BZBJAdAUNuc2zSuGLYDX6dEzD9IfRjbyBfB8zTZ5%2FMoErJ9oTGWVJjdyZF9OrgXdOr6temoeDrX3F4%2FvWgNSOcPeIA0Yk8amt4dBig7OcGAEthwZXMfMxCiexBlJ40nSNeMmHzMf0AhjAkAKSXQdaApucB5EcvzUx2KBwYyCWFvKGWd0xBIdzzEzHgGYuIwzjVh%2B07m9FTmxu4PRrHNs0UF%2BcFiih4s22BjJBcnRvlC7mh%2F9bmm0iUg47nIHUYXjjFT1Njx7m8GQyNXgztXy27iBrZB%2FFv3E83AN8p4bhgh6%2FnJFAN%2F%2FZQtcWv0E%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=7ce6e451866690e42f06cf63c4382b7a50f9fb6c6f1142884ed49fe02ea16d33)
TeleRehab Wheeled Mobility Clinic to CNH
Last updated
Share PrintWith our TeleRehabilitation wheeled mobility clinic, we partnered with our contract nursing home facilities to complete complex wheelchair seating assessments and deliver equipment to our Veterans without the need for travel to a VA facility. Using telehealth technology, rehab clinicians work together with the community therapists to evaluate, measure, fit, train and deliver a specialized wheelchair over the course of multiple visits. Vendors are used to assist with delivery of the equipment and provide hands on assist with set up of the wheelchair. Using telerehabilitation has enabled Veterans to get the care they need, eliminating hardships with travel to the VA.
Origin:
October 2018, Minneapolis VA Medical Center (Minneapolis, Minnesota)
Adoptions:
1 successful
Partners:
Diffusion of Excellence, Office of Connected Care, Office of Rural Health
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Recent Updates
Overview
The problem
The solution
The results
Diffusion tracker
Does not include Clinical Resource Hubs (CRH)
Multimedia
Images
![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practice_multimedia/attachments/000/000/069/thumb/Impact1CNH696x392.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NHDGR45RE%2F20240831%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240831T235248Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEHoaDDKECtsYTbrDDDK68SLkBMIThmvG59S47ri%2BJYYrIBkquCJpAWF3M3DrhVu6F4jQjmPuTGKpKcV4Ovd2UafJ3UT2q8DFdLH2D9baM%2BEGRsSg2rFf8OWsC66MC5s4jIfG7YmYyqMR1G1FOKTYtYCBDtOUzLYV9wG8wzsHDF0cxJg42O26HXvfjqAXPELrHrE8lMh05qklBqurg5600dGzijKwYn3xy0Hmk2H%2FWIGkp8drAx36uQqBRjxi7Ogtg1zyT%2B01dsfqHD74LFCaBU18qw3UxDBXCFB6UiyapVazqpMpxSKCr8M59%2BoT3BxwZOcgUlj5rGaa2RUMb8KsG9MZSd8z3Tbjy1XRDwrXhBZ7YqebG8WZ937ZZrAkQxW71v0YoQlumKSUVrsOyx64zx8xYKeWg5N4NNJo4t%2B6df4oWIdmjxBsBKub3mwGP6v09zkXxsm07OdbhXNxL0%2F%2BIxRubVUODFtCRVgDVYkZKnUqYBqpbX%2F70%2B%2FktQc6ddzbYARcWFUArBqHVxrwzcPa12xovxRLidB0uqOnBfm8ysOSlBNBrTlf9NgK%2BNwMEurhiliBu9BocdZJ93%2B1EFFgZLCvfJ9XnZVxFnbQB456xxDKN2%2F%2BZBJAdAUNuc2zSuGLYDX6dEzD9IfRjbyBfB8zTZ5%2FMoErJ9oTGWVJjdyZF9OrgXdOr6temoeDrX3F4%2FvWgNSOcPeIA0Yk8amt4dBig7OcGAEthwZXMfMxCiexBlJ40nSNeMmHzMf0AhjAkAKSXQdaApucB5EcvzUx2KBwYyCWFvKGWd0xBIdzzEzHgGYuIwzjVh%2B07m9FTmxu4PRrHNs0UF%2BcFiih4s22BjJBcnRvlC7mh%2F9bmm0iUg47nIHUYXjjFT1Njx7m8GQyNXgztXy27iBrZB%2FFv3E83AN8p4bhgh6%2FnJFAN%2F%2FZQtcWv0E%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=30e655835d0753807d6056b82840478925c64102f5785e1b8ca6ef98d8b4d85f)
Above:
Through telerehab visits, our VA Occupational Therapist guides the community therapist with adjustments or modifications. We provide education to the functionality of the power wheelchair issued to the Veteran. The community therapist helps facilitate through their eyes, hands, and skills.
![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practice_multimedia/attachments/000/000/070/thumb/Impact2VAOTvideoclinic696x392.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NHDGR45RE%2F20240831%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240831T235248Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEHoaDDKECtsYTbrDDDK68SLkBMIThmvG59S47ri%2BJYYrIBkquCJpAWF3M3DrhVu6F4jQjmPuTGKpKcV4Ovd2UafJ3UT2q8DFdLH2D9baM%2BEGRsSg2rFf8OWsC66MC5s4jIfG7YmYyqMR1G1FOKTYtYCBDtOUzLYV9wG8wzsHDF0cxJg42O26HXvfjqAXPELrHrE8lMh05qklBqurg5600dGzijKwYn3xy0Hmk2H%2FWIGkp8drAx36uQqBRjxi7Ogtg1zyT%2B01dsfqHD74LFCaBU18qw3UxDBXCFB6UiyapVazqpMpxSKCr8M59%2BoT3BxwZOcgUlj5rGaa2RUMb8KsG9MZSd8z3Tbjy1XRDwrXhBZ7YqebG8WZ937ZZrAkQxW71v0YoQlumKSUVrsOyx64zx8xYKeWg5N4NNJo4t%2B6df4oWIdmjxBsBKub3mwGP6v09zkXxsm07OdbhXNxL0%2F%2BIxRubVUODFtCRVgDVYkZKnUqYBqpbX%2F70%2B%2FktQc6ddzbYARcWFUArBqHVxrwzcPa12xovxRLidB0uqOnBfm8ysOSlBNBrTlf9NgK%2BNwMEurhiliBu9BocdZJ93%2B1EFFgZLCvfJ9XnZVxFnbQB456xxDKN2%2F%2BZBJAdAUNuc2zSuGLYDX6dEzD9IfRjbyBfB8zTZ5%2FMoErJ9oTGWVJjdyZF9OrgXdOr6temoeDrX3F4%2FvWgNSOcPeIA0Yk8amt4dBig7OcGAEthwZXMfMxCiexBlJ40nSNeMmHzMf0AhjAkAKSXQdaApucB5EcvzUx2KBwYyCWFvKGWd0xBIdzzEzHgGYuIwzjVh%2B07m9FTmxu4PRrHNs0UF%2BcFiih4s22BjJBcnRvlC7mh%2F9bmm0iUg47nIHUYXjjFT1Njx7m8GQyNXgztXy27iBrZB%2FFv3E83AN8p4bhgh6%2FnJFAN%2F%2FZQtcWv0E%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=3d0577057bb1bc938d33de1a09afe39a1b9ac17cf0803aa93287dc1c68f1fb77)
Above:
Through telerehab visits, our VA therapist instructs the community therapist in measuring for a custom fit. The Veteran may trial different wheelchairs in their home environment for optimal use.
![](https://prod-dm.s3.us-gov-west-1.amazonaws.com/practice_multimedia/attachments/000/000/071/thumb/Impact3CoordinatorTestCall_696x392.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Credential=ASIAR2ERFC2NHDGR45RE%2F20240831%2Fus-gov-west-1%2Fs3%2Faws4_request&X-Amz-Date=20240831T235248Z&X-Amz-Expires=2700&X-Amz-Security-Token=FwoDYXdzEHoaDDKECtsYTbrDDDK68SLkBMIThmvG59S47ri%2BJYYrIBkquCJpAWF3M3DrhVu6F4jQjmPuTGKpKcV4Ovd2UafJ3UT2q8DFdLH2D9baM%2BEGRsSg2rFf8OWsC66MC5s4jIfG7YmYyqMR1G1FOKTYtYCBDtOUzLYV9wG8wzsHDF0cxJg42O26HXvfjqAXPELrHrE8lMh05qklBqurg5600dGzijKwYn3xy0Hmk2H%2FWIGkp8drAx36uQqBRjxi7Ogtg1zyT%2B01dsfqHD74LFCaBU18qw3UxDBXCFB6UiyapVazqpMpxSKCr8M59%2BoT3BxwZOcgUlj5rGaa2RUMb8KsG9MZSd8z3Tbjy1XRDwrXhBZ7YqebG8WZ937ZZrAkQxW71v0YoQlumKSUVrsOyx64zx8xYKeWg5N4NNJo4t%2B6df4oWIdmjxBsBKub3mwGP6v09zkXxsm07OdbhXNxL0%2F%2BIxRubVUODFtCRVgDVYkZKnUqYBqpbX%2F70%2B%2FktQc6ddzbYARcWFUArBqHVxrwzcPa12xovxRLidB0uqOnBfm8ysOSlBNBrTlf9NgK%2BNwMEurhiliBu9BocdZJ93%2B1EFFgZLCvfJ9XnZVxFnbQB456xxDKN2%2F%2BZBJAdAUNuc2zSuGLYDX6dEzD9IfRjbyBfB8zTZ5%2FMoErJ9oTGWVJjdyZF9OrgXdOr6temoeDrX3F4%2FvWgNSOcPeIA0Yk8amt4dBig7OcGAEthwZXMfMxCiexBlJ40nSNeMmHzMf0AhjAkAKSXQdaApucB5EcvzUx2KBwYyCWFvKGWd0xBIdzzEzHgGYuIwzjVh%2B07m9FTmxu4PRrHNs0UF%2BcFiih4s22BjJBcnRvlC7mh%2F9bmm0iUg47nIHUYXjjFT1Njx7m8GQyNXgztXy27iBrZB%2FFv3E83AN8p4bhgh6%2FnJFAN%2F%2FZQtcWv0E%3D&X-Amz-SignedHeaders=host&X-Amz-Signature=e5bf76dcaaeb536c340312ccd64e72ef01c1a9f6802df1c792074df9166ac190)
Above:
Our CNH coordinator completes a test call with the therapist at the CNH, to ensure good technology connection during the visit. Details about the visit are provided and a welcome letter is sent with instructions.
Implementation
Timeline
-
by week 1
Identify your team: PT/OT/CNH (Community Nursing Home) Coordinator -
by week 3
Identify community vendor partners -
by week 4-6
Complete telehealth training/requirements (VA Staff, Community Nursing Home, vendors) -
by week 5
Build telehealth clinics -
by week 6
Provide education on services/consult -
by week 8-12
Start services
Departments
- Geriatrics
- Discharge planning
- Education and training
- Information technology
- Medical records
- Occupational health and safety
- Information management
Risks and mitigations
Risk | Mitigation |
---|---|
CNH (Community Nursing Home) liaison | Identify alternative coodinator role |
Clinicians lack specialized training to initiate | Identify other clinicians available via telehealth, or provide funds for training |
CNH willingness to participate | Education, marketing, training, benefits |
About
Origin story
Original team
Grace Wilske
TeleRehab Program Manager, Occupational Therapist
Jessica Hollie
CNH Coordinator, LICSW
Kristin Hanowski
Physical Therapist
Benjamin Barrett
Occupational Therapist
Dr. Larisa Kusar
MD,Dr. Mary Matsumoto
Comment
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