Inpatient Rehabilitation

Henry Ford
Macomb Hospitals
Inpatient
Rehabilitation
Patient and Family Handbook

Welcome
At Henry Ford Macomb Hospitals, our goal is to help you
become as independent as possible while achieving your
physical, emotional, psychological, social and work-related
potential. This may require learning or relearning skills. Your
abilities, not disabilities, are emphasized. Our program is
designed to focus on three areas:
• increasing your ability to perform everyday skills
• educating you and your family
• enhancing the quality of your future
We also encourage participation from family and friends
in the treatment process. As a member of the Henry Ford
Health System, our mission is to improve human life through
excellence in the science and art of health care and healing.
Helping you heal in body, mind and soul is at the core of our
mission.
1

About Your Rehabilitation Team
Upon your arrival at Henry Ford Macomb, the rehabilitation
team evaluates your physical, medical, psychological,
vocational and social needs. Working with you and your
family, they develop an individualized goal plan. The team then
meets weekly to review your progress, revise goals and plan for
your successful discharge from the program.
Your involvement and the involvement of your family are
critical to your progress. In light of this, a team member will
always involve you in plan recommendations and changes. If
you or a family member has questions about your care, please
direct them to a team member or the program manager. The
following are descriptions of team members and their roles.
You and
Your Family
You and your family
are the most important
members of the team
and are encouraged
to participate in
the program by
communicating with
team members and
the physician, and
by attending patient/
family conferences, as requested. Your family or caregiver will
be scheduled to attend therapy and nursing instruction sessions
to aid in understanding your individual needs and prepare for
discharge.
2

Physiatrist
The physiatrist is a physician who specializes in Physical
Medicine and Rehabilitation and is generally responsible for the
medical management of patients involved in the rehabilitation
program. The physiatrist evaluates, advises and directs the total
care of the patient and utilizes the expertise of a variety of
professionals.
Rehabilitation Nurse
Our specially trained nurses provide support and care on a
24-hour basis. They also provide you and your family with
education.
Physical Therapist
The physical therapist addresses areas such as strengthening,
balance and coordination, wheelchair activities, walking and
stair climbing.
3

Occupational Therapist
The occupational therapist helps you use your current
physical capabilities to become as independent as
possible. Therapists focus on self-care skills, daily living
activities, work activities, and perceptual and cognitive tasks.
Speech/Language Pathologist
The speech/language pathologist evaluates and treats problems
with understanding and judgment, gesturing, speaking, reading,
writing, hearing and swallowing.
Recreational Therapist
At our Clinton Township program, a recreational therapist is
available to provide therapy in the form of leisure activities,
focusing on memory skills, understanding and judgment,
leisure interests, socialization and coordination functions.
4

Social Worker
The social worker provides counseling and emotional support
to you and your family. The social worker is also responsible
for coordinating the discharge planning process, which may
include outpatient and/or home care services, equipment,
transportation and utilization of community resources.
About Your Stay
What to Bring
Our goal is to help you achieve independence as soon as
possible, and part of that work includes getting dressed every
day. In addition to personal hygiene products, you should bring
the following clothes:
• comfortable clothing, such as jogging suits or loose-fitting
pants (5 sets)
• robe, pajamas
• undergarments (5 sets)
• regular or athletic shoes
• jacket or sweater
Family members should make arrangements to do your personal
laundry in a timely manner.
5

Daily Schedule
A routine for your daily activities will be developed. Physical,
speech and occupational therapy sessions are available seven
days a week, and the minimum expectation for program
participation is that you participate in therapy three hours
per day, five days a week, or a minimum of 15 hours per
week. Therapy schedules are established by the individual
therapists and are posted on the units.
Services available
We have a variety of services available to you during your
stay on the rehabilitation unit. Some services are provided
on-site while others are provided on a referral basis. Examples
6

of services that are provided on-site include nutrition services,
foreign language interpreter services, laboratory, pharmacy,
radiology, neuro-psychological services, durable medical
equipment (walkers, wheelchairs, hospital bed, non-custom
orthotics, etc.) and assistive technology to modify your feeding
utensils. If you feel you need a service that is not being
provided, please ask your nurse, social worker, or therapist.
Although we provide comprehensive rehabilitation services,
some services may be provided by outside partners upon discharge.
Examples of these services include, but are not limited
to, custom prosthetics and orthotics, vocational rehabilitation,
driver’s assessment, sexual counseling and smoking cessation
support.
7

Visiting Hours
The Clinton Township hospital’s weekday visiting hours are
from 4 to 8:30 p.m. and weekend and holiday visiting hours are
from 9 a.m. to 8:30 p.m. The Warren location’s visiting hours
are 10 a.m. to 8 p.m. daily. Exceptions to these hours are made
for immediate family members; however, we ask that therapy
sessions not be interrupted by visitors. Children visiting patients
in the program must be supervised at all times.
Smoking Restrictions
Smoking is not allowed anywhere in the hospital or on hospital
property. If you are having difficulty complying with the “no
smoking” rule, please talk with your physician about receiving
assistance during your stay.
Safety
Promoting a safe environment is a priority. Belts called
transfer or gait belts are used with all patients to assist in safe
walking or movements from sitting or standing positions. Your
family can help with your safety by maintaining the use of
safety devices put in place by staff; by requesting assistance
8

in moving you; and by reminding you not to grab anything
that is not secure. Of course, we also want to make sure that
patients and family members use the call light in the rooms to
seek assistance whenever needed.
Television, DVD/VCR and Stereo System
A television, DVD/VCR and stereo system are available
in the activity room to promote socialization with
others. Individual TV and phone service are available for all
hospitalized patients. We provide a wireless environment for
our patients and visitors.
Preparing for Your Discharge
Family Outings
As you approach discharge, we encourage you to take “practice
trips” outside the hospital. These outings provide both you
and your family an opportunity to discover some of the
challenges that may occur after discharge, when staff members
9

are not available to help. The outings range from a short
car ride to a trip home for the day. Following each outing,
the staff will meet with you and your family to assess the
outing and work to resolve any issues. Prior approval by your
rehabilitation physician is required for these outings.
Discharge Plans
Plans for your discharge are actually put into place as soon
as you are admitted to the Rehabilitation Units in Clinton
Township or Warren. We encourage family support in
preparing for your discharge. If further therapy, home care
or special adaptive equipment is needed, arrangements will be
made. You will be encouraged to make follow-up appointments
with your personal physician.
10

Home Evaluation
Depending on your needs, a home evaluation may be
scheduled. A home evaluation is an assessment of your living
environment. This evaluation will be scheduled during your
stay in the Rehabilitation Program. The therapist meets you and
your family at your home. While you are at home, the therapist
will evaluate your mobility skills, address safety issues, and
recommend proper equipment. Any questions or concerns will
be addressed prior to discharge.
Graduation Day Celebration
While in our rehab program, you will re-learn the things
necessary for your successful return home. You will
demonstrate your success on Graduation Day. This will occur
the day before you leave the hospital. On this day, you will
perform the tasks necessary to show that you are ready to
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eturn home, and have achieved your goals. Graduation Day is
truly your day to “show off” your achievements!
Follow-up Services
Henry Ford Macomb Hospitals and Henry Ford Health System
offer comprehensive outpatient services to help you continue
your recovery. Recommendations and arrangements for many
of these services will be made prior to your discharge.
Outpatient Therapy
Henry Ford Macomb Hospitals offers an extensive array of
physical, occupational and speech therapy programs on an
outpatient basis. Therapy is offered on the campuses of our
Warren physical rehab center and Clinton Township hospital as
well as several conveniently located outpatient sites throughout
Macomb County.
Home Care
Henry Ford Home Health Care offers an in-home team of
certified health care professionals providing skilled nursing;
physical, occupational and speech therapies; home health
aide services; medical social work services; and nutritional
counseling.
Medical Equipment
Henry Ford Health Products provides medical equipment,
including ambulatory aids and wheelchairs; hospital beds,
bedside commodes or shower benches; and traditional products
such as blood pressure and diabetes supplies.
Stroke Support Group
This group meets monthly at the Clinton Township hospital.
It offers support and socialization to you and your family as
you adjust to lifestyle changes brought on by a stroke.
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Insurance & Payment Information
Medicare (with a secondary insurance) pays for the cost of
inpatient rehabilitation provided you meet criteria at admission
and during your stay. This criteria includes a medical condition
that necessitates acute care in an inpatient rehabilitation program,
along with the ability to participate in at least 15 hours
of therapy per week. The Medical Directors at each program will
make the decision whether you meet criteria, but it is always
subject to review from Medicare. Private insurance, Medicaid,
and managed care benefits will be verified prior to admission
and pre-authorization for admission will be obtained by
hospital staff. This is not a guarantee of payment. Throughout
your stay, the rehabilitation staff will work with your insurance
provider to obtain continued authorization and we will provide
information regarding co-pays and deductibles.
Private payment and reduced cost arrangements for patients
who qualify for financial assistance can be arranged through
the billing department of Henry Ford Macomb Hospitals. Third
party funding sources such as Worker’s Compensation can be
negotiated as needed.
You are entitled to and will receive a written disclosure of your
specific insurance information and coverage that is available to
us at the time of your admission to the inpatient rehabilitation
unit. Our admission referral coordinators will help you with this
information.

Important Contact Information
Clinton Township Rehabilitation Program
Inpatient Rehabilitation Unit (586) 263-2745
Outpatient Rehabilitation Services (586) 263-2480
Rehabilitation Manager (586) 263-2489
Warren Rehabilitation Program
Inpatient Rehabilitation Unit (586) 759-7900
Outpatient Rehabilitation Services (586) 759-7474
Rehabilitation Manager (586) 759-7955
Henry Ford Home Health Care (586) 779-7400
Henry Ford Health Products (800) 221-7553
Online Resources
• Commission on Accreditation of Rehabilitation Facilities
(CARF) — www.carf.org
• American Stroke Association — www.strokeassociation.org
• Henry Ford Macomb Hospitals — www.HenryFordMacomb.com
• Medline Plus, an information resource from the National
Institutes of Health — www.medlineplus.gov
Physician Referral and Education Information (800) 532-2411
12-043, 900, Lee
HenryFordMacomb.com