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New England Regional Spinal Cord Injury Center (NERSCIC). At Boston Medical Center & Gaylord Hospital …in affiliation with Northeast Rehabilitation Hospital Overview January 17, 2007. About NERSCIC. At BMC, est. in 1955 as the first civilian SCI rehab unit in US

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New england regional spinal cord injury center nerscic l.jpg

New England Regional Spinal Cord Injury Center (NERSCIC)

At Boston Medical Center & Gaylord Hospital

…in affiliation with Northeast Rehabilitation Hospital

Overview

January 17, 2007


About nerscic l.jpg
About NERSCIC

  • At BMC, est. in 1955 as the first civilian SCI rehab unit in US

  • Recently re-designated by NIDRR as 1 of 14 National Model Spinal Cord Injury Systems

    • BMC & Gaylord constitute NE network of care, in association w/ Northeast

  • Conduct socio-medical research and educational programs

  • More attention to rigor in research & multi-center collaborations


Nerscic components pi steve williams gaylord pi dave rosenblum l.jpg
NERSCIC ComponentsPI: Steve WilliamsGaylord PI: Dave Rosenblum

Minority Focus

Research

Alan Jette

Research Director

Clinical Svc

Coordination

Steve Williams

Dave Rosenblum

Directors

Training &

Dissemination

Bethlyn Houlihan

Director


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NERSCIC Major Goals

  • Research focus area: Technology and Science for Health and Function

    • Use computer technology to measure function and to reduce secondary conditions

  • Clinically, develop a New England Standard of Care

  • Develop regional capacity for dissemination

  • Minority/underserved focus

    • Representation in research

    • Reduce clinical disparities

    • Consumer products—ex. Low literacy wording


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Model System of Care

  • Comprehensive Services

    • Emergency care

    • Acute care

    • Inpatient acute rehab

    • Outpatient / follow-up services

  • Interdisciplinary team: nursing, physiatrist, PT, OT, RT, psych., social work, case mngmt

  • Other required services: Vocational rehabilitation education, peer mentors, psychosocial services


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National SCI Database:Purpose

  • ~250 participants from BMC, Gaylord

    • Northeast Rehab in Salem, NH

  • To ID & evaluate trends over time in: etiology, sociodemographics, injury severity, health services delivery, treatment

  • To establish standards of treatment

  • To facilitate other research (both internal & external)

  • 30 new patients REQUIRED per year

  • NMSCIS publications


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National SCI Database: Methods

Two data collection instruments:

  • Post-discharge (“Form I”)

    • medical record, physiatrist

    • Demographics, acute care & rehab received, treatment outcomes

  • Phone interview @ 1 yr & every 5th year thereafter (“Form II”)

    • Change at Year 1, health status, psychosocial status

    • FIM, CHART, CHIEF, Patient Health Questionnaire

  • If refuse participation  Registry


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