Daily Hand-Off of Chronic Stroke Neurorehabilitation Patients to Expert Clinicians, With Resulting Significant Coordination Improvement: Care Model Development and Implementation

Background: New models of care delivery are necessary to meet workforce needs while delivering expert in neurorehabilitation. Therefore, we sought develop and assess the implementation a new model for neurorehabilitation using 5-member team therapists (5-Team Model) treatment individuals with chronic stroke, rather than conventional single-therapist model. Methods: A mixed methods approach was employed; continuous quality improvement quasi-experimental pre-test/post-test were used effectiveness Six stroke patients participated an upper limb motor learning protocol 5 days/week, hours/day (60 sessions; 300 hours); administered 5-Team Model treatment. Results: Mean on Fugl Meyer (FM) 11.5 points. All six participants demonstrated that within or beyond minimal clinically important difference (MCID) range 4.25-7.25 points stroke. Results indicated effective implementing care. Conclusions: The successfully implemented, patient hand-off every day different therapist; it produced significant measure coordination which is comparable better prior reports from standard This met research flexibility, maintaining level Successful required addressing series hindering factors iterative manner enhancing promoting factors. These elements included context change change, evidence successful, communication successful. requirements existing framework participating members who willing exert effort success, champions. high enthusiastic participation along strong leadership contributed long-term sustainability.