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Comprehensive integrated inpatient rehabilitation program (CIIRP) and amputation specialty program (ASP)

The Comprehensive Integrated Inpatient Rehabilitation Program (CIIRP) and the Amputation Specialty Program are an inpatient rehabilitation programs for Veteran survivors of serious injury or illness.

Our CIIRP/ASP offers a team approach, which includes the Veteran and their support system (family, caregiver, etc.). Together with our doctors, therapists, nurses, prosthetist, and other professionals, our Veterans can reach an optimal level of function and independence.

CIIRP/ASP services are provided at the Dallas VA Medical Center by licensed and credentialed rehabilitation professionals including: clinical care coordinators, occupational therapists, physiatrists, prosthetists, psychologists, physical therapists, chaplains, dieticians, nurses, orthotists, kinesiotherapists, speech language pathologists, social workers, recreational therapists and others as needed.

Our Veterans are the most important members of the rehabilitation team.

Our mission

Our mission is to maximize the health, functional independence, and quality of life for Veterans with disabilities through excellence in clinical care, education and research. 

Program features

  • CARF accredited- Inpatient Medical Rehabilitation
  • CARF accredited - Amputation Specialty Program
  • The Joint Commission accredited
  • Dedicated, specialized treatment staff
  • Individualized therapeutic activities
  • Participant and family education
  • Participant support group 
  • On site access to comprehensive medical and surgical services
  • Onsite access to fully equipped ABC certified prosthetic lab
  • Individualized discharge planning
  • Driver evaluation and training program
  • Bioness Integrated Therapy System
  • Functional electrical stimulation
  • Exoskeleton
  • Neuro Rehab Virtual Reality Therapy Pro
  • Wii Console

Admission criteria for CIIRP/ASP

  • Must be medically stable
  • Must be able to participate in therapy 3 hours a day, 6 days a week
  • Must need at least two forms of therapy (PT/OT/SLP)
  • Must be alert and able to follow instructions consistently
  • Must be motivated, capable and willing to participate in therapy
  • Should have potential to significantly improve function or achieve independence
  • Should have a safe and clear disposition plan

Participants may be admitted to the CIIRP for any of the following reasons:

  • Functional impairments requiring assistance in self-care, mobility, thinking skills, use of adaptive equipment, energy conservation, or safety techniques
  • Medical complications resulting in decreased function
  • Limited or no previous access to a full range of comprehensive rehabilitation services

Discharge criteria for CIIRP

Our goal is for our Veterans to reach the highest level of functional independence possible, so they can return home, to work and their social lives, with few to no obstacles.

However, in some cases it may be necessary to refer Veterans to alternate discharge settings that provide more appropriate levels of care, cueing and supervision. These decisions are based on current and/or anticipated needs of each Veteran at time of discharge.

CIIRP discharge criteria includes:

  • Veteran/family has met either all, or the majority of the established goals
  • Veteran is unable to tolerate the intensity/3 hours of therapy needed in acute rehab
  • Veteran is not making significant functional progress, is declining in functional status, or becomes medically unstable
  • Veteran unable to follow Admission agreement (disclosure)
  • Veteran/family declines services

Outcomes compared to national benchmarks

Indicators (goal) CIIRP 2023 Nation 2023 Age of Veteran (N/A) 67 68 Length of stay (≤16) 14 19 Functional gain *(≥23.1) 24 23 Functional gain per week* (≥14.7) 15.9 13.6 Average hours of rehab per day (3.0) 3.02 N/A Percent of goals met (≥90%) 90% N/A Days from impairment to admission to rehab program (3.0) 11 22 Disposition at discharge / transition / effectiveness of the program % discharged to the community (≥85%) 86% 88% Satisfaction score(≥90%) 86% N/A Indicators (Goal) ASP 2023 Nation 2023 Age of Veteran (N/A) 64 68 Length of stay (≤16) 14 18 Functional Gain *(≥17.6) 19.4 17.7 Functional Gain per Week* (≥8.9) 12.7 9.7 Average Hours of Rehab per Day (3.0) 2.82 N/A Percent of Goals Met (≥90%) 90% N/A Days from Referral to Admission to Rehab program (3.0) 2.9 N/A Disposition at Discharge / Transition / Effectiveness of the Program% Discharged to the Community (≥85%) 100% 86% Satisfaction score(≥90%) 100% N/A

Patient’s stories: CIIRP

“Every single day is very busy, but also very good,” says T.F.. “The rehabilitation is pushing me to new limits.” Said T.F., a program participant who suffered a stroke in 2024. Now,  he is restoring most of his critical functions and mobility with rehabilitation at the Dallas VA CIIRP unit. Read this story here: https://news.va.gov/133750/veteran-conquers-rehabilitation-after-stroke/ 

 

Patient’s Story: Amputation Specialty Program

“The CIIRP team is incredible,” said D.S. “They’ve given me hope and the tools I need to keep pushing forward.” D.S’s rehabilitation is part of the Amputation Specialty Program, tailored to the needs of Veterans who have undergone amputations. Read this story here: https://news.va.gov/134261/veterans-rehabilitation-personal-significance/ 

Family and Patient Satisfaction

Each Veteran is given a satisfaction survey after they have finished with their rehabilitation that considers quality of care, treatment, reaching goals, among other factors. This program has a 92% or more satisfaction rate. The following testimonials are retrieved from the Veteran satisfaction surveys.

 

Testimonial #1

  • “I would like to thank the CIIRP Coordinator Giselle Rodriguez for her assistance in my transition from hip-replacement surgery to the CIIRP community by explaining all of the benefits that are available. Giselle had a significant impact on my successful rehabilitation.  I would also like to complement nursing staff that work in the unit. There care, helpfulness and support during my stay in the CIIRP program. I truly appreciate their dedicated service and positive attitudes that lifted my low spirit during my post-hip surgery. Finally I would like to complement Ron Augustine, Sandra Awad, Harmony Ehiem, Maya Joy and Mark Purtell from the rehabilitation team. I don’t know how I would have managed getting through this post hip surgery ordeal without their help. Through their encouragement, motivation and excellent service I was able to walk again.”

Testimonial #2

  • “Stay in CLC (both times) was fantastic! Both therapies have worked so hard to get me back on my feet and walking again. Jessica and Shaina (OT) along with Patrick and Mark (PT) were instrumental  in advising counselling , inspiring, and pushing  me forward to successfully  recover from surgery in order to go home. I hesitate to name specific folks who have been helpful to me. Most every I interacted with was superb, outstanding and wonderful! There are a few names that I would like to mention that were super stars toward me during my 2 stays at the CLC unit. For leadership Elaine Parkhurst and John Chacko. For nursed Miriam, Mercy, Thankam, Ricardo, Selam, Noemi, Sarita, Rita, Mariselli, Mike and Collin. For Techs Tiffany, Tammy, James, Ruthie and Danniece. For radiology Bill Snyder Jr.”

Testimonial #3

  • “My overall experience was absolutely wonderful, I thoroughly enjoyed my stay in CLC. The physical therapist Josh and occupational therapist Harmony regimen was very through, informative, detail. They showed true compassion. By participating in the CIIRP program gave me the skills the are needed in order for my recovery to be a complete success. Dr. Funk was great in getting me the information needed in order to meet my Mental Health needs. Darriel Anderson (SW) bought me the Veterans employment services handouts that includes benefits that are in place. Julie (Nutritionist) provided nutritional guidelines and some pamphlet with information. My stay will be with me for a while and I will never forget the services and friendliness that was rendered to me. “
Group shot of CIIRP Interdisciplinary Team- 2024

CIIRP information flyer:

ASP information flyer: 

Information for stakeholders: 

CIIRP Referral Process: To refer patients from the community, please contact the Community Care Social Worker for additional instructions about the process. Phone:

Connect with our staff:

Giselle Rodriguez Physical Therapist

CIIRP Rehabilitation Coordinator

VA North Texas health care

Phone:

Ronilza Tobias

Amputee rehabilitation coordinator, PT program coordinator

VA North Texas health care

Phone:

Elaine Parkhurst

CIIRP, PT program manger

VA North Texas health care

Phone: