Hospital-Based Massage Therapy at Beaumont Health Systems

Transcription

1 Hospital-Based Massage Therapy at Beaumont Health Systems with Karen Armstrong, LMT Part 4 of the webinar series, Hospital-Based Massage Therapy: Successes, Challenges, and Sound Advice with Tracy Walton 1 Hospital-Based Massage Therapy: Successes, Challenges, and Sound Advice Tracy Walton MS, LMT Researcher Writer Educator Oncology massage specialist 2 Hospital-Based Massage Therapy: Successes, Challenges, and Sound Advice Speakers will: Answer questions and provide guidance in hospital-based massage therapy Share hard data that have helped move massage therapy toward the standard of care Tell inspiring patient stories from in-hospital massage services Describe strategies for communicating and collaborating with medical staff 3 1

2 Featured Hospitals Beaumont Health Systems Royal Oak, MI Dartmouth-Hitchcock Medical Center Lebanon, NH California Pacific Medical Center San Francisco, CA MD Anderson Cancer Center Houston, TX Boston Medical Center Boston, MA 4 Karen Armstrong Beaumont Health Systems Royal Oak, MI Briane Pinkson Dartmouth-Hitchcock Medical Center Lebanon, NH Carolyn Tague California Pacific Medical Center San Francisco, CA Sat Siri Sumler MD Anderson Cancer Center Houston, TX Paula Gardiner Boston Medical Center Boston, MA 5 Roadmap for Webinar Featured Presenter/Program: Karen Armstrong, Beaumont Health Systems Karen s background BHS and Integrative Medicine Massage Therapy Program Questions from Participants 6 2

3 Karen Armstrong Beaumont Health Systems Royal Oak, MI 7 Karen Armstrong, NCTM Previously was an office manager, had a career change Graduated from Irene s Myomassology Institute in 2003 Began working in physical therapy Began at Beaumont Hospital in 2006 Now Manager of Clinical Massage Volunteer activities Former Chair of Michigan Board of Massage Therapy Current VP of the Federation of State Massage Therapy Boards On Education Committee of Society for Oncology Massage 8 Beaumont Health Systems From 9 3

4 Several ambulatory (outpatient) sites Health & Wellness Center Integrative medicine Physical therapy Pain management Workout facility w/trainers Orthopedic surgeon office Stepdown unit MRI unit 10 Integrative Medicine at Beaumont Health Systems 11 Integrative Medicine Services Newly diagnosed oncology patient receives a multi-disciplinary consult, choice of hearing about any of these services: Social work Dietitian Lymphedema support/ prevention Integrative medicine 12 4

5 Integrative Medicine History 13 Massage Program History Began in 2005; 1 MT, oncology Karen became Mgr. of Clinical Massage Contingent MTs (paid per massage, no benefits) 2010 close to 18 MTs MTs 9 full-time, benefits 25 contingent No cutbacks to-date 14 Expansion of Massage Program Started in oncology Contacted by cardiology, urology, pediatrics Other departments Massage for Caregivers Massage for staff 15 5

6 Massage Volume outpatient sessions/month inpatient sessions/month 16 Massage Therapy Outpatient 30% Oncology 40% Other medical 30% Wellness 1-hour sessions Fee = $60 17 Massage Therapy Inpatient 25% Oncology 25% Orthopedics 25% Mother-baby (just the moms) 25% everything else Med-Surgical Neuroscience Cardiac Care Rehab Emergency (observation/ admittance) Hospice Pain unit min. sessions Fee = $1.00/minute 18 6

7 Payment for Massage Therapy 19 Physician Orders Blanket orders for in- and outpatients No Rx needed MT checks in w/nurse or doctor only if a question after looking at chart Need authorization to treat Beaumont employees who are using massage benefit 20 Space 21 7

8 Contingent staff Job Structure Benefited staff Part-time with benefits Full-time, with benefits If benefited, then doing some administrative responsibilities Administrative scheduling Front desk help Help with oncology massage training Mentorship with senior MTs for newer MTs 22 How are MTs Credentialed? Michigan state license (Newly in effect 1/23/13) Will require state licensure with grace period Trained at BHS Oncology Massage/ Hospital-Based Massage program Malpractice covered by hospital No minimum years practice 23 Charting Outpatient all electronic as of 8/6/12 Inpatient Partial paper/partial electronic Chart in same place as MDs/RNs Right on EMR (electronic medical review) MTs use SOAP format 24 8

9 Massage Protocols 25 Massage Protocols 26 Charting Massage Pressure 27 9

10 Relationships w/physicians and Nurses 28 How We Expand 2-4 Educational Efforts per Month In-Services across hospital Medical staff Nursing staff PT groups Administrators Outreach to community Garden clubs Library groups Speaking at retreats Whole health/mind-body fairs Conferences 29 Funding for Massage Therapy Fee for Service Outpatients Inpatients Grants for Free Massage Pediatric Inpatients 2 hrs/wk (Children s Miracle Network) Private foundations/community service organizations provide grants (~400 hrs over 2 years in orthopedic) Donation for Free Massage Grateful patient funds (currently 7 hrs/week in palliative care) Grateful patient funds for massage (some unrestricted massage, some earmarked for certain populations, e.g. inpatient oncology) 30 10

11 Health Insurance for Hospital Employees Covers Massage Acupuncture Naturopathy For specific conditions 31 School of Oncology and Hospital Massage 100 CE hrs; NCBTMB approved Contact Karen Armstrong School of Oncology and Hospital Massage 3601 W. 13 Mile Road, Royal Oak, MI (248) ; 32 Research/Data Collection on Massage Massage in cardiac catheter lab (in-house) Reflexology and quality of life in stage 3 & 4 breast cancer patients, (partnered with Michigan State U., NIH funded) pubmed/ ?dopt=abstract Hand and foot massage in chemo-induced peripheral neuropathy (grant through Oakland University) 33 11

12 What worked? Safety approach; clear, conservative scope of practice (educating MDs/RNs about this) Speaking to MDs in professional terms with concrete benefits (NOT just massage feels good ) Clear reductions in symptoms. Data, outcomes, even if just in-house data Continued in-services Continued community outreach Strong business model Training program (MT staff well-educated in hospital massage, contraindications, referral skills, infection control, communication w/patients/mds/nurses) 34 Challenges Can t support a dedicated MT position in house for inpatient massage. Can t support free massage. Can t convert more contingent staff to benefited staff right now. Grew too fast didn t have administrative infrastructure/support to do what was needed. 35 Rewards 36 12

13 Rewards 37 Advice to Massage Therapists Education Train in hospital-based massage A&P courses Prepare to follow policies Be willing to accept most hospital jobs not 40 hrs w/benefits Partner with someone with business experience Get support from a champion (nurse practitioner, physician, administrator) Try to get foot in door to discuss benefits of massage 38 Photos in this presentation are the property of Beaumont Health Systems. Do not reprint without written permission from the hospital. Contact Karen Armstrong at Karen.Armstrong@beaumont.edu

14 THANK YOU! Questions? 40 Karen Armstrong Beaumont Health Systems Royal Oak, MI Briane Pinkson Dartmouth-Hitchcock Medical Center Lebanon, NH Carolyn Tague California Pacific Medical Center San Francisco, CA Sat Siri Sumler MD Anderson Cancer Center Houston, TX Paula Gardiner Boston Medical Center Boston, MA 41 Contest How to enter: Write a review of a Hospital-Based Massage webinar on Dr. Benjamin s Facebook Wall at Facebook.com/BenjaminInstitute. You re eligible for one entry per webinar What you can win: A free copy of Massage for the Hospital Patient and Medically Frail Client by Gayle MacDonald A complete set of the Hospital-Based Massage Therapy webinar series to give to a friend or colleague 42 14

15 Webinars Available On Demand Other Webinars with Tracy Walton Massage in Cancer Care More About Cancer & Massage Cardiovascular Conditions & Massage All Webinars Available at 43 Webinars Available On Demand Dr. Ben Benjamin Unraveling the Mystery Series: Low Back Pain Cervical Pain Shoulder Pain Knee Pain Ankle Pain Hip & Thigh Pain Tom Myers Anatomy Trains: Clinical Applications of Myofascial Meridians Beyond Good Posture And Many More Whitney Lowe Orthopedic Approaches to Upper Body Disorders Orthopedic Approaches to Lumbo-Pelvic Pain Carole Osborne Pregnancy Massage 101 Tracy Walton Massage in Cancer Care Cardiovascular Conditions & Massage All Webinars Available at 44 JOIN The Benjamin Institute ing List & Receive a FREE Ebook on the Low Back 45 15

16 Keep Learning www. BenBenjamin.com/Webinars.php 46 16