Volume 25 • No. 7 • JULY 2001
Jeffrey TERAOKA
HMO negotiations continue over capitated access to SHC
Bone marrow transplant efforts enriched by arranging donor/ recipient meetings
Spirituality training helps broaden patient encounters
Whether it's helping a pianist return to work after a hand injury or training an elderly patient with a hip replacement take a shower, the occupational therapy team at Stanford Hospital and Clinics never forgets that skills in daily living are a key to recovery. This month Fact File talks with Yvonne Acosta, inpatient occupational therapist; Norma Greenberg, clinical resource for occupational therapy; Donna Lashgari, occupational therapist in the hand clinic; Kris Tolbert, occupational therapist in acute rehabilitation; and Jeffrey Teraoka, medical director and assistant professor of functional restoration (physical medicine restoration).
F A C T S
1. Occupational Therapy is one of three services - along with physical therapy and speech therapy - offered by the Department of Rehabilitation Services.
2. Physicians should write orders for OT services whenever a patient is expected to benefit from evaluation and treatment to improve activities of daily living (ADL).
3. The inpatient service, which has 12 FTEs, sees approximately 11 patients per day. The outpatient service accommodates 14 -17 patients per day.
4. Inpatient OT services are included in many case and per-diem rates.
5. Outpatient OT is reimbursed in a variety of plans: fee for service, case rates and capitation.
6. Rehabilitation staff is available on units or by phone at (650) 723-6701 to answer questions about which rehabilitation service might be appropriate for an individual patient. Administrative questions can be directed to Kate Zimmerman, director of Rehab Services at (650) 498-5309.
7. Yvonne Acosta graduated from the State University of New York-Buffalo with a master's degree in occupational therapy in 1980. After many years in acute rehab and skilled nursing care settings, Acosta came to Stanford in 1992 as a senior occupational therapist. She regularly mentors students and guest lectures in the community on safety issues for the elderly.
8. Norma Greenberg received her BS in occupational therapy from Temple University, and her master's in OT from Thomas Jefferson University in1989 after10 years of experience in her field. She came to Stanford in 1996 as a staff occupational therapist with service on a general medicine and surgery team, working with AIDS, oncology and other patients. Greenberg recently was appointed as a clinical resource for OT, serving in an advisory and developmental role with her colleagues and students.
9. Donna Lashgari received her BS in occupational therapy from USC in 1972 and her MS in health science from San Francisco State University in 1999. She has worked as a hand therapist and supervisor in several institutions on the Peninsula. Since 1997, Lashgari has been a senior occupational therapist in the hand therapy department. Lashgari, an active educator and a regular conference presenter, guest lectures at San Jose State University in hand therapy.
10. Jeffrey Teraoka, assistant professor of functional restoration (physical medicine and rehabilitation), graduated from the University of Hawaii's school of medicine in 1984. After completing a residency in internal medicine, he came to Stanford where he finished his residency in physical medicine in 1990 and then joined the faculty. He serves as medical director of the Comprehensive Inpatient Rehabilitation Unit.
11. Kris Tolbert received a BS in occupational therapy from Indiana University in 1988. After working in several hospitals nationwide, Tolbert became a senior staff occupational therapist at Stanford in 1993. Active in program development, she works in acute rehabilitation, primarily with joint and hip replacement patients.
