The MetroHealth Rehabilitation Institute of Ohio
Arranging an Appointment
Insurance and Billing
Transportation and Location
Arranging An Appointment
How Do I Schedule an Appointment?
PM&R Physician – An appointment can be scheduled with a PM&R Physician by calling 216-778-4414.
Rehabilitation Psychologist – If a number for a rehabilitation psychologist has not been provided by your physician, call 216-778-8804. A secretary will assist you in scheduling an initial appointment.
PM&R Therapies – Once a prescription for services has been obtained from your physician, please call 216-778-4414 to schedule an appointment for physical therapy, occupational therapy, speech therapy, vocational services, or driver rehabilitation.
What Is Your Attendance Policy?
We understand that extenuating circumstances may arise, which force you to miss an appointment. In the event that this occurs, please call 216-778-4414 to cancel your appointment. Without a cancellation call, a patient may be discharged from service after two missed appointments. A patient may also be discharged after canceling three or more appointments depending on the reasons for cancellation.
What Is Occupational Therapy?
Occupational therapy is skilled treatment that helps individuals achieve independence in all facets of their lives. It gives people the skills for the job of living necessary for independent and satisfying lives. Services typically include:
- Customized treatment programs to improve one's ability to perform daily activities
- Comprehensive home and jobsite evaluations with adaptation recommendations
- Performance skills assessments and treatment
- Adaptive equipment recommendations and usage training
- Guidance to family members and caregivers
Who Benefits From Occupational Therapy?
A variety of people can benefit from occupational therapy, including those with:
- Work-related injuries, including lower back problems or repetitive stress injuries
- Limitations following a stroke or heart attack
- Arthritis, multiple sclerosis, or other serious chronic conditions
- Birth injuries, learning problems, or developmental disabilities
- Mental health or behavioral problems, including Alzheimer's, schizophrenia, and post-traumatic stress
- Problems with substance use or eating disorders
- Burns, spinal cord injuries, or amputations
- Broken bones or other injuries from falls, sports injuries, or accidents
- Vision or cognitive problems that threaten their ability to drive
Preceding information was provided by the American Occupational Therapy Association.
For more information, visit www.aota.org/featured/area6/index.asp.
What Is Physical Therapy?
Physical therapy, as defined by the Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board, is the means the evaluation and treatment of a person by physical measures and the use of therapeutic exercises and rehabilitative procedures, with or without assistive devices, for the purpose of preventing, correcting, or alleviating any disability. If performed by a person who is adequately trained, physical therapy includes the design, fabrication, revision, education, and instruction in the use of various assistive devices including braces, splints, ambulatory or locomotion devices, wheelchairs, prosthetics, and orthotics.
Physical therapists improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease. Their patients include accident victims and disabled individuals with conditions such as multiple sclerosis, cerebral palsy, nerve injuries, burns, amputations, head injuries, fractures, low back pain, arthritis, and heart disease. Therapists evaluate patients' medical histories, test and measure their strength, range of motion, and ability to perform function, and then develop treatment plans accordingly. These plans, which may be based on physician's orders, describe the treatment strategy, its purpose, and the anticipated outcome. After devising a treatment strategy, physical therapists often delegate specific procedures to physical therapy assistants and aides.
Treatment often includes exercise for patients who have been immobilized and lack flexibility. Using a technique known as passive exercise, therapists increase the patient's flexibility by stretching and manipulating stiff joints and unused muscles. Later in the treatment, they encourage patients to use their own muscles to further increase flexibility and range of motion before finally advancing to weights and other exercises that improve strength, balance, coordination, and endurance.
Who Do Physical Therapists Treat?
Physical therapists treat a variety of patients, including:
- A construction worker with an injured back
- A senior citizen with arthritis
- An infant with a birth defect
- An Olympic athlete
- A person who has had a stroke
- A child with a disability
- A pregnant woman
- An overstressed business executive
These are just some examples of individuals who have benefited from physical therapy. Physical therapists and PT assistants take a direct approach to meeting an individual's health needs and wants, whether a patient's goal is walking independently or breaking a high-jump record. Along with the patient and other health care practitioners, the physical therapist shares the hard work and commitment needed to accomplish the individual goals for each patient.
Information provided by the Ohio Physical Therapy Association.
What Is Speech Therapy?
Speech therapy is the corrective or rehabilitative treatment of physical and/or cognitive deficits/disorders resulting in difficulty with verbal communication. This includes both speech (articulation, intonation, rate, intensity) and language (phonology, morphology, syntax, semantics, pragmatics, both receptive and expressive language, including reading and writing). Depending on the nature and severity of the disorder, common treatments may range from physical strengthening exercises, instructive or repetitive practice and drilling, to the use of audio-visual aids.
Information pertaining to speech therapy can be found at the American Speech-Language-Hearing Association Web site, www.asha.org/public/speech/disorders
What Is Rehabilitation Psychology?
As defined by the American Psychological Association, Rehabilitation Psychology is the application of psychological knowledge and understanding on behalf of individuals with disabilities and society through such activities as research, clinical practice, teaching, public education, development of social policy, and advocacy. Rehabilitation psychologists who provide clinical and counseling services assist individuals in coping with, and adjusting to, chronic, traumatic, or congenital injuries or illnesses that may result in a variety of physical, sensory, neurocognitive, emotional, and/or developmental disabilities.
Patients may include, but are not limited to):
- Spinal cord injury
- Brain injury
- Neuromuscular disorders
- Medical conditions with the potential to limit functioning and participation in life activities, such as cancer, AIDS, multiple sclerosis, or limb weakness
- Chronic pain
- Congenital or chronic developmental disorder, such as mental retardation
- Severe psychiatric disability
- Substance abuse
- Impairments in sensory functioning
- Burns and/or disfigurement
- Deafness and hearing loss
- Blindness and vision loss
- Any other physical, mental, and/or emotional impairments compounded by cultural, educational, and/or other disadvantages
For more information about rehab psychology, visit The American Psychological Association at www.apa.org/divisions/div22/RPdef.html.
What Is Vocational Rehabilitation?
Vocational rehabilitation, as defined by the Centers for Medicare and Medicaid Services, is the process of facilitating an individual in the choice of or return to a suitable vocation. When necessary, helping the patient obtain training for such a vocation. Vocational rehabilitation can also mean preparing an individual, regardless of age, status, or physical condition, to cope emotionally, psychologically, and physically with changing circumstances in life, including remaining at school or returning to school, work, or a work equivalent.
More Information About Vocational Rehabilitation
For more information about vocational rehabilitation, visit The Ohio Rehabilitation Services Commission Bureau of Vocational Rehabilitation Web site at www.rsc.ohio.gov/VR_Services/BVR/bvr.asp.
Is my Family Member an Appropriate Patient for Inpatient Rehabilitation?
Typically, individuals admitted to MetroHealth Rehabilitation Institute of Ohio inpatient rehabilitation have recently sustained a stroke, brain injury, spinal cord injury, received major surgery (for example, laminectomy or total hip replacement), or had an injury resulting in multiple trauma, which has resulted in a significant change in functional abilities and the performance of daily living skills. Candidates for admission must require and be able to benefit from multiple therapy disciplines, including physical therapy, occupational therapy, and/or speech therapy and 24-hour nursing care. They must also be medically stable and be able to tolerate at least three hours of therapy per day. Patients admitted are usually older than 14. To speak to someone regarding admission to rehabilitation, please contact our admissions department at 216-778-4167.
Can I Attend Therapy Sessions With my Family Member?
The MetroHealth Rehabilitation Institute of Ohio values and promotes family involvement in the rehabilitation program. We encourage families to attend therapy and participate, as appropriate. Please limit visitors to two, as the presence of multiple visitors may be distracting to patients as they relearn skills. For safety reasons, children younger than 12 are not permitted to accompany patients to therapy sessions. Exceptions may be made through prior arrangements with the therapist, when appropriate. Limited child care is available on-site. The rehabilitation team develops an individualized treatment plan and goals, with input from the patient and his/her family, as appropriate. Members of the rehabilitation team teach the family how to assist with specific therapeutic activities. These skills may then be practiced on the unit by the patient and his/her family.
What Items Should I Bring for my Family To Use During Their Stay On the Rehabilitation Unit?
Items necessary for participation in the rehabilitation program include tennis shoes/low-heel shoes with non-skid soles, socks, and tops/pants that do not restrict movement. In addition, items such as shampoo, brush/comb, soap, deodorant, contact lens products, denture care products, toothpaste, mouthwash, and undergarments are also beneficial. Soiled clothing may be taken home to be washed. If preferred, laundry detergent may be brought in to use in the washer on the unit.
How Long Will my Family Member Stay In the Rehabilitation Unit?
Because the goal of rehabilitation is to help patients reach their maximum potential, the length of time a person stays on the inpatient rehabilitation unit is dependant on the patient’s specific needs and severity of injury. The average length of stay is three to six weeks.
Insurance And Billing
Does My Insurance Cover Therapy Services?
Most insurance plans cover therapy services. However, the amount of coverage differs from plan to plan. In order to find out the specifics of your insurance plan, please contact your insurance company directly. To view insurances accepted at MetroHealth, click here (PDF).
In the event that you do not have insurance, we do offer a rating system for partial to full coverage here at MetroHealth. For more information, contact 216-778-5585.
I Have A Problem With My Hospital Bill. Who Do I Call?
For questions pertaining to your bill for services provided at MetroHealth, please contact 216-957-3250.
Do I Need a Referral for Therapy Services?
Yes. Currently, a script is required for you to be seen for therapy services here at MetroHealth. However, the referring physician does not have to be part of the MetroHealth System. For questions pertaining to your referral, contact 216-778-4414.
Transportation And Location
Driving Directions To MetroHealth
From the west via I-90: Exit West 25th Street. Turn right and proceed to MetroHealth Drive. Left on MetroHealth Drive. Proceed to the hospital parking garage.
From I-71 north or south: Exit West 25th Street. Left on West 25th Street to MetroHealth Drive. Right on MetroHealth Drive. Proceed to the hospital parking garage.
From the south via I-77: Take I-490 west to I-71 south. Exit West 25th Street. Left on West 25th Street to MetroHealth Drive. Right on MetroHealth Drive. Proceed to the hospital parking garage. From the south via 176 north (Jennings Freeway): Take I-480 west to Route 176 north (Jennings Freeway). Exit at West 14th Street and follow the signs to I-71 south. Follow above directions for I-71.
From the west via the Ohio Turnpike: Take exit 151 to I-480 east to I-71 north and follow above directions for I-71.
From the east via the Ohio Turnpike: Take exit 173 to I-480 west to I-77 north and follow above directions for I-77.
Transportation Services Through MetroHealth
We provide a van service at the hospital. For more information, please call 216-778-5258.
RTA Bus Route To MetroHealth
Scranton Road and MetroHealth Drive: No. 81 MetroHealth Drive and West 25th Street: No. 20, 20A, 20B, 21X (rush hour service), and 35.
Location of Therapy Services
Inpatient occupational therapy, physical therapy, and speech therapy are available to patients staying on most floors in the hospital, depending on each situation. Our inpatient therapy services are located on the seventh floor and can be reached by taking the C elevators. Outpatient services are located on the first floor of theRehabilitation Pavilion across the street from the hospital on the main campus.