How is Joe today? 
Joe is a client of both BAYADA and Paradigm—strategic partners working together to provide integrated care management for injured workers.  The focus of the BAYADA-Paradigm partnership is achieving the best possible outcomes for clients, and getting there through superior case management, clinical excellence, and expert collaboration.

Paradigm specializes in extraordinary care for workers’ injury cases.  BAYADA specializes in home health care, and our BAYADAbility Rehab Solutions team of experts oversees care coordination for clients with a catastrophic diagnosis. Working together with the local BAYADA office caring for Joe, all professional care teams took the time to really get to know him and his family before he ever left the facility and helped transition Joe home in stages—first, in a temporary apartment, then, in his newly modified family home. Now, they are well on their way to helping Joe achieve his best possible outcomes in the optimal setting where he can feel motivated and supported—at home with his loved ones.

Paradigm Network Manager Eleni Passes, RN, recalls, “BAYADA became an extension of our clinical management team hands-on in the field. Their clinicians were in the house teaching and training family members to provide the necessary support. And they interfaced with me to get Joe’s clinical needs met in the home renovation.  So it really was a collaborative effort.”

Certified Rehabilitation Registered Nurse (CRRN) Cay Ambrose, from the BAYADAbility team, helped facilitate all of Joe’s needs. She says, “The productive—really, synergistic—dynamic between Eleni, the local BAYADA Clinical Manager, and me helped each of our teams come together to provide the best continuity of care for Joe.”

Now back at home with his family, Joe has made the transition from ventilator to diaphragmatic pacer, giving him 24/7 freedom to move around. That was a challenging milestone made possible over time with one-on-one attention and encouragement from his BAYADA care team. Using functional stimulation and aggressive outpatient therapy, Joe’s BAYADA Occupational Therapist is helping him regain functional arm movement. His home care team has synched his power chair with his smartphone, giving Joe control of his mobility and phone functions. They helped him learn stand pivot transfers, replacing the need for a mechanical lift.  His BAYADA Physical Therapist also helped Joe get a special harness to start therapy on a treadmill. 

“I don’t think we would have seen the outcomes we did so quickly without the constant communication between us, Joe’s doctors, his outpatient rehab, and BAYADA,” said Passes. “It takes a village, and the partnership we have is not just contracting a vendor to provide a service. It’s something a lot more intricate and special.”

Passes concluded, “I know when we release this case back to our client, BAYADA is in place for the duration, and they understand what Joe’s needs are."

Stay tuned for our next issue of THRIVE, where we’ll share video of Joe and more detail about how he’s been able to achieve amazing outcomes 15 months post-SCI.