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Spaulding Nursing & Therapy Center North End
Our mission at Spaulding Nursing and Therapy Center North End is to provide compassionate, comprehensive care for a diverse population in a unique setting. Through an interdisciplinary team approach, we aim to enhance a person’s quality of life and maintain one’s well-being.
Here, families are an integral part of our care program. Families are encouraged to participate actively in all aspects of care, and to be an important component of the interdisciplinary care model.
Our building features several group areas, including a recently renovated activities area, dining rooms, and therapy rooms. We offer private and semi-private rooms, with TV and phones available on the sub-acute floor.
Learn more about our Management and our History, and read Frequently Asked Questions about our hospital.
Management of Spaulding North End
Mr. Gougian is the Executive Director at Spaulding Nursing and Therapy Center North End. He received his bachelor of arts in political science from the University of Massachusetts Amherst, followed by his master of public health administration, health care policy and administration from American University in Washington, DC.
Mr. Gougian has over 20 years of experience in the healthcare field, focusing on clinical care processes, healthcare regulations, reimbursement rules and personal management concepts.
Director of Nursing
Mara Aronson, MS, RN, GCNS-BC, FASCP, CPHQ, Director of Nursing for Spaulding North End, is a clinical nurse specialist with certifications in geriatrics and quality improvement, and is a fellow of the American Society of Consultant Pharmacists.
She is the author of more than 60 articles that have appeared in peer-reviewed and trade journals, and on professional websites. She is also a peer reviewer for more than a dozen professional journals serving healthcare professionals from medicine, pharmacy, nursing and healthcare administration.
Ms. Aronson serves on the Committees and Boards of several professional organizations which serve health care professionals from medicine, pharmacy, nursing and healthcare administration. For many years, Ms Aronson worked as an independent educator and consultant to healthcare organizations.
History of Spaulding North End
1983 – In response to the needs and requests of the community, the North End Community Health Center opened the North End Nursing Home (now called the Spaulding Nursing and Therapy Center North End) to ensure a continuum of care, allowing for the monitoring, coordination and access to culturally competent care by the same providers through a patient’s lifecycles and care needs. In partnership with the Health Center, nursing home patients continued to be provided with primary care, dental, podiatry, mental health, laboratory and vision services.
2000 – Partners HealthCare, Massachusetts General Hospital and North End Community Health Committee entered into a partnership, with the mission of providing healthcare services in the North End. This affiliation included all components of the North End Community Health and the North End Nursing Home.
2000 – North End's certified home care agency was merged with Spaulding’s certified home care agency, and governance of both agencies was transferred to Partners Home Care.
2001 – Spaulding Rehabilitation Hospital took over the operations of the North End Nursing Home and added rehabilitation services to their overall mission for care.
2003 – North End Community Health Center physicians and nurse practitioner staff entered into contract arrangement with SRH to provide services to residential patients only. Transitional care unit opened at North End Nursing Home on second floor.
Frequently Asked Questions
Q. How do I get admitted?
A: Admissions to Spaulding inpatient programs are completed by a physician referral or by pre-admission through a Spaulding representative at an acute-care facility. Admission criteria are determined by each program. Patient referrals may be made by calling 1-888-774-0055.
Q. What should I expect when I arrive?
A: A member of our care team will help you get you settled at Spaulding. Your Spaulding physician and nurse will meet with you within the first 24 hours of your stay. You will meet your other team members either that day or the next.
Q. What rehabilitation services does Spaulding offer?
A: The Spaulding Rehabilitation Network offers major rehabilitation programs including amputee and vascular disease rehabilitation, brain injury rehabilitation, burn rehabilitation, pediatric and adolescent rehabilitation, disorder of consciousness rehabilitation for those with severe brain injuries, musculoskeletal rehabilitation, spinal cord injury rehabilitation and stroke/neurology rehabilitation. We offer specialized programs in ventilator weaning, oncology, pulmonary, cardiac care, neurology/stroke, post-organ transplant, post-surgical and orthopedics. Our clinical capabilities include a unique combination of complex medical and rehabilitative care, with comprehensive physical, occupational and speech therapy. We provide management of chemotherapy, peritoneal and hemodialysis, pain management and complex wound care.
Q. How much therapy will I receive?
A: Your treatment team determines the amount of therapy you will receive. The frequency of your therapy may vary. We encourage family members to take part in your therapy, as they can provide support and motivation and can learn skills to help you. Family/care team conferences are scheduled regularly to discuss or reassess your treatment program.
Q. What are the accommodations like?
A: Most patients have a semi-private room equipped with a television and a telephone, each with its own fully accessible bathroom, including shower. You are welcome to bring your laptop computer. We provide free wireless Internet service.
Q. What are the meals like?
A: We offer special menu plans that provide tasty, nutritionally balanced meals appropriate for your medical condition. You may choose what you’d like to eat each day.
Q. Can I get a tour of Spaulding’s facilities?
A: Tours of Spaulding facilities are available and may be arranged by calling 1-888-774-0055.
Q: What should I bring?
A: Click here for our handy “What to Bring” checklist.
Q. How long will I stay?
A: Your length of stay will depend on your individual treatment plan and progress in reaching your goals. Your recovery does not stop when you leave Spaulding. We will work with you to arrange ongoing care through home care or outpatient therapy upon your discharge.
Q: Who will coordinate my care?
A: While you are with Spaulding, your care is coordinated by physicians and nursing staff, who may access other medical specialists, diagnostics and treatments as needed. Rehabilitation therapies are customized to meet the unique needs of each person. The rehabilitation team can include physicians, nurses, physical therapists, occupational therapists, speech-language pathologists, social workers, discharge planners and other specialists.
Q. How can I pay for my care?
A: Insurance or managed care programs generally cover rehabilitation services prescribed by a physician. Discuss coverage with your insurance representative prior to treatment. During your stay at Spaulding, a Case Manager will keep you informed about your insurance coverage.
Q. What if I need help when I go home?
A: Many patients require assistance to make the transition from Spaulding to home. Your patient care coordinator will work with you to identify your home care needs and will make appropriate referrals to arrange the services you need.
About Spaulding Programs:
Q. What is Spaulding’s philosophy of care?
A: Our interdisciplinary team approach supports the optimum recovery of the individual by involving the patient and family in all phases of the treatment process. Since the goal of the facility is to assist all patients in returning to the most independent living environment as quickly as possible, our dedicated staff helps patients reach their recovery goals successfully through an outcome-orientated approach to care. We do this by assembling a team of case managers, nurses, physicians, nurse practitioners, social workers and therapists who meet weekly to review and revise treatment plans. We encourage family members to attend these meetings to promote dialogue and stay updated.
Q: How does Spaulding’s research help patients?
A: Research is an integral component of Spaulding's work. Our faculty members maintain a vigorous research agenda at the hospital, and collaborate with colleagues at other teaching hospitals and universities. Our research focuses on improving areas of rehabilitation treatment and care, such as improving neurological or musculoskeletal functions, understanding the effects of physical activity or inactivity and exercise, evaluating the efficacy and delivery of new treatments, and applied research on new technologies. Spaulding research is conducted in accordance with the highest ethical principles and regard for the protection of our study volunteers. We adhere to all federal regulatory policies on research with human subjects.
Q. What is medically complex care?
A: Medically complex care is a unique system of care that facilitates recovery from illness or injury. It is designed for patients with diverse medical conditions, such as post-surgical complications, multi-system failure, altered wound healing and metabolic imbalance. Learn more about our Complex Medical Care.
Q. What should I know about the Spaulding Traumatic Brain Injury Model Systems?
A: Spaulding has continued to work with the Traumatic Brain Injury Model Systems (TBIMS) as a longitudinal follow-up center by virtue of a contract with the TBIMS National Data and Statistical Center at Craig Hospital in Denver, Colorado, which is in turn funded by a grant from the National Institute on Disability and Rehabilitation Research, U.S. Department of Education. The grant supports the participation of Spaulding in a nationwide database collecting a broad variety of data from TBI patients to build a better understanding of the dynamics of this condition.
Q. What should I know about the Spaulding Spinal Cord Injury Model Systems?
A: Spaulding’s Spinal Cord Injury Program works as a Spinal Cord Injury Model System site by virtue of a contract with the National Institute on Disability and Rehabilitation Research (NIDRR). NIDRR awards SCI Model Systems grants to institutions that are national leaders in medical research and patient care. Each site provides the highest level of comprehensive specialty services, from the point of injury through rehabilitation and community reentry. This funding will allow Spaulding clinicians and researchers to improve both regional and national understanding of SCI treatment models. Spaulding contributes to the national SCI Model Systems Database for a better understanding of long-term health outcomes.