Scope of Services for STARS

PERSONS SERVED
STARS provides rehabilitation services in an outpatient setting to patients experiencing pain and/or functional impairments caused by injury OR illness. Children with developmental and congenital impairments additionally are served in our pediatric program.  STARS has locations, programs and services to meet the rehabilitative needs of patients at any age.

STARS provides services that address pain or physical impairments caused by injury/illness/other including weakness, instability, decreased range of motion, and decreased endurance. STARS also provides services to address impairments caused by neurological injuries or neurogenic diseases resulting in hemiplegia, spasticity, contractures, ataxia, etc. Additionally, STARS provides the resources to address cognitive, communicative, behavioral, balance & vestibular, sensory and other physical impairments.  

Persons served by STARS most often demonstrate activity limitations in mobility but some may additionally have limitations with activities of daily living, communication, cognition, swallowing, or bowel/bladder continence. Persons served may have participation restrictions making it difficult for them to return to their previous family, community, or social roles.   Examples of participation restrictions addressed by the program include, but are not limited to, difficulty becoming employed or maintaining employment, participating in community activities, driving, volunteering, parenting or caregiving.  Additionally, persons served at STARS may have substance abuse or other unique emotional or behavioral needs that need to be addressed during their episode of care.

Persons served in the programs at STARS must be medically stable and of a medical acuity that allows active participation in therapy.  Admission to services at STARS excludes clients who have medical comorbidities or complications that would prevent them from making significant functional progress within a reasonable period of time.  Also excluded are individuals with extreme psychological or behavior control issues that might threaten the safety of other clients or staff.  Please refer to the “Outpatient Rehabilitation-Admission, Continued Stay, & Discharge Criteria” policy for specific admission, continued stay, and discharge/transition criteria.

GOALS AND INTENDED DISCHARGE DISPOSITION
The overall goals of each STARS program and service line are to maximize functional independence and minimize pain. The focus of each program is to identify each participant’s home, vocational and community needs, simulate or address the identified needs, and integrate these activities into care as appropriate.  STARS strives to facilitate discharge to an environment that allows the highest level of independent functioning possible; however, in some cases (especially within the neurological programs) it may be necessary to refer to other more appropriate discharge settings that provide more appropriate levels of cueing and supervision.  These decisions are based on the current or projected needs of each individual at discharge.

SERVICES PROVIDED DIRECTLY THROUGH STARS

Orthopedic Rehabilitation
The Orthopedic Rehabilitation team consists of highly trained physical therapists, occupational therapists   and chiropractic care.  STARS’ goal with orthopedic rehabilitation is to return each patient to his or her maximum level of function utilizing a team approach to recovery.  Orthopedic Rehabilitation available   through STARS includes treatment for:

  • Back and neck issues/pain
  • Shoulder/arm, hip, knee and ankle
  • Sport/recreational medicine
  • Hand therapy
  • Pre- and post-surgical care
  • Pain management
  • Arthritis/Fibromyalgia
  • Headaches/Migraines
  • Chiropractic Care
  • Post-surgery total joint replacements (hip, knee and ankle)
  • Post-surgery diagnoses related to musculoskeletal issues
  • Joint sprains/strains
  • Muscular strain

Occupational Rehabilitation-WorkSTAR
The Occupational Rehabilitation program, WorkSTAR, provides an interdisciplinary, team-oriented therapy program to safely assist injured workers in their return from work-related injuries to productive work and lifestyle.  The program is staffed by specifically trained, licensed therapists, a physical medicine physician and a Neuropsychologist.  The different components of the WorkSTAR program are:

  • Work hardening
  • Work conditioning
  • Function capacity assessments
  • Ergonomic assessments
  • Job placement assessments
  • Physician oversight
  • Case management
  • BTE Primus® (strength testing and treatment)

Neurological Rehabilitation
Neurological rehabilitation is provided by a team of highly trained professionals whose goal is to maximize   the independence and quality of life for every patient.  This requires a high level of collaboration and cooperation among the team, physician, patient, and family to achieve these goals.  STARS provides Neurological rehabilitation services for:

  • Stroke
  • Traumatic Brain injury/concussion
  • Brain surgeries (e.g., aneurysm repair, AVM Malformations, etc.)
  • Anoxia (oxygen deprivation to the brain secondary to cardiac arrest or near drowning)
  • Neuro-Oncology (brain tumors)
  • Neuro-degenerative diseases (e.g., Parkinson’s, Multiple Sclerosis, ALS, etc.)
  • Spinal cord injury
  • Driving skills assessments (cognitive, visual and motor)
  • Balance and Vestibular assessments

Balance and Vestibular Rehabilitation
STARS provides specialized services for individuals with dizziness, vertigo, and/or balance problems.  The primary goal of the Balance and Vestibular Rehabilitation Program is for individuals to manage dizziness and balance problems for successful return to productive, active lifestyles in their homes, community and work environments.  Services available include:

  • Specialized evaluation
  • SMART Balance Master® testing and training
  • Individualized treatment programs
  • Progressive home exercise
  • Patient education

Women’s Health
STARS has therapists who specialize in treating women with female-specific problems.  The goal of this program is to increase the patient’s understanding of the female anatomy, facilitate patient’s return to normal function and train the patient how to manage flare-ups if they occur.  Diagnoses/problems that benefit from therapeutic treatment include:

  • Pain related to pregnancy
    • Neck/upper back pain
    • Low back pain
    • Arm tingling
    • Leg pain
    • Pelvic pain
  • Pelvic floor issues
    • Incontinence
    • Bowel issues
    • Pelvic floor pain
  • Pain with intercourse
  • Pain with menstruation
  • Interstitial Cystitis (bladder inflammation/irritation)

Cancer Rehabilitation

  • Post-cancer treatment
  • Lymphedema (male and female)

Incontinence Program

  • Incontinence (male and female;  adults and pediatrics)

Pediatric Rehabilitation
STARS’ outpatient pediatric therapy services offers comprehensive pediatric rehabilitation through the use of advanced medical, developmental, educational and recreational services under the direction of physical, occupational and speech/language therapists.  STARS’ therapy services incorporate neuro-developmental treatment techniques, early childhood philosophies, and sensory processing principles.  STARS’ mission is   to maximize children’s potential to participate in age-appropriate activities through the provision of education and high quality, comprehensive, family centered therapy services through a coordinated team approach.  Pediatric rehabilitation is used for children with:

  • Cerebral palsy
  • Down syndrome
  • Autism
  • Neurological disorders
  • Genetic syndromes
  • Communication disorders
  • Feeding and swallowing disorders
  • Pediatric Orthopedics
  • Incontinence

Chiropractic Care
STARS provides quality care for musculoskeletal injuries.  The focus of chiropractic care is to restore motion to the spine.  Spinal alignment is accomplished in a unique and cutting edge approach by performing chiropractic adjustments along with soft-tissue work/stretching to balance muscle tone and exercises given   to help maintain healthy spinal alignment.  Healthy lifestyle habits are also encouraged to promote healing.  With this approach, chiropractic care at STARS seeks to address all areas of musculoskeletal pain, which helps patients achieve pre-injury status and avoid chronic pain or ongoing care.  Some conditions treated  with chiropractic care are:

  • Neck or back pain/stiffness
  • Arm pain/numbness
  • Leg pain/numbness
  • Rib pain or discomfort under shoulder blade
  • Headaches/migraines
  • Shoulder pain

ADDITIONAL SERVICES AVAILABLE THROUGH STARS as needed include:

  • SMART Balance Master® testing and treatment (balance and vestibular rehabilitation)
  • KEY® functional capacity testing (determining safe work capabilities)
  • Ergonomic Testing and Recommendations
  • Aquatics (pool therapy)
  • Biofeedback for bladder and bowel health issues (incontinence)
  • Neuromuscular Electrical Stimulation-NMES (Dysphagia or disorders of swallowing).
  • Computerized Cognitive Driving Evaluations
  • Community Reentry
  • Vocational Reentry
  • School Reentry
  • Visual Retraining
  • Healthy Back Class
  • ASTYM and Graston, tool-assisted manual therapy
  • ImPACT Testing (pre- and post-concussion)

REFERRALS FOR OTHER SERVICES NOT DIRECTLY PROVIDED may include:

  • Orthotics/Prosthetics
  • Ophthalmology/Neuro-ophthalmology
  • Audiology
  • Chemical Use/ Abuse/Dependency Counseling
  • Cardiology
  • Oncology
  • Psychiatry
  • Urology
  • Obstetrics/Gynecology
  • Other services, as needed

Being part of the Saint Alphonsus Health System continuum allows streamlined access to any other medically related services as necessary. Arrangements for services not directly provided will be facilitated as needed.

PROVIDERS
STARS is staffed by highly experienced, highly-skilled providers including:

  • Physical Therapists
  • Occupational Therapists
  • Speech/Language Pathologists
  • Chiropractor
  • Certified Athletic Trainers
  • Social worker
  • Neurological Case Manager
  • Neuropsychologist/Psychologist
  • Physical Therapy Assistants
  • Certified Occupational Therapy Assistants

These clinicians work in concert with the referring physician or program physiatrist as appropriate.

PROVIDERS
The Physiatrist is a medical doctor (MD) who specializes in rehabilitation medicine.  The Physiatrist will be responsible for providing and coordinating the medical care of each patient as well as directing the rehabilitation team.

The Neuropsychologist will be responsible for measuring baselines and progress in thinking, behavior and emotions as well as working with the physiatrist to monitor patient response to medication protocols. Additionally, the Neuropsychologist will work closely with the treatment team to assist with recommendations related to behavioral management, independence, return to work, etc.

A program Social Worker is available to address any psychosocial needs or issues and patient/family/ support system counseling is available by our Social Worker or Neuropsychologist on an as-needed basis.

A Physical Therapist (PT) will evaluate and treat mobility impairments and make appropriate equipment recommendations.  If needed, a Vestibular Physical Therapist will assess symptoms of dizziness and imbalance and provide treatment to manage the symptoms and improve balance and coordination.

Physical Therapy Assistants (PTAs) are available to assist in the provision of physical therapy under the guidance and supervision of a therapist.

Occupational Therapists (OT) will evaluate and treat impairments in the areas of upper extremity or fine motor performance, inability to complete basic Activities of Daily Living (ADL’s), visual-motor impairments, and cognitive deficits as they interfere with ADL’s, return to work, and driving.

Occupational Therapy Assistants (COTAs) are available to assist in the provision of occupational therapy under the guidance and supervision of a therapist.

Speech Therapists (SLP) will evaluate and treat disorders of swallow function, motor speech ability, communication (to include reading, writing, comprehension, and expression), and cognition.

A Neuro Case Manager is available to our persons served who with stroke, brain, or spinal cord injury. This individual coordinates the rehabilitation program, ensures each patient receives quality care and is available to answer questions or concerns regarding the rehabilitation program, patient advocacy or community resources.   

A Certified Athletic Trainer (ATC) works with athletes to prevent injuries.  They provide education and are available at sporting events to recognize, evaluate and provide immediate care of athletic injuries. They may also work collaboratively with physical therapists in rehabilitation and reconditioning following an athletic injury.

A Chiropractor is available to diagnose, treat, and prevent mechanical disorders of the musculoskeletal system, especially the spine.   Treatment typically involves manual therapy, manipulation of the spine, other joints, or soft tissue.  The chiropractor may provide suggestions for exercises or a healthy lifestyle.

SUPPORT SYSTEM
In addition to providing comprehensive medical rehabilitative support, we believe that success is best achieved through networking and involving the patient’s support systems including family members, employers, academic institutions, service organizations, payers, external case managers and other community agencies.  We encourage these individuals to participate as part of our team with the patient’s expressed permission as appropriate.

REFERRAL SOURCES
Referrals are accepted from physicians and other providers (for example, physician assistants and nurse practitioners), social workers, case managers, care navigators, discharge planners, and attorneys.

NON-DISCRIMINATION STATEMENT
STARS does not discriminate on individuals of varying race, cultural background, religion, sex, or sexual preference, and strives to understand and be sensitive to related needs and characteristics.

Download Non Discrimination Statement

FUNDING SOURCES
STARS accepts various funding sources including but not limited to Private Insurance, Worker’s Compensation, Self-Pay, HMO/PPO, Medicare, In-state Medicaid, Out-of-State Medicaid, and CHAMPUS.  Personnel are available to assist with application for uncompensated care as available for individuals who are uninsured and cannot afford to pay.

STARS encourages independence and self-advocacy.  In this spirit, patients are encouraged to independently look into and understand their coverage, coinsurance, and co-pays.  Assistance is available as needed. Patients are informed of fees for services not covered by insurance and are asked to sign either a Medicare of Non-Medicare Advanced Beneficiary Notice (ABN) if they wish for these services to continue.  The program seeks to keep patients, families and significant others informed of local and regional support groups, advocacy agencies, and community resources.  Assistance is provided to access these resources as needed.

LOCATIONS/HOURS:

STARS Curtis Site
901 N. Curtis Rd., Ste. 204
Boise, Idaho 83706
Business Hours:
6:00 AM-6:00 PM, Monday through Thursday, 6:00 AM-5:00 PM on Friday
Miles from Main Campus:  0.1 miles

STARS Liberty Site
717 N. Liberty Rd.
Boise, Idaho 83704
Business Hours:
7:00 AM-6:00 PM, Monday through Friday
Miles from Main Campus:  0.6 miles

STARS Bown Crossing
2141 E. Parkcenter Blvd.
Boise, Idaho 83706
Business Hours:
8:00 AM-5:00 PM, Monday through Friday
Miles from Main Campus:  6.9 miles

STARS Downtown YMCA
1050 W. State Street
Boise, Idaho 83702
Business Hours:
6:30 AM-6:00 PM, Monday through Friday
Miles from Main Campus:  3.1 miles

STARS West YMCA
1050 N. Discovery Place
Boise, Idaho 83713
Business Hours:
6:00 AM-6:00 PM, Monday through Friday
Miles from Main Campus:  6.8 miles

STARS Eagle Health Plaza
875 E. Plaza #105
Eagle, Idaho 83616
Business Hours:
8:00 AM-5:00 PM, Monday through Friday
Miles from Main Campus:  9.0 miles

STARS Meridian Health Plaza
3025 Cherry Lane, Ste. D
Meridian, Idaho 83642
Business Hours:
7:00 AM-6:00 PM, Monday through Friday
Miles from Main Campus:  11.8 miles

STARS Talus Medical Plaza
3875 E. Overland Rd.
Meridian, Idaho 83642
Business Hours:
8:00 AM-5:00 PM, Monday through Friday
Miles from Main Campus:  6.82 miles

STARS Meridian Peds/Jump Start
179 SW 5th Ave.
Meridian, Idaho 83642
Business Hours:
8:00 AM-6:00 PM, Monday through Thursday; 8:30 AM-12:00 PM on Friday
Miles from Main Campus:  9.1 miles

STARS Nampa Garrity Clinic
4424 E. Flamingo Avenue, Suite 120
Nampa, Idaho 83687
Business Hours:
8:00 AM-6:00 PM, Monday through Friday
Miles from Main Campus:  14.2 miles

STARS Nampa Recreation Center
131 Constitution Way
Nampa, Idaho 83686
Business Hours:
9:00 AM-6:00 PM, Monday through Friday
Miles from Main Campus:  20.7 miles

STARS Fruitland Health Plaza
910 NW 16th Street, Suite 200
Fruitland, Idaho  83619
Business Hours:
8:00 AM-5:00 PM, Monday through Friday (closed from 12:00 PM-1:00 PM)
Miles from Main Campus:  52.13 miles

STARS Ontario
840 SW 4th Avenue
Ontario, Oregon  97914
Business Hours:
8:00 AM-5:00 PM, Monday through Friday
Miles from Main Campus:  55.0 miles

STARS does not provide services on weekends or on major holidays including New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, and Christmas.   Individualized schedules will be provided for each patient according to his or her specific needs.  A typical schedule includes two (2) –three (3) sessions per week, per discipline. 

Refer to:   Outpatient Rehabilitation-Admission, Continuing Stay, and Discharge/Transition Criteria