INPATIENT
1- The patient is:
- Medically stable.
- Responsive to verbal and /or visual stimuli.
- Mentally alert enough to participate in the rehabilitation program.
- Pre-morbid function indicates a potential for rehabilitation.
- Expected to improve in a reasonable amount of time.
- Adequately insured or have resources to cover the cost of treatment.
- In possession of a viable discharge disposition plan.
- In need of medical supervision by a physician with specialized training in rehabilitation and must require twenty-four (24) hour nursing and other rehabilitation services.
2- A patient in the rehabilitation program must demonstrate impairment in two (2) or more of the following:
- Cognitive function (attention span, memory, intelligence)
- Communication (aphasia with major receptive or expressive dysfunction)
- Continence (bowel and bladder)
- Mobility (transfers, walking, climbing stairs, wheelchairs, braces, prosthetics)
- Perceptual motor function (spatial orientation, depth or distance perception)
- Self-care activities (drinking or eating, dressing, maintaining personal hygiene)
- Self-safety (patient is likely to suffer medical complications, or patient cannot safely live independently)
3- The patient must need all of the following services:
- Close supervision by a physician.
- Twenty-four (24) hour skilled rehabilitation nursing care or supervision.
- At least three (3) hours daily physical, occupational, speech therapy, and/or psychotherapy.
- Interdisciplinary team evaluation weekly.
4- The following patients will not knowingly be admitted into this facility:
- Patients who have displayed or threatened to display severe behavior that may endanger themselves, other patients, or hospital personnel
- Patients with suicidal tendencies
- Patients with drug addiction (severe cases)
- Patients with active tuberculosis
5- Discharge Criteria
The patient will be discharged when:
- The medical/ clinical condition is not stable enough to permit relative continuity of an intensive program.
- Team goals have been met.
- There has been no significant functional improvement for two (2) consecutive weeks.
- There is no longer the requirement for the intensity of inpatient services, and can reach goals through outpatient therapy or home health care services.
- The patient refuses to participate in the therapy program on a regular basis, preventing progress toward stated goals.
- Acute hospitalization is required.
DAY HOSPITAL/DAY TREATMENT
1. Day Treatment Admissions Criteria:
- Patient must be medically stable and able to tolerate the intensity of at least three hours of therapy per day.
- Patients ranging from pediatric to geriatric will be accepted (pediatric patients may require accompaniment by a parent or guardian).
- Patient has potential to make functional gains at least every two (2) weeks,
- Family willingness to be involved in program.
2. Discharge Criteria for Day Treatment.
The patient will be discharged:
- When the patient's medical/clinical condition is not stable enough to permit relative continuity of an intensive program.
- When the patient is independent or when functional improvement has been demonstrated that meets team goals.
- Progress is sufficient over a period of time.
- When patient no longer requires two or more therapies.
- When patient refuses to participate in the therapy program on a regular basis.
OUTPATIENT
1. Outpatient Admission Criteria:
- Patient must be medically stable.
- Patient will be free of severe behavior disorders or pre-injury psychiatric disorder, which may interfere with rehabilitation treatment.
- Patient requires only 1-2 therapies.
2. Outpatient Discharge Criteria.
The patients will be discharged:
- When the patient's medical/clinical condition is not stable enough to permit relative continuity of an intensive program.
- When the patient is independent or when functional improvement has been demonstrated that meets therapy goals.
- Progress is sufficient over a period of time.
3. Patients may move into different programs and/or levels as they meet the appropriate admission and discharge criteria.
Additional separate criteria may be applied for the following programs:
- Functional Restoration/Chronic Pain Management
- Brain Injury
- Pulmonary
DIAGNOSES
Generally primary admitting diagnoses include, but are not limited, to the following:
- Stroke
- Spinal Cord Injury/Disease (recent or old)
- Congenital Deformity
- Amputation (recent or old, major upper or lower extremity)
- Major multiple trauma (Musculoskeletal)
- Fractured femur (hip or major traumatic)
- Brain Injury (traumatic or non-traumatic)
- Severe deforming polyarthritis/ rheumatoid
- Neurological Disorders (multiple sclerosis, motor neuron disease, polyneuropathy, muscular dystrophy, Parkinson's, polio, myopathy, and Guillian-Barre).
- Status post burns (with musculoskeletal complications)
- Major joint replacement
- Debilitation
- Chronic pulmonary conditions
- Chronic pain
|