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Key Post-Acute Trends in 2022

The American healthcare system, already financially strained and going through demanding demographic adjustments, has been additional challenged over the previous two years by the COVID-19 pandemic. This distinctive scenario has revealed areas for enchancment and highlighted the significance of well being and security.

This text outlines 4 developments throughout the healthcare {industry} that will likely be vital in 2022 and explains how post-acute care (PAC) suppliers may also help suppliers and hospitals reply to shifts in healthcare calls for and enhance affected person outcomes.

TREND | Better demand for specialised post-acute providers

Persistent sicknesses have gotten extra prevalent in sufferers of all ages, however particularly among the many aged inhabitants, which is itself rising.

  • 60% of Individuals dwell with at the very least one persistent illness.1
  • By 2030, 20% of the U.S. inhabitants will likely be age 65 or older.2
  • 41% of Medicare beneficiaries ages 65 and older enrolled within the fee-for-service program have 4 or extra persistent situations.3

Why It Issues:

The calls for of this growing old and more and more persistent inhabitants will intensify the pressure on hospitals, particularly ICUs, since these sufferers typically require acute-level look after prolonged intervals of time. To deal with their persevering with wants, discharge to a PAC setting is usually essentially the most applicable subsequent step within the restoration journey.

Whereas most sufferers can discharge to a talented nursing facility (SNF) or another decrease degree of care, sufferers with persistent sicknesses typically profit most from specialised therapy at a long-term acute care hospital (LTACH). Over one-third of sufferers discharged to a SNF have solely minor or average sicknesses.4 In contrast, nearly 90% of sufferers discharged to LTACHs have main or excessive ranges of sickness and have a median of six comorbidities.5

By forming referral partnerships with specialised LTACHs, physicians could be assured that their medically advanced sufferers will obtain the care they want.


TREND | Growing significance of facility flexibility

Hospitals at present and sooner or later will likely be anticipated to reply to quite a lot of wants underneath one roof. This could take the type of bringing outpatient providers in-house or being ready to shortly repurpose areas and providers.

  • Sufferers worth a post-acute supplier that may ship all of the care they want alongside their restoration journey underneath one roof.6
  • The COVID-19 outbreak revealed the significance of flexibility inside well being methods, particularly within the repurposing of present services to deal with COVID sufferers.7
  • Emergency preparedness plans have gotten industry-standard throughout hospitals and healthcare organizations.8

Why It Issues:

The pandemic revealed the necessity for hospitals to be ready to adapt their services to offer for group wants. Moreover, hospitals that kind referral partnerships with versatile suppliers will likely be higher positioned to reply to heightened demand by shifting sufferers alongside the care continuum.

Throughout occasions of excessive census, sufferers with easier situations could be moved to decrease ranges of care or to house, permitting hospitals to extend throughput. Nevertheless, some sufferers, together with these on mechanical air flow, require continued acute care throughout their restoration. Throughout the pandemic, LTACHs had been in a position to assist relieve capability constraints by adapting areas to separate and serve each COVID and non-COVID sufferers. Moreover, the extra flexibility afforded by on-site laboratories, telemetry, radiology, pharmacies and dialysis has allowed LTACHs to soundly and effectively meet quite a lot of affected person wants in a single location.

Hospitals that intention to achieve 2022 by turning into extra aware of inhabitants wants, subsequently, will profit from together with LTACHs of their PAC referral partnerships.


TREND | Heightened affected person curiosity in well being and security

Customers demand detailed product and repair info in nearly each side of their lives, and have come to count on the identical with regard to their healthcare. That is very true with regard to well being and security dangers as a consequence of the pandemic.

  • 66% of respondents with persistent situations had been extra keen on taking a proactive strategy to well being than previous to the pandemic.9
  • Notion of danger for extreme COVID-19 is larger than common amongst adults with at the very least one persistent illness.10
  • 77% of sufferers are extra prepared to obtain post-acute care in a facility with air filtration gadgets.11

Why It Issues:

Hospitals have to be attentive to the heightened an infection considerations amongst sufferers, particularly amongst these with persistent situations, because of the pandemic. Additionally they ought to determine post-acute companions with this identical consciousness so as to construct belief of their referral program and forestall readmissions.

For a lot of sufferers, restoration from an sickness or harm could embody a number of ranges of post-acute care. As sufferers transfer by means of these services, they are often uncovered to plenty of completely different well being and security dangers that would put them again within the ICU. Such readmissions could be expensive on many ranges. Avoidable affected person readmissions, which value hospitals an estimated $26 billion yearly in care, will even value them $521 million in Medicare penalties in 2022.12,13 Rehospitalization can even end in misplaced alternative, as sufferers having a nasty expertise on the post-acute degree could lose confidence within the referring doctor.

It’s subsequently essential for hospitals to decide on companions fastidiously. For medically advanced sufferers, LTACHs are vital continued acute care suppliers that worth affected person training in therapy and security. With CMS-compliant an infection prevention requirements, hospital-level air air flow methods and adverse strain isolation rooms, LTACHs are ready to deal with an infection considerations of at present’s sufferers, particularly these with persistent situations.


TREND | Elevated significance of respiratory experience

Persistent challenges related to acute respiratory misery syndrome (ARDS), generally related to COVID-19, are highlighting the necessity for pulmonary experience.

  • Mortality of ARDS stays constant round 35-40%, partially attributable to the truth that 22-49% of ARDS instances go unrecognized and subsequently untreated.14
  • 10% of sufferers within the ICU and 23% of these on mechanical air flow fulfill standards for an ARDS.15
  • Sufferers with COVID-19-related lung situations typically require long-term respiratory assist and weaning from mechanical air flow.16

Why It Issues:

Regardless of in depth analysis on acute respiratory misery syndrome, it continues to pose a substantial danger to sufferers admitted with pulmonary situations, together with these with COVID-19. As a result of they typically want ventilator assist for an prolonged time period, these sufferers can profit from a referral to a PAC supplier that focuses on pulmonary care and ventilator liberation.

Whereas the highest situations handled at SNFs are associated to infections or orthopedic aftercare, the vast majority of situations handled at LTACHs are pulmonary in nature, with 25% of instances requiring ventilator assist.17,18 At an LTACH, many sufferers obtain therapy from pulmonologists and respiratory therapists who’re extremely skilled in ventilator liberation.

With the persistent mortality of ARDS, and the elevated prevalence of COVID-related respiratory situations, referral partnerships with specialised PAC suppliers will proceed to be a key technique in preventing pulmonary ailments


Why LTACHs are key companions in addressing 2022 post-acute care developments

These 4 developments present the significance of creating post-acute care partnerships. Not all post-acute care suppliers are created equal, nonetheless. Whereas many sufferers are in a position to absolutely recuperate at a talented nursing facility or at house following a hospital keep, a small share of the affected person inhabitants requires extra essential care and providers.

LTACHs specialise in offering continued ICU-level look after medically advanced and critically ailing sufferers. Their interdisciplinary care groups deliver collectively physicians, therapists, nurses and different caregivers in a coordinated strategy to the affected person’s therapy. These physicians, a lot of whom are sub-specialists in areas akin to pulmonology, infectious illness and neurology, present sufferers with each day oversight.

Moreover, LTACHs combine their acute care with rehabilitation providers, together with respiratory remedy, to assist sufferers obtain a sooner, fuller restoration. LTACH respiratory therapists are additionally extremely skilled of their capacity to liberate sufferers from mechanical ventilators.

How Kindred may also help

Kindred Hospitals specialize within the therapy of sufferers who require intensive care and rehabilitation in an acute hospital setting. As a part of their dedication to glorious high quality of care, Kindred is pursuing disease-specific certifications from The Joint Fee in Sepsis and Respiratory Failure in all hospitals throughout the nation. Moreover, their Transfer Early Mobility Program goals to include motion as early as is secure and attainable into the restoration plan for sufferers, together with these on mechanical air flow.

Kindred’s LTACHs additionally performed a essential position in public well being efforts by intently aligning with STACHs throughout the nation to alleviate capability constraints and ship vital hospital-level providers to a extra clinically advanced inhabitants, together with non-COVID and COVID sufferers.

With each day doctor oversight, ICU- and CCU-level staffing, 24/7 respiratory protection and specially-trained caregivers, Kindred is a key companion in bettering useful outcomes and responding to affected person wants in 2022 and past.

In case you have a affected person in want of continued acute care, name a Kindred Scientific Liaison for a affected person evaluation. Our consultants will assist you decide whether or not an LTACH keep is acceptable to your affected person. In case you are not sure of who your Kindred consultant is, please be happy to contact us by way of recoveratkindred.com and converse with a Registered Nurse who can help.


References

    1. 1https://www.cdc.gov/chronicdisease/index.htm
    2. https://www.businessinsider.com/aging-population-healthcare
    3. https://www.aha.org/system/recordsdata/media/file/2019/04/factsheet-ltch-0319.pdf
    4. https://www.aha.org/system/recordsdata/media/file/2019/04/factsheet-ltch-0319.pdf
    5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3094575/
    6. https://advisory-prod.azureedge.internet/-/media/mission/advisoryboard/shared/analysis/pacc/complimentary/pacc-consumer-survey-infographic.pdf?rev=bddbc40d30ff4212aa020c199b5cd14f&hash=608F46F8AF8534E-5BE770068900A4791
    7. https://www.mdpi.com/1660-4601/18/21/11478/htm
    8. https://www.usnews.com/information/health-news/articles/2021-10-05/helping-hospitals-get-disaster-ready
    9. https://advisory-prod.azureedge.internet/-/media/mission/advisoryboard/shared/analysis/mic/assets/2020/impact-of-covid-on-site-of-careand-comms_consumer-survey-results.pdf?rev=471d-77d6ebf4426e8b7bb179235aa253&hash=F7675411F86C-8D98E35333B14584BB82
    10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7806339/
    11. https://advisory-prod.azureedge.internet/-/media/mission/advisoryboard/abresearch/merchandise/packages/pacc/building-patient-and-family-trust-in-post-acute-care.pdf?rev=2ef2ea76c9864b978e15b237df64ed09&hash=EBE-4C966AB71E35FBDDCFEFFB67F241F
    12. https://www.healthstream.com/useful resource/weblog/the-economic-emotional-cost-of-hospital-readmissions
    13. https://khn.org/information/article/hospital-readmission-rates-medicare-penalties/
    14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7912364/
    15. https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(21)00439-6.pdf
    16. https://f1000research.com/articles/9-1241/v2
    17. https://www.definitivehc.com/assets/healthcare-insights/top-snf-diagnoses
    18. https://www.medpac.gov/wp-content/uploads/import_data/scrape_files/docs/default-source/default-document-library/mar21_medpac_report_to_the_congress_secv2.pdf



By Sean R. Muldoon, MD, MPH, FCCP, Chief Medical Officer, Kindred Hospitals

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