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Maximizing Patient Outcomes Through Acute Rehabilitation Units Within LTACHs

Many sufferers recovering from an sickness or damage profit from complete rehabilitation offered in acute rehabilitation models (ARUs). An ARU that’s positioned inside a long-term acute care hospital (LTACH) gives sufferers with a broad vary of physician-led rehabilitation experience whereas serving to them keep away from the disruption of being transferred to a separate facility to proceed care.

Physicians additionally profit from the continuum of care choices for his or her sufferers and from improved administrative efficiencies. With enhanced capabilities, experience and scientific integration all underneath one roof, these models are in a position to ship superior care to essentially the most clinically advanced sufferers.

This information outlines the advantages of complete rehabilitation providers on a affected person’s restoration, together with these recovering from COVID-19.

Medical Advantages of Acute Inpatient Rehabilitation Companies

Sufferers striving to dwell independently or return to a previous stage of perform, however who additionally nonetheless require medical administration, have a greater likelihood for restoration in an ARU setting. ARUs will be the most applicable subsequent stage of take care of sufferers coming from any setting together with residence, hospitals, SNFs, assisted dwelling amenities, or LTACHs. LTACHs particularly specialise in treating sufferers who typically require longer restoration time as a consequence of extreme sicknesses or issues created by a number of power circumstances. ARUs positioned inside an LTACH are thus structured as complete, hospital-based bodily rehabilitation applications, specializing within the remedy of those that have skilled a disabling damage or sickness. 

A number of the scientific benefits of an ARU positioned inside an LTACH embrace:

  • Ease of entry – sufferers who require complete rehabilitation providers in a hospital are in a position to transition to a distinct care setting with out leaving the constructing.
  • Continued specialised care by way of the combination of an interdisciplinary rehabilitation crew that features day by day entry to a doctor specifically skilled in rehabilitation and 24-hour RN protection. Moreover, specialty physicians from the LTACH can be found if requested for affected person wants. This stage of care is distinct from different post-acute settings, like expert nursing amenities (SNFs), which have restricted clinician availability. Some SNFs have RN protection for as little as eight hours per day, whereas others have 24-hour presence solely from LPN/LVNs. Some SNFs function day by day doctor visits solely throughout the first 30 days, after which the affected person receives only one go to each 60 days.
  • Complete remedy with brief lengths of keep – sufferers who obtain rehabilitation at an ARU have considerably shorter lengths of keep and considerably decrease readmission charges in comparison with sufferers discharged from different post-acute settings.1

Hospital System Benefits to ARUs

ARUs complement the specialised care offered by LTACHs, providing suppliers a continuum of take care of affected person restoration. A number of the care administration advantages of ARUs inside an LTACH embrace:

  • Better alternative to satisfy broader affected person wants, as short-term acute care hospitals (STACHs), payer discharge planners and case managers searching for specialised care settings for his or her sufferers can entry top quality providers in a single location.
  • Mixed information and expertise allows clinicians to handle the advanced medical care essential for post-intensive care sufferers whereas additionally leveraging the experience offered by complete rehabilitation providers.
  • Expanded affected person care choices with a simplified admission course of.
  • Recognized care administration practices and scientific employees connections make it simple so as to add and handle new providers.

LTACHs, ARUs and COVID-19

Analysis demonstrates that specialised providers delivered in LTACHs and inpatient rehabilitation settings play a singular and optimistic position in treating sufferers identified with, and recovering from, COVID-19. To maximise affected person outcomes, long-term acute care and acute rehabilitation care can defend this weak affected person inhabitants throughout their restoration by way of these measures:

  • ARUs are licensed as distinct affected person models of acute care hospitals, and should adjust to the identical well being and security necessities as short-term acute hospitals so as to take part within the Medicare program. Many construct on this basis by way of additional accreditation of their specialised providers and applications.2
  • Acute inpatient rehabilitation amenities function hospital-level an infection management overseen by a devoted An infection Management Practitioner (ICP) to manage the hospital and An infection Management Program, whereas different post-acute settings make use of a part-time an infection management practitioner.
  • ARUs require hospital-quality air filtration, whereas care settings comparable to SNFs have the identical air dealing with/high quality as the typical residential residence.
  • On-site acute rehabilitation at LTACHs permits for suppliers to satisfy a full-range of affected person wants with out counting on outpatient providers, which means that sufferers who entry these providers inside an LTACH can decrease their danger of virus publicity and unfold.

How Kindred Can Assist

Acute Rehabilitation Items

With the experience of the acute rehabilitation unit added to quite a few our hospitals, we’re in a position to provide better scientific and rehabilitative care to our sufferers on their journey to restoration. Our sufferers profit from rehabilitation offered by expert and skilled clinicians, together with bodily, occupational and speech therapists with supervision and intervention by a rehabilitation doctor. With much less disruption as a consequence of prevented website transitions and the expanded capabilities, we’re in a position to deliver new care administration methods to our companions and the group.

Lengthy-Time period Acute Care Hospital Companies

Moreover, as a long-term acute care supplier, we specialize within the remedy and rehabilitation of a variety of medically advanced sufferers requiring continued intensive care in an acute hospital setting. Kindred Hospitals may be the fitting companion in your sufferers who’ve been in an ICU or a important care unit, or who’re chronically in poor health and readmit to the hospital ceaselessly. We’ve confirmed success in treating sufferers with pulmonary illness and respiratory failure, together with an extended historical past of liberating sufferers from mechanical air flow and synthetic airways.

Kindred LTACHs with ARUs inside:

Kindred Hospital Denver

Kindred Hospital Melbourne

Kindred Hospital North Florida


Kindred Hospital Bay Space – St. Petersburg

Kindred Hospital South Florida – Ft. Lauderdale

Kindred Hospital Houston Medical Middle


Kindred Hospital Sugar Land

Kindred Hospital Philadelphia – Havertown

When you’ve got a affected person in want of care after a hospital keep, name a Kindred Medical Liaison for a affected person evaluation. Our consultants will aid you decide whether or not an LTACH or ARU keep is suitable in your affected person. If you’re not sure of who your Kindred consultant is, please attain out to us at recoveratkindred.com.


References

  1. Information from E-rehab, 2013.
  2. https://www.cms.gov/Laws-and-Steerage/Laws/CFCsAndCoPs/Hospitals



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

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