| Acute Care Hospital |
LTAC Hospital |
Rehab Hospital |
SNF Unit |
Long Term Care |
|
Physicians Round Daily | Physicians Round Daily |
Physicians Round Daily | Physicians Round 1 x week | Physicians Round 1 x month |
|
Average LOS 3- 5 Days | Average LOS > 25 days |
Average LOS 10 - 13 Days | Average LOS 12 days (max. 100 days) | Permanent Residency |
| High Medical Acuity | High medical acuity is key regardless of diagnosis |
75% Select 13 Medicare Diagnosis
25% Non-Medicare 13 diagnosis | Medical acuity is key regardless of diagnosis | Low medical acuity |
|
Focus on diagnostic and/or surgical intervention | Focus on medical complications and function |
Focus on functional independence | Focus on short term chronic low acuity complications | Focus on maintaining level of function |
|
Therapy required or physician preference | Patient will progress with therapy intensity at slower pace |
Patient required to complete 3 hours of therapy daily | Patients will receive declining therapy intensity as stay lengthens | No therapy required |
|
Pre-admit screening not required to certify | Pre-admit screening required |
Pre-admit screening required | Pre-admit screening desirable | Pre-admit screening required |
|
N/A | No acute care qualifying stay required |
No acute care qualifying stay required | 3 day Acute Care hospital qualifying stay required | No acute care qualifying stay required |
|
Admission from home, Dr's office, rehab, nursing home, hospice, SNF | Admissions from home, Dr's office, hospital, nursing home, hospice, rehab, and SNF |
Admissions from home, Dr's office, hospital, nursing home | Admission from Acute Care Hospital, LTACs, Rehab | Admission from home, hospital, Dr's office |
|
Example: All diagnosis with medical and functional complexities | Example: All diagnosis with medical and functional complexities |
Example: Ortho-Neuro patients with mild medical complexities | Example: All diagnosis on short term IV care, medical acuity skilled needs | Example: stable with minimal medical needs |
|
MI, respiratory needs, CVA, Medically complex, Infectious Disease, Multiple trauma, Neuro | Ventilator Care/Weaning, Complex Wounds, IV antibiotics, Neurological Complications, Infectious Disease, other Complex Medical Conditions |
CVA, HIP FX, TKA, MMT, CHF, Neuro, Polyarthritis | All medical acuity diagnosis such as: simple pneumonia, Minor Systematic Infection | Common Admission Criteria: Inability to perform Activities of Daily Living (ADLs) |
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