Inpatient Rehabilitation Admission Criteria
Admission guidelines recognize that determinations of of whether hospital stays for rehabilitation services are reasonable and necessary must be based upon an assessment of each beneficiary's individual care needs. These criteria are used to determine if the above two elements have been satisfied:
- It must be reasonable and necessary to furnish care on an inpatient hospital basis rather than in a less intensive facility such as a skilled nursing facility or an inpatient basis
- The patient's condition must require twenty-four hour availablity of a physician with special training in the field of rehabilitative medicine and the degree of involvement required is greater than is normally rendered to a patient in a skilled nursing facility;
- The patient requires twenty-four hour rehabilitative nursing care;
- The patient must require and be able to actively participate (follow 50% of commands) in three hours of a combination of physical, occupational, and/or speech-language therapy;
- A multi-disciplinary team approach (usually a physiatrist, rehabilitation nurse, therapist(s), and social worker or psychologist) is required for the patients care;
- There is an expectation that the patient will make significant practical improvement in a reasonable period of time;
- There is a realistic goal that the patient will achieve modified independence in self-care and activities of daily living to allow the individual to return home, home with family, or to a community setting such as an assisted living facility rather than to an institution; and
- Length of the rehabilitation program is monitored by team conferences and discharge planning is an integral part of the rehab program that begins upon admission.
Inpatient Rehabilitation services are provided for adolescent, adult, and geriatric patients of varying cultural backgrounds. Patients are typically ages 14 and above. Persons age 13 and younger will be considered on a case by case basis by the medical director in coordination with the child's pediatrician. This facility does not discriminate against any persons on the basis of age, sex, gender identity/expression, religion, nationality, culture, language, socioeconomic status, etc. Determination of any admission or denial to Inpatient Rehabilitation are based solely on the criteria listed above.
For more information about our program, making a referral, or financial questions regarding inpatient rehabilitation, contact our admissions coordinator at 406-751-7665.