INPATIENT
Admission Criteria
1. The patient should be:
· Medically stable
· Having a pre-morbid function indicating a potential for rehabilitation
· Expected to improve in a reasonable amount of time
· In possession of a viable discharge disposition plan
· In need of medical supervision by a physician with specialized training in rehabilitation in addition to requiring 24 hour nursing & other rehabilitation services
· Adequately insured or have resources to cover the cost of treatment
2. The patient in the rehabilitation program must demonstrate impairment in 2 OR MORE of the following:
· Cognitive function (attention span / memory / intelligence)
· Communication (aphasia with major receptive or expressive dysfunction)
· Continence (bowel / bladder)
· Mobility (transfers / walking / climbing stairs / wheelchairs / braces / prosthetics)
· Perceptual motor function (spatial orientation / depth or distance perception)
· Self-care activities (drinking / eating / dressing / maintaining personal hygiene)
· Self-safety (patient is likely to suffer medical complications or cannot safely live independently)
3. The patient must need ALL of the following services:
· Close supervision by a physician
· 24/7 skilled rehabilitation nursing care & supervision
· At least 3 hours daily physical, occupational, speech therapy, &/or psychotherapy
· Weekly interdisciplinary team evaluation
4. Patients who will not knowingly be admitted into this facility are:
· Having displayed or threatened to display severe behavior that may endanger themselves, other patients or hospital personnel
· Having suicidal tendencies
· Infected with active tuberculosis
Discharge Criteria
The patient will be discharged if:
· The medical/clinical condition is not stable enough to permit relative continuity of the program
· The patient refuses to participate in the therapy program on a regular basis, which leads to preventing progress toward stated goals
· There is no longer the requirement for the intensity of inpatient services, & can reach goals through outpatient therapy or home health care services
· Team goals have been met
· Acute hospitalization is required
OUTPATIENT
Outpatient Criteria
The patient should be:
· Medically stable
· Ranging from pediatric to geriatric (pediatric patients may require accompaniment by a parent or guardian)
· Having potential to make functional gains at least every two (2) weeks
· Endorsing family involvement in the program
Discharge Criteria
The patient will be discharged if:
· The medical/clinical condition is not stable enough to permit relative continuity of the program
· The patient is independent or functionally has improved
· Progress is sufficient over enough period of time
· The patient no longer requires two or more therapies
· The patient refuses to participate in the therapy program on a regular basis
· Additional separate criteria may be applied for the following programs:
a. Functional Restoration/Chronic Pain Management
b. Brain Injury
c. Pulmonary