Rehab Organizations Flashcards
PM&R
Physical Medicine and Rehabilitation
Team effort
primary team member is the patient
(S) Acute Hospital
must have 24 hour RN available, must have a lab, must have an ER (average LOS is 3 days)
(S) Acute rehab hospital
must have diagnoses, other specific criteria are defined by medicare, need a plan to be discharged for more independent living, must tolerate 3 hours of therapy per day, they have a meeting for each patient for Plan of Care, # of established programs
(S) Outpatient
Majority only PT
(S) Post-acute/sub-acute
Tolerate 2 hours of therapy per day, includes ventilator patients, more unstable than acute
(S) LTAC Long term acute care
Doesn’t have anything :`(
(S) Hospice
improves quality of life, pain management, not necessarily looking for improvement
(S) Nursing Home/SNF Skilled Nursing Facility/ECF Extended care facility
Alzheimer’s patients are safer here, long or short term. When it is long term it is their residence so you treat their rooms as if it is a home
(S) Home health
typically a PT comes and sometimes OT or Speech therapist, must prove the patient is homebound for insurance purposes
(S) Same day Sx center
Typically no PT, sometimes on-call PT for education purposes
Outside agencies
need a business license to operate, license has rules for public protection, need handicap parking, outlets, bathroom accessibility, fire exits and training
Certifications
you need to meet specific accreditations, medicare certification, if you don’t follow rules, you lose medicare
JCHO
Joint commission on accreditation on healthcare organizations
CARF
Commission on accreditation of rehabilitation facilities (difficult to obtain)