Geriatrics

ACUTE REHABILITATION HOSPITALS ("Acute Rehab")

Where provided?
Medicare certified designed units
In Nebraska: Immanuel, Methodist (Omaha) and Madonna (Lincoln)

Qualifiers (summary)

• Inpatient 3 nights
• Do they quality? Decide with "RE-H-AB" mnemonic

RE habiltatable
H elp? (will the treatment help?)
AB le  (can the patient cooperate?)
 
Bottom line: If any question ask for consult for Acute Rehab and a physiatrist will help decide.

Additional Qualification issues:  

• must be a Medicare certified facility
• must require intense, multi-disciplinary rehabilitation
• supervised by a physician with experience or training in rehabilitation medicine. (Physiatrist)
• care must be reasonable and necessary and not available at a less skilled level of care
• patient requires & can perform ~three hours of therapy each day
  • Licensed as a hospital
  • Rehab experts can focus on "real life" skills