The Transition from the Hospital to an Inpatient Rehabilitation Setting for Neurologic Patients

Lalita R. Thompson, Nneka L. Ifejika

Research output: Contribution to journalReview article

Abstract

Transitions of care from acute hospitalization to postacute rehabilitation settings evolved as a function of cost-saving changes to the Medicare Prospective Payment System. Restricted criteria for inpatient rehabilitation facility admission limited access for patients with severe physical and cognitive deficits. Once used as a resource-intense supplement to hospital care, skilled nursing facilities have metamorphosed into rehabilitation settings with limited nursing staff, lower intensity of therapies, and decreased community discharge rates. A collaborative approach to care transitions, using acute and postacute health care providers, provides the opportunity to improve this process. Early physiatry consultation is a strategy for patients with neurologic disease.

Original languageEnglish (US)
Pages (from-to)357-366
Number of pages10
JournalNursing Clinics of North America
Volume54
Issue number3
DOIs
StatePublished - Sep 2019

Fingerprint

Inpatients
Patient Transfer
Rehabilitation
Subacute Care
Prospective Payment System
Skilled Nursing Facilities
Physical and Rehabilitation Medicine
Nursing Staff
Medicare
Nervous System Diseases
Health Personnel
Hospitalization
Referral and Consultation
Costs and Cost Analysis
Neurological Rehabilitation
Therapeutics

Keywords

  • Care transition
  • Inpatient rehabilitation facility (IRF)
  • Nursing
  • Physiatry
  • Physical medicine and rehabilitation
  • Rehabilitation
  • Skilled nursing facility (SNF)

ASJC Scopus subject areas

  • Nursing(all)

Cite this

The Transition from the Hospital to an Inpatient Rehabilitation Setting for Neurologic Patients. / Thompson, Lalita R.; Ifejika, Nneka L.

In: Nursing Clinics of North America, Vol. 54, No. 3, 09.2019, p. 357-366.

Research output: Contribution to journalReview article

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