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

Keywords

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

ASJC Scopus subject areas

  • Nursing(all)

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