Inpatient Acute Rehabilitation

PROGRAM SCOPE

Acute rehabilitation is a short term intensive program for patients aged 16 and over who have good potential to return to home or another community setting. Patients admitted must be medically stable but still need close supervision from a physician to safely engage in rehabilitation. Active participation in three hours of therapy per day is required, so patients must have appropriate endurance, the ability to learn, and be likely to experience significant practical benefit from therapy. The patient must also be able to participate without significant risk of harming themselves or others. Psychiatric diagnoses, if present, must be stable. The program will work to accommodate requests related to cultural needs whenever these can be met in a manner that maintains respect and safety for others in the environment.

Typical diagnoses include stroke, spinal cord injury, amputation, major trauma, brain injury and neurological disorders. Some patients who have had a joint replaced due to arthritis or who have a fractured hip as well as a complicating medical condition may also be eligible. Kaweah Delta Rehabilitation Hospital offers specialty care in both amputation and stroke. The amputation specialty program admits patients with above and below knee amputations on one or both legs. The stroke specialty program admits patients with strokes caused by clots or by bleeding that result in significant loss of mobility, swallowing or speech.

PROGRAM DESCRIPTION

Patients receive individualized attention from an interdisciplinary team, led by a physician experienced in physical medicine and rehabilitation. Rehabilitation nurses provide specialized nursing care 24 hours a day, 7 days a week. Physical and occupational therapists work closely with each patient to develop a treatment plan designed to meet the patient’s specific goals. Speech therapy is available as needed. Therapies are provided 3 hours per day, 6 days per week. An activities coordinator will work with each patient to assist with returning to life roles and leisure interests. Case management professionals provide emotional support and assistance in coordinating plans to return home. Patients and their families are informed throughout their stay of any coverage limitations imposed by their insurance company and alternative sources of funding and programs are discussed as needed. Other services, including respiratory therapy, registered dietician, chaplain visits and pharmacy are provided as needed. Services may also be provided by referral, including services such as prosthetic and orthotic fitting, durable medical equipment, and specialty consultations. Referrals are accepted from case managers, physicians and family members. The program accepts Medicare, Medi-Cal and commercial payer sources.

PROGRAM OUTCOMES

In 2019:
Patient Satisfaction

Patient surveys place our services in the top 23% of rehabilitation programs in the nation. 96% of patients would recommend the program to others, and 76% gave the program the highest scores possible on the survey.
Results

• 87% of patients returned home, better than the national average of 79%.
• Our average length of stay of 13 days was the same as the national average.
• Patient progress was similar to the national average.
• The program has served 524 patients in the past year.

Stroke

• 87% of patients returned home, better than the national average of 74%.
• Our average length of stay of 14 days was lower than the national average of 15 days.
• Patient progress was similar to the national average.
• The program has served 183 stroke patients in the past year.

Orthopedic

• 83% of patients returned home, better than the national average of 82%.
• Our average length of stay of 13 days was above the national average of 12 days
• Patient progress was similar to the national average
• The program has served 48 orthopedic patients in the past year.

Cardiac

• 93% of patients returned home, better than the national average of 83%.
• Our average length of stay of 10 days was below the national average of 11.
• Patient progress was similar to the national average.
• The program has served 76 cardiac patients in the past year.

Amputee

• 78% of patients returned home, better than the national average of 76%.
• Our average length of stay of 13 days was the same as the national average.
• Patient progress was similar to the national average.
• The program has served 49 amputee patients in the past year.

Spinal Cord

• 92% of patients returned home, higher than the national average of 77%.
• Our average length of stay of 14 days was below the national average of 16 days.
• Patient progress was slightly better than the national average.
• The program has served 48 spinal cord patients in the past year.

Questions/feedback? 559-624-3700