Frequently Asked Questions
What is a Select Specialty Hospital?
Select Specialty Hospital focuses on extended hospital care for the medically complex, catastrophically injured, or critically ill patient. These specialized acute care hospitals fill the gap in services between short term acute care hospitals and skilled nursing homes or subacute facilities. Select Specialty Hospital meet the needs of patients who no longer require the ICU, yet whose medical conditions are too complex for transfer to a skilled nursing facility or subacute facility. Treatment programs center around providing the highest level of care required to maximize the clinical outcomes of the patient.
Has the need for these services increased?
Yes. The need for specialized acute care services has increased due to the extended hospitalization needs of high acuity patients. Long term acute care hospitals focus entirely on providing critical care nursing and intensive respiratory care and aggressive therapies to medically complex or catastrophically injured patients and are able to deliver a complete continuum of care at an overall cost that can be more cost effective than traditional short term acute hospitals. As a patient's health status improves, they no longer require acute care and are discharged to appropriate facilities, ie Skilled Nursing Facilities, Nursing homes, etc. that can continue to provide the current level of care needed or to home or home care as appropriate. The overall stay for this type of patient can be reduced within the system, thereby resulting in cost savings for the patient as well.
How do you define "Long-Term Acute Care"?
Long-term acute care is defined as medical care provided to patient that meet acute care criteria, including severity of illness and intensity of service, and require hospitalization for a longer period of time. The average length of stay for all patients combined is generally around 25 days (some may admit for shorter days while others may admit for longer days dependent on their acute needs).
What type of patient does Select Specialty Hospital admit?
- Hemodialysis/Peritoneal dialysis
- Head Injury (ie - Stroke)
- Post CVA
- Wound Care
- Ventilation/Pulmonary Care
- Long Term IV Therapies
- Multi-system Failures
- Post Surgical Complications
- Complicated Infectious Process
How often do physicians visit their patients?
Attending physicians visit patients daily. Consulted physicians' visits are as required and appropriate.
If the patient requires transfer from Select Specialty Hospital to a traditional short term acute care hospital, where do they go?
If there is a life threatening emergency that cannot be met by Select, the patient would be transferred to the closest short term acute care hospital. If it is not an emergency, the choice of short term acute care hospital is made by the patient and family. This type of transfer is unusual but may be necessary for specific events, like surgery.
Are case management services available?
Yes. Case managers interact in an interdisciplinary team process to provide high quality, cost effective care.
What mechanisms are in place to monitor utilization and quality issues?
Quality management and utilization are monitored via ongoing concurrent chart reviews beginning on admission. Focused reviews ensure appropriateness, medical necessity, and standard of care are maintained.
What is the discharge planning approach?
A patient may be discharged to home typically with home care or to a subacute facility or nursing home. Patients and their families are assisted with discharge plans by the case managers. Each patient's clinical plan of care s reviewed and discharge goals are set. The patient and the family are encourage to participate in discharge goal setting. Every effort is made to educate the patient and the family about the patient's discharge needs, available funding, and community resources.
Is Select Specialty Hospital covered by most insurance plans?
Yes. Select Hospital is approved by most insurance plans and accepts various reimbursement structures. The Admissions Coordinator and case manager will assist with any out of network plan provisions or negotiations may be required.
Is Select Specialty Hospital Accredited or Certified?
Select Specialty Hospital is licensed as an acute care hospital, is Medicare Certified, and is accredited by the Joint Commission.
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