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Admission Criteria
Inpatient rehabilitation may be considered medically necessary for patients
meeting all of the following criteria:
• The patient is medically stable.
•The patient is sufficiently mentally alert and responsive to verbal or
visual stimuli and is able to follow simple commands.
•The patient is able to actively participate in a minimum of three hours
of therapy per day.
•The patient's deficits are such that he/she requires treatment by a multidisciplinary
team, including rehabilitation nursing and at least two therapies (PT,
OT, ST), in an acute inpatient rehabilitation setting. NOTE: Patients with global
aphasia may be approved for inpatient rehabilitation in order to establish
a safe and effective communication system.
•The patient's mental and physical condition prior to the illness or injury
indicates there is significant potential for improvement.
•The expectation for improvement is reasonable, and the preferred discharge
setting is home or a group home.
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Discharge Criteria
Discharge from inpatient rehabilitation is appropriate when the following
occur:
There is documentation of the
patient's achievement of stated goals.
Daily multidisciplinary therapy is no longer indicated.
The patient's functional status has remained unchanged or additional
functional improvement appears unlikely within a reasonable timeframe
(7 to 14 days).
The level of rehabilitative care required could be safely rendered in an
alternate, less intensive setting, e.g., outpatient therapy or home health.
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