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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 Health 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.

Strategic Plan

The rehabilitation program regularly reviews areas of strength and weakness in the program, as well as identifying areas for further growth. The result is a strategic plan that the leadership team discusses every quarter to ensure that progress is being made on our identified goals and priorities.

For the coming year, some of the key areas for focus are:

  1. Improve Kaweah Health Rehabilitation Website for better user experience including functionality and content.

  2. Implement stakeholder input for ease of providing feedback while on site.

  3. Improve accessibility for patients to services provided.

  4. Improving access to care by making sure patients get to the right type of inpatient and outpatient care for their needs.

  5. Interviewing patients during their stay to determine if there are concerns that could be addressed in order to improve the patient experience.

Program Outcomes

In 2021:

Patient Satisfaction

  • Overall satisfaction 92.4 Kaweah Health Rehab / Nation 91.0

  • Placed in the 53rd percentile and 79% place in overall Top Box

Results CY2021

  • 80% of patients returned home, better than the national average of 79%

  • Our average length of stay is 13.6 days, better than the national average of 14.2 days

  • 63% of the patients on discharge met or exceeded expected goals, the national average was 67%

  • The program has served 449 patients for the CY2021

Stroke

  • 79% of patients returned home, better than the national average of 75%

  • Our average length of stay is 15 days, better than the national average of 16 days

  • 64% of the patients on discharge met or exceeded expected goals, better than the national average of 62%

  • The program has served 164 patients for the CY2021

Orthopedic

  • 83% of patients returned home, the national average was 84%

  • Our average length of stay was 13 days, the national average was 12 days

  • 64% of the patients on discharge met or exceeded expected goals, the national average was 69%

  • The program has served 77 patients for the CY2021

Cardiac

  • 71% of patients returned home, the national average was 80%

  • Our average length of stay was 11 days which was comparable to the national average of 11 days

  • 73% of the patients on discharge met or exceeded expected goals, better than the national average of 70%

  • The program has served 21 patients for the CY2021

Amputee

  • 76% of patients returned home, the national average was 80%

  • Our average length of stay was 11 days, better than the national average of 13 days

  • 72% of the patients on discharge met or exceeded expected goals, better than the national average of 69%

  • The program has served 46 patients in CY2021

Spinal Cord

  • 85% of patients returned home, better than the national average of 80%

  • Our average length of stay was 15 days, better than the national average of 16 days

  • 45% of the patients on discharge met or exceeded expected goals, the national average was 64%

  • The program has served 26 patients in CY2021

Questions or feedback? Please call: 559-624-3700