Our insurance companies and HMOs will see this as an excellent way to reduce costs even faster. Kick them out to home ASAP.
Pretty soon we'll have ER doctors give us tPA and then off to home for your EHSD. No sense in taking up a bed in a hospital.
http://rehmed.pl/images/upload/pdf_en/2012/1_2012/J-Opara%2015-18.pdf
Abstract
At the beginning of the twenty first century there appeared a promising alternative to stationary rehabilitation for post-stroke patients.
This is the organizational model for rehabilitation continuation after a stroke at home referred to as the Early Supported Discharge Home
(EHSD). This model is an organizational solution allowing for a shortening of hospital stay and a reduction in the costs of treatment and
rehabilitation. This comprises many elements of modern rehabilitation strategies. In 2009 we presented in Medical Rehabilitation ESD
model assumptions. Since then there have been numerous reports that have continued to demonstrate that the EHSD model, despite
shortening stays in the hospital, provides the patient with a real chance for successful rehabilitation. The biggest benefit of this type of
practice is experienced by patients with an average level of disability. In this review article we present the latest reports on the further
development of the concept of home-based post-stroke rehabilitation according to the EHSD model.
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