Totally worthless information. What is needed is factual information on 30-day deaths, 100% recovery, efficacy of all stroke protocols. None of which I have ever seen reported by any rehabilitation provider.
https://www.empoweredtoserve.org/index.php/choosing-the-right-stroke-rehab-facility/
Knowing where to turn for rehabilitation and support after a stroke
can be overwhelming, according to expert volunteers from the American
Stroke Association, which published its first-ever Guidelines for Stroke
Rehabilitation and Recovery for Adults.
Stroke rehabilitation often requires healthcare professionals from
several disciplines because a stroke can affect many functions:
paralysis and weakness; gross and fine motor skills; speech and
language; cognition; vision; and emotions. Yet limited timeframes to
find care after discharge can be challenging.
Knowing where to turn for rehabilitation and support after a stroke
can be overwhelming, according to expert volunteers from the American
Stroke Association, which published its first-ever Guidelines for Stroke
Rehabilitation and Recovery for Adults.
“There
is increasing evidence that rehabilitation can have a big impact on
survivors’ quality of life, so the time is right to review the evidence
in this complex field and highlight effective and important aspects of
rehabilitation,” said Carolee J. Winstein, Ph.D., lead author of
the scientific statement published in the May 2016 issue of the American
Heart Association journal Stroke.
Stroke rehabilitation often
requires healthcare professionals from several disciplines because a
stroke can affect many functions: paralysis and weakness; gross and fine
motor skills; speech and language; cognition; vision; and emotions. Yet
limited timeframes to find care after discharge can be challenging. The
average hospital stay in acute care is between four (ischemic) and
seven days (hemorrhagic stroke). Most stroke patients are transferred
from acute care to an inpatient rehabilitation facility (IRF); a skilled
nursing facility (SNF) or a long-term acute care (LTAC) hospital. Those
discharged to home may have home health, outpatient therapy, or hospice
care.
Rehab dollars should be used wisely, and at an inpatient
rehabilitation facility if possible, Winstein said. Families should
first check with their insurance plan to see what types of post-acute
care are covered. Evaluating inpatient rehabilitation facilities and
skilled nursing facilities? Here’s a short breakdown of the services
both provide, and questions to ask:
Inpatient rehab facilities
typically take a team approach, with therapists meeting to discuss
patient care. The patient must be able to participate in three hours of
therapy every day. Medicare will cover up to 90 days in an inpatient
rehab facility (or longer in some instances, although cost sharing is
very high). Medicare.gov is launching a public quality rating program
for IRFs this fall.
If
a patient can’t participate in three hours of daily therapy, a skilled
nursing facility with a coordinated rehab program may be able to provide
care, but resources, facility and programs provided vary, and finding
the right place may require some investigation. Medicare will usually
cover up to 100 days. Medicare.gov posts public quality ratings for
skilled nursing facilities, a good way to evaluate facilities
apples-to-apples with specific quality measures.
(Also see “Commission on Accreditation of Rehabilitation Facilities.”)
Patients
discharged from the hospital directly home may receive rehabilitation
services from a home health agency or on an outpatient basis. Medicare
covers up to 60 days of home health services. Insurance limits on
outpatient therapy services can be as short as 2-3 weeks for physical,
occupational and speech therapy, but Medicare has an “exceptions
process” that allows patients to receive additional outpatient therapy
if medically necessary.
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