Long Term Acute Care Hospitals (LTACH'S)

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Northern Colorado Long Term Acute Hospital

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Sep 16, 2012

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Northern Colorado Long Term Acute Hospital (NCLTAH) provides specialized medical, nursing and rehabilitation services for patients who need more advanced care for their recovery process, but who no longer require services in a traditional acute care hospital. Patients typically have a chronic or medically complex medical condition that requires hospitalization for an average of 25 days or more in a facility that offers a 24/7 specialized treatment program.
LTACs are Post Acute Care hospitals they are not to be confused with Nursing Homes (SNFs).
Appropriate conditions treated in the Long Term Acute Hospital are:
Medically Complex
Respiratory Disorders including Tracheostomy
Ventilator Dependent
Cardiac/Cardiovascular Conditions
Renal Disease
Oncology
Wound Care
Reconstructive and Extended Post Surgical Care
Rehabilitation Related Diagnoses with Complex or Tertiary Needs

The top admitting diagnoses in the Long Term Acute Hospital are:
Respiratory Failure (Ventilator weaning, high flow oxygen)
Infectious Disease (IV abx, infection monitoring)
Extensive Wound Management (Ulcers, Fistulas, Surgical)
Parenteral Nutrition (Abd wounds, Post Op)
Multiple Trauma (Multiple fracture/deconditioning/malnutrition)
Head Injuries (CVAs, TBIs)
Dialysis (ESRD, ATN)
Medically Complex Patients

The following differentiates LTACs from other levels of care:
Attending Physician and Consultants
Daily Hospitalist Rounding
Pulmonologists
Nephrologists
Surgical Specialists
Physiatrists (PM&R)

Procedures
Dialysis
Bronchoscopies & Chest Tube Management
X-Ray
Line Placement (Central lines, PICC lines)
Telemetry/Cardiac Monitoring & Continuous Pulse Oximetry
Wound Debridement
Medications
Pharmacist on site
IV therapies (abx, etc.)
IV Drips
Insulin
Pressors (Dopamine, Levophed, etc.)
Lasix
Joint Commission Accreditation
Therapies:
Respiratory Therapists on-site 24/7
Speech Therapy
Dietitian
Physical & Occupational Therapists
Wound Care Nurses

Editors Note: This article was written by Daniel Asadi, DO, Diplomat, American Board of Internal Medicine and Medical Director at Northern Colorado Long Term Acute Hospital, Johnstown, CO. The NCLTAH team of professionals can be reached at 970-619-3663.

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