LONG TERM ACUTE CARE HOSPITALS (LTACHS)
PROVIDE 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 Skilled Nursing Facilities (SNFs).
Appropriate conditions treated in the Long Term Acute Hospital are:
Medically Complex
Respiratory Disorders including Tracheostomy
Ventilator Dependent
Cardiac/Cardiovascular Conditions
Renal Disease
Wound Care
Reconstructive and Extended Post-Surgical Care
Rehabilitation Related Diagnosis with Complex or Tertiary Needs
Oncology
The top admitting diagnoses in the Long Term Acute Hospital are:
Respiratory Failure (Ventilator weaning, high flow oxygen)
Infectious Disease (IV antibiotics, 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 & Medical Director at Northern Colorado Long Term Acute Hospital, Johnstown, CO. The NCLTAH team of professional can be reached at 970-619-3663
For individuals recovering from an illness or injury and in need of additional care, understanding their next steps can be confusing. Here is a brief overview of three of the most common types of treatment options.Long-Term Acute Care Hospitals Do not require a 3-night overnight stay in acute care before accepting Best for medically complex patients 8 hours of direct care per day 30-90 minutes of therapy daily Full range of physicians Physician involvement 7 days per weekInpatient Rehabilitation Hospitals Do not require a 3-night overnight stay in acute care before accepting Best for patients who need medical care daily 6 hours of direct care per day 3 hours of one-to-one therapy daily (depending upon the hospital) Full range of physician with specialty visits on site, consulting as needed Physician involvement 7 days per weekHome Health Best for medically stable patients Amount of care depends upon patient acuity Limited therapy visitsNot all hospitals and home health programs offer the same level or quality of programs, so be sure to ask questions. Editors Note: This article was written by Connie Buckwalter, corporate Director of Communications & Public Relations with PAM Specialty Hospitals. For more information call Barbara Scriven at 720-618-3938 or email at: bscriven@pamspecialty.com
Many times after a serious injury or illness, the need for additional 24-hour medical assistance is needed to help a person heal, properly rehabilitate and ensure that he or she is in stable condition before returning home.What most people dont know is that there are different options when choosing a continued care provider after your primary acute hospital stay. Each organization can vary by the length of stay, therapy intensity and type of medical personnel.Your medical provider can help you choose, but it is also important for you to be informed of your options in order to determine what care is best for you.Long-Term Acute Care Hospital (LTAC)If a person is in need of intensive medical care for a longer period of time (an average of 25 days or more), they should consider a long-term acute care hospital. This facility is best for patients who have just been released from an intensive care unit, who need to be monitored closely and more frequently by nurses and doctors.Long-term acute care hospitals focus on stabilizing a patients medical condition rather than providing comprehensive rehabilitation.In-Patient Rehabilitation HospitalIn-patient rehabilitation hospitals focus on short intensive medical rehabilitation with the goal of getting the patient home as soon as possible. Patients who choose an in-patient rehabilitation hospital have daily doctor visits, receive specialized rehab nursing care and undergo more significant rehabilitation.These facilities specialize in intensive rehabilitation teams to include physical therapists, occupational therapists, speech language pathologists, psychologists and more. Each patient receives at least three hours of rehab therapy per day, five days per week.The average length of stay at an in-patient rehabilitation hospital is 12-16 days.Skilled Nursing FacilityA skilled nursing facility offers long-term care for patients who are medically stable, but still need professional medical care and supervision. Although nurses are available 24 hours a day, doctors are only required to visit patients once each month.Skilled nursing facilities require Medicare patients to stay three midnights at their primary hospital before they are eligible for admission.Whatever your medical needs are, there is a 24-hour medical facility that is right for you. Always consult your family and medical provider to help you make the best possible choice for you.Editors Note: This article was submitted by Spalding Rehabilitation Hospital. Please direct all questions to 303-363-5146.
An Intensive Care Unit [ICU] stabilizes patients; however, the next step is just as critical to recovery. Individuals with medically complex conditions may be ready to leave the ICU, but still require advanced monitoring, rehabilitation and time to heal. Thats where Select Specialty Hospital Camp Hill can help.Select Specialty Hospital Camp Hill is a critical illness recovery hospital. Licensed as a long-term acute care hospital (LTAC), it specializes in the medical and rehabilitative care of patients who need more time to heal from infectious diseases, surgical complications, and orthopedic, wound or post-trauma care. Many patients may also require ongoing treatment for pulmonary conditions, neurological disorders, cardiac conditions or renal disorders.Why Select Specialty Hospital?Select Specialty Hospital Camp Hill is located on the fifth floor of Geisinger Holy Spirit Hospital. Its a hospital within a hospital that makes it easy for patients to continue receiving advanced services -- ventilator weaning, cardiac monitoring and dialysis -- without having to move to a different location. It also means the doctors and specialists who have cared for a patient since admission may continue to be actively involved in their care.Select Specialty Hospital Camp Hill, along with our locations in Harrisburg and York, provide care that includes daily physician visits, as well as 24-hour nursing and respiratory care. If required, physical, occupational and speech therapies are also provided. Additionally, all of our Central Pennsylvania hospitals have access to diagnostic radiology and laboratory services, an on-site pharmacy, nutritional care, dialysis and innovative speaking devices for those on ventilators. The medical staff and patients are also supported by case managers, clinical liaisons and admission coordinators. To learn more, or to take a virtual tour of Select Specialty Hospital Camp Hill, please visit camphill.selectspecialtyhospitals.com.From the moment a patient arrives at a Select Specialty Hospital, he or she receives compassionate, patient-centered care that focuses on helping that individual meet his or her specific recovery goals.