Long Term Acute Hospitals (LTACH’s)

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Northern Colorado Long Term Acute Hospital

Posted on

Oct 12, 2015

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

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How Long-Term Acute Care Hospitals Support Seniors with Complex Needs

Many seniors take charge of their health, even when facing multiple conditions. Long-term acute care (LTAC) hospitals specialize in supporting older adults with complex, serious medical needsoffering extended, hospital-level care in a focused setting. For families using Seniors Blue Book, finding the right LTAC provider makes recovery safer and caregiving more manageable.What LTAC hospitals are and who they serve LTAC hospitals provide extended acute care for patients who need more time than a standard hospital stay. They serve seniors with complex conditions like severe infections, respiratory failure, heart failure, post-surgical recovery, or multiple chronic illnesses. Care is hospital-level but designed for longer durations, often weeks to months. Core services for seniors with complex needs Integrated medical care: Managing multiple conditions under one team. Respiratory support: Ventilator management, oxygen therapy, and breathing treatments. Wound and infection care: Advanced treatment for complex wounds or persistent infections. Post-surgical recovery: Extended care after major surgeries like cardiac or orthopedic procedures. Medication management: Careful monitoring to avoid interactions and side effects. Rehabilitation coordination: Linking with PT/OT to support mobility and function. Nutrition support: Personalized plans for healing and energy needs. Palliative and end-of-life care: Comfort-focused support when appropriate. How LTAC care supports seniors specifically Age-friendly communication: Clear explanations, slower pacing, and family involvement. Sensory and mobility considerations: Quiet rooms, accessible spaces, and assistive support. Continuity of care: Seamless transitions from acute hospital to LTAC and then to home or rehab. Caregiver education: Training for families on medications, wound care, and daily routines. Reduced hospital readmissions: Stable monitoring lowers the risk of complications. Practical benefits for seniors and families Extended stability: More time for recovery without frequent transfers. Comprehensive oversight: One team manages all conditions, reducing confusion. Faster functional gains: Integrated rehab helps restore independence. Lower caregiver strain: Professional support reduces 24-hour home burden. Better outcomes: Targeted care improves healing and quality of life. How to choose the right LTAC hospital for a senior Check geriatric expertise: Ask if staff specialize in caring for older adults. Review services: Confirm respiratory, wound, and post-surgical capabilities. Ask about coordination: Ensure links to primary care, home health, and rehab. Consider accessibility: Look for family visit policies, transport help, and accessible rooms. Read reviews and ask for referrals: Other families experiences reveal reliability and compassion. How Seniors Blue Book helps families find LTAC providers Free, searchable listings make it easy to compare LTAC hospitals. Provider profiles show services, geriatric expertise, and accessibility features. Upgraded listings highlight specialties like ventilator care, wound management, and rehab coordination. Quick checklist before booking an LTAC stay Does the hospital offer geriatric-focused care? Are respiratory and wound care services available on-site? Is there a clear transition plan to home or rehab after discharge? Do they provide caregiver training and support? Are reviews positive for communication and outcomes? Final note Long-term acute care hospitals support seniors with complex needs through extended, specialized care, integrated teams, and age-friendly practices. For families seeking trusted providers, Seniors Blue Books listings help connect you quickly with the right LTAC hospitalso recovery is safer and caregiving becomes more sustainable. 

Know the Difference

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: [email protected]

Defining Levels of Post-Acute Care

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.