Hospital stays, planned or unplanned, are never a first choice for a vacation. Despite our desire to be relaxing on a beach or enjoying the mountains, you or someone you love will unfortunately end up spending time in a hospital. Once stable, hospital patients frequently say the same thing, I just want to go home. When you are in a hospital, your road home may be direct, or it may include a short detour to a short-term rehabilitation center/skilled nursing facility. Safety and function are two key points to consider when choosing the best road home.Acute hospitals have the staff, equipment and expertise to care for unstable patients. The need for acute hospital care ends once the patient is stable. With advances in medicine, the amount of time needed to become stable is getting shorter and shorter. Families are often surprised at how fast their loved one discharges from the hospital. This is because stable patients are not always safe patients, which is a concern for both patients and families. If a patient is stable, but not safe to go home, they will most likely need additional time at a short-term rehabilitation center/skilled nursing facility to regain their safety. Physical function is another area needing consideration when deciding if going home is the right choice. If the patient can independently perform basic activities of daily living, they will most likely go directly home. If they need help with these activities, a quick stay at a short-term rehabilitation center/skilled nursing facility is key. Examples of these basic activities are eating, drinking, using the restroom, transferring between positions such as, lying to sitting, sitting to standing, standing to sitting, and walking. These basic functions can be lost during an extended hospital stay. This is normal and easily remedied with a quick stay at a short-term rehabilitation center/skilled nursing facility. If you find yourself in a situation where your safety or function is keeping you from going home, remember that a stay at a short-term rehabilitation center/skilled nursing facility is exactly what you need. Your hospital case manager will help you navigate your road home. I highly recommend having someone tour at least three short-term rehabilitation centers/skilled nursing facilities on your behalf to find the one that fits your unique need. Editors Note: This article was submitted by Troy Hamler, N.H.A. Troy Hamler is the Executive Director for The Center at Northridge and may be reached at 303-280-4444.
The therapy program of a senior care community is a vital component and drives successful patient outcomes. It is so vital that we must understand the benefits and pitfalls between having in-house versus contract therapy. Knowledgeable providers understand this difference and examine a multitude of factors across their nursing and rehabilitation centers when considering which model is ideal for their operation to ensure short- and long-term success.As mentioned, there are two rehab models, in-house and contracted. They both have their place in a senior care community depending on size, location, and other unique attributes. Here are 5 reasons in-house therapy can benefit residents and a skilled nursing center.One Unified Team: With in-house therapy services, everyone is part of your senior care community team. A collaboration of the interdisciplinary team occurs by all departments reporting and being responsible to the community. This is helpful to keep the team on the same page. While both the in-house and contract models have proven effective, the collaboration, communication, and support of each other are what make a program successful.Save Time + Reduced Workload: It is now necessary to maintain expert knowledge and quickly adapt to the frequently changing Medicare program. A keen understanding of Medicare rules and regulations while still maintaining the ability to treat geriatric and medically complex patients is not easily balanced by a therapy team. Having in-house therapy keeps the entire interdisciplinary team knowledgeable of the same information related to the Medicare rules and regulations.Patients First: Having an in-house therapy program not only helps a senior rehab center to be more compliant and profitable but also puts patients first. How so? The nursing and rehabilitation departments working in tandem on the same team to deliver quality patient care without cross functions. Having in-house therapy services can align the goals of the therapy department to match those of other departments in a senior community.Personal Touch: Many high-quality therapists are attracted to the stability of in-house therapy positions, making it easier for a community to staff and retain top talent. With therapists as permanent members of a team, the therapists commitment as an employee is to the patients home and not a business. In addition, typically the in-house therapy team is given more independence on how therapy is delivered. Many skilled nursing centers with in-house therapy programs can develop and expand specialty programs beyond the standard orthopedics to other conditions such as cardiac rehab, amputee rehab, and Parkinsons care building on the expertise of the team they have built.To recover from illness, surgery and hospitalization patients want effective high-quality rehabilitation whether it is provided by a contracted or in-house team.
The older we are, the more frustrating it can be getting back into good health after an illness or injury. Slower rehabilitation happens because older adults have whats called a decreased physiological reserve. (Thecapability of an organ to carry out its activity under stressis known as physiologic reserve). Generally, a healthy individual will attain the peak of their physiologic reserve at 25 years of age. After that, the reserve starts to decline as the individual ages. Because of this decrease, it takes older adults longer to recover from illness and injury.For older patients, its not just about recovering from an injury. Its often about recovering other cognitive, balance, and strength functions that could decline during a hospital stay.Post-acute care provided by Hillcrest Health Services provides for a smooth transition from hospital to home. It promotes the functional recovery of older adults, prevents unnecessary hospital readmission, and avoids premature admission to a long-term care facility. Hillcrests post-acute facilities are Medicare-certified and accept Medicare and most private insurances.Hillcrests Post-Acute Care ProgramHillcrest Healthcare offers post-acute care rehabilitation at 4 different locations in Nebraska:Hillcrest Health and Rehab in BellevueHillcrest Country Estates: Rehab Cottage in PapillionHillcrest MillardHillcrest Firethorn in LincolnThese programs help to transition from the hospital to home. We know how to help the patient recover most quickly without causing another injury or hospitalization. At Hillcrest, our facilities offer a comfortable environment for all guests by providing only private transitional care. While were focused on rehabilitation and ensuring our guests get the most out of their experience, we also respect their independence. At Hillcrest, we haveover 25 years of experiencewhen it comes to post-acute rehabilitation. As a result, we understand what it takes to get our guests back to their optimal level of function.Our Post-Acute Rehabilitation Team:Chief Medical Officer Dr. Anthony Hatcher oversees our medical care. Before joining Hillcrest Health Services, she spent more than 20 years working for Alegent /CHI Health as a practicing clinical physician. Additionally, our team of therapists are not third-party contractors that we invite in a few days per week; instead, they are exclusively employed by Hillcrest. We take great pride in our team and make sure they have state-of-the-art therapy equipment to provide innovative physical, occupational, and speech therapy to help speed up recovery.Our Excellent Rehabilitation FacilitiesWe encourage you to take a virtual tour of all four of our post-acute rehabilitation facilities. Just click on the name of the facility below:Hillcrest Health and Rehab in BellevueAt Hillcrest Health and Rehab, we began developing our post-acute care services in the early 90s. Since then, we have assisted thousands of patients in the transition from hospital to home, utilizing a variety of therapies, including physical, occupational, speech, and aquatic. In addition, we host the largest rehab gym in the region (10,000 square feet).Hillcrest Country Estates: Rehab Cottage in PapillionStart your road to recovering from an injury, illness, surgery, or hospital stay. At the Rehab Cottage located in the Hillcrest Country Estates, our guests feel an incredible sense of warmth, compassion, and support from a team that is 100% dedicated to their recovery.Hillcrest MillardHillcrest Millard offers over 25 years of experience in post-acute rehabilitation. Among staffing our professionals, we also provide 19 specialty rooms with piped-in oxygen for guests with cardiopulmonary diseases.Hillcrest Firethorn in LincolnHillcrest Firethorn offers years of experience providing best-in-class care for aging adults through our continuum of services. We have been recognized nationally for our leadership and innovation. In addition, Firethorn provides post-acute rehabilitation services in the newest and most beautiful post-acute center in Lincoln.Learn more about our post-acute rehab programs, Contact us today to learn more about our post-acute rehab programs. You can also learn more about it from our website.