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 ComplexRespiratory Disorders including TracheostomyVentilator DependentCardiac/Cardiovascular ConditionsRenal DiseaseWound CareReconstructive and Extended Post-Surgical CareRehabilitation Related Diagnosis with Complex or Tertiary NeedsOncologyThe 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 PatientsThe following differentiates LTACs from other levels of care:Attending Physician and Consultants:Daily Hospitalist RoundingPulmonologistsNephrologistsSurgical SpecialistsPhysiatrists (PM&R)Procedures:DialysisBronchoscopies & Chest Tube ManagementX-RayLine Placement (Central lines, PICC lines)Telemetry/ Cardiac Monitoring & Continuous Pulse OximetryWound DebridementMedicationsPharmacist on siteIV therapies (abx, etc.)IV DripsInsulinPressors (Dopamine, Levophed, etc.)LasixJoint Commission Accreditation Therapies:RespiratoryTherapists on-site 24/7Speech TherapyDietitianPhysical & Occupational TherapistsWound Care NursesEditors 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