Inpatient Rehabilitation Facility (IRF)
Coordinated, interdisciplinary rehabilitation team with expertise in stroke rehabilitation, including: physiatrist/rehabilitation physician; physical, occupational, and speech therapy; psychology; rehabilitation nursing; case manager/social worker. May also include recreational therapy, vocational rehabilitation, neuropsychology Requires at least 2 of 3: PT/OT/ST Sufficient medical stability to perform at least 3 hours of therapy at least 5 days per week or 15 hours of therapy over 7 days per week under special circumstances (e.g. dialysis) Physiatrist/rehabilitation physician oversight 3–7 days per week for evaluation/intervention of medical/rehabilitation management issues
Skilled Nursing Facility (SNF)
Multidisciplinary rehabilitation team, should/may include: physical, occupational, speech, recreational therapy, psychology, nursing, case manager/social worker Ability to perform at least 1–3 hours of therapy 5 days per week Physiatry/rehabilitation physician consultant for recommendations specific to stroke rehabilitation needs
Long Term Acute Care Hospital (LTAC)
Medical treatment issues supersede rehabilitation needs at another level of post acute care Three-day ICU stay during acute hospitalization required Physiatry/rehabilitation physician consultant for recommendations specific to stroke rehabilitation needs
Outpatient Therapy
Physical, occupational, and speech therapy as indicated Interdisciplinary outpatient programs, as available/indicated (Rehabilitation) Psychology, as indicated Neuropsychologic testing, as indicated Vocational rehabilitation, as indicated Driving evaluation, as indicated
Home Health Care Agency (HHCA)
Patient will be considered “homebound” Patient/family will benefit from interventions specific to their home environment Inability to arrange logistics for attendance in an outpatient treatment program due to patient tolerance or program availability Physical, occupational, and speech therapy, social worker, as indicated Nursing/aide, as indicated
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