Rehabilitation

Inpatient Rehabilitation at Garfield Medical Center

Admission Criteria for Inpatient Rehabilitation Services

  • Rehabilitation diagnosis
  • good potential for functional improvement
  • ability to participate in 3 hours of therapy daily
  • supportive community discharge plan
  • medical complexity needing 24-hour care coordination by a Physiatrist (Physical Medicine & Rehab MD) and Rehab nursing
  • need for a multi-disciplinary team approach

Medicare Qualifying Diagnosis for Rehab:

  • Cerebral vascular accident (stroke)
  • hip fracture (must be above lesser trochanter)
  • spinal cord injury
  • brain injury
  • arthritis*
    • rheumatoid
    • systemic vasculidities
    • severe advanced Osteroarthritis
  • amputation
  • major multiple trauma
  • neuro-disorders (including multiple sclerosis, Parkinson's disease, Muscular Dystrophy)
  • joint replacements (if bilateral, or 85 years or older, or a BMI of more than 50)

*Arthritis qualifications

  • affects 2 or more weight bearing joints
  • with joint deformity, loss of ROM and muscle atrophy
  • had documented course of OP PT for the same problem just prior to Rehab referral

Other Potential Diagnoses for Rehab (non-Medicare, will be considered on a case by case basis)

  • Spinal Stenosis s/p laminectomy
  • TKR, THR
  • Encephalopathy
  • Craniotomy
  • Total knee replacement
  • total hip replacement
  • multiple fractures

Medi-Cal Admission Criteria

Qualifying Diagnoses for Medi-Cal patients:

  • acute CVA (hemorrhagic or embolic) with positive CT/MRI reports
  • brain tumor: AV malformation; S/P Craniotomy
  • bilateral amputation
  • acute spinal cord injury

Severe functional deficit must be present in one or more areas:

  • self-care skills
  • mobility skills
  • bowel and bladder management

Qualifying diagnoses for Medi-Cal patients:

Patient must have a need for interdisciplinary (nursing, physical therapy, occupational therapy, and speech therapy) team approach to reach goals.

Patient must be able tolerate and participate in at least 3 hours of therapy daily.