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.