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.