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

• Two or more weight bearing joints affected
• Joint deformity, loss of ROM and muscle atrophy
• 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.