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.