[PT11] Institutional Types/Practice Environments in Physical Therapy

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ACUTE CARE

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34 Terms
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ACUTE CARE

Treatment for a short-term illness or health problems

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<30 days <7 days

Average and usual patient length of stay for ACUTE CARE

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PRIMARY CARE

Basic or first-level healthcare provided on an outpatient basis.

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SECONDARY CARE

2nd level medical services which often require inpatient hospitalization or ambulatory same-day surgery. (e.g. hernia repair)

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Medical specialists that do not have first contact.

  • Cardiologists

  • Urologists

  • Dermatologists

Provides SECONDARY CARE

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TERTIARY CARE

Highly specialized, technologically based medical services which may require surgical procedures. (e.g. heart, liver, lung transplants)

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Highly specialized physicians

  • Orthopedic surgeon

  • Neurosurgery

Provides TERTIARY CARE

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SUBACUTE CARE

Intermediate level of health care for medically fragile patients too ill to be cared for at home.

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Within the Hospital or SNF setting

Where is SUBACUTE CARE provided?

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TRANSITIONAL CARE UNIT

Hospital-based SNF

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AMBULATORY CARE

Includes outpatient, preventative diagnosis, and treatment services which are favored by managed-care plans. Less costly than inpatient care.

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SKILLED NURSING FACILITY

Provides care by continuous nursing, rehabilitation, and other health-care services on a daily basis

It can either be free-standing or part of a hospital

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7 days a week of skilled nursing 5 days a week of skilled therapy

How does Medicare define daily care?

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ACUTE REHABILITATION HOSPITAL

Provides rehabilitation, social, and vocational services to disabled individuals to facilitate their return to maximal functional capacity

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Rehabilitation

Involves the coordinated services of medical, rehabilitative, social, educational, and vocational services for training or retraining

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CHRONIC CARE FACILITY

Provides services to patients >= 60 days.

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CHRONIC CARE FACILITY

a.k.a. Long-Term Care Facility

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CHRONIC CARE FACILITY

Medical services provided to patients with permanent or residual disability caused by a nonreversible pathological health condition.

May require specialized care/rehabilitation.

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CUSTODIAL CARE FACILITY

Not medically required but necessary for the patient who is unable to care for him/herself.

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CUSTODIAL CARE FACILITY

May involve medical or nonmedical services that do not seek a cure.

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CUSTODIAL CARE FACILITY

This type of care is usually not covered under managed-care plans.

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CUSTODIAL CARE FACILITY

Daily care is delivered by nonmedical support staff

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HOSPICE CARE

Care available for dying patients and their family at home or inpatient settings.

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HOSPICE CARE

Medicare and Medicaid require at least 80% of this type of care to be provided at home

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HOME HEALTH CARE

Health care provided to individuals and their families at their homes

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Home health agency (HHA)

  • Governmental

  • Voluntary

  • Private: profit or non-profit

Provides HOME HEALTH CARE

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SCHOOL SYSTEM

The PT serves as a consultant to teachers who work with students with disabilities in the classroom

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PRIVATE PRACTICE

Entrepreneurial PTs that work for or own a free-standing independent PT practice.

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Sports Physical Therapy Orthopedic Clinics Rehabilitation Agencies Occupational Health

Settings for PRIVATE PRACTICE

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PRIMARY CARE

PTs support this type of care through examination, evaluation, diagnosis, and prevention of musculoskeletal and neuromuscular disorders

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SECONDARY CARE

Specialized care

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AMBULATORY CARE

Outpatient Care

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SKILLED NURSING FACILITY

Extended Care Facility

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PRIMARY CARE

Known as the "gatekeeper" to other subspecialists, including PHYSICAL THERAPY

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