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ACUTE CARE
Treatment for a short-term illness or health problems
<30 days <7 days
Average and usual patient length of stay for ACUTE CARE
PRIMARY CARE
Basic or first-level healthcare provided on an outpatient basis.
SECONDARY CARE
2nd level medical services which often require inpatient hospitalization or ambulatory same-day surgery. (e.g. hernia repair)
Medical specialists that do not have first contact.
Cardiologists
Urologists
Dermatologists
Provides SECONDARY CARE
TERTIARY CARE
Highly specialized, technologically based medical services which may require surgical procedures. (e.g. heart, liver, lung transplants)
Highly specialized physicians
Orthopedic surgeon
Neurosurgery
Provides TERTIARY CARE
SUBACUTE CARE
Intermediate level of health care for medically fragile patients too ill to be cared for at home.
Within the Hospital or SNF setting
Where is SUBACUTE CARE provided?
TRANSITIONAL CARE UNIT
Hospital-based SNF
AMBULATORY CARE
Includes outpatient, preventative diagnosis, and treatment services which are favored by managed-care plans. Less costly than inpatient care.
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
7 days a week of skilled nursing 5 days a week of skilled therapy
How does Medicare define daily care?
ACUTE REHABILITATION HOSPITAL
Provides rehabilitation, social, and vocational services to disabled individuals to facilitate their return to maximal functional capacity
Rehabilitation
Involves the coordinated services of medical, rehabilitative, social, educational, and vocational services for training or retraining
CHRONIC CARE FACILITY
Provides services to patients >= 60 days.
CHRONIC CARE FACILITY
a.k.a. Long-Term Care Facility
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.
CUSTODIAL CARE FACILITY
Not medically required but necessary for the patient who is unable to care for him/herself.
CUSTODIAL CARE FACILITY
May involve medical or nonmedical services that do not seek a cure.
CUSTODIAL CARE FACILITY
This type of care is usually not covered under managed-care plans.
CUSTODIAL CARE FACILITY
Daily care is delivered by nonmedical support staff
HOSPICE CARE
Care available for dying patients and their family at home or inpatient settings.
HOSPICE CARE
Medicare and Medicaid require at least 80% of this type of care to be provided at home
HOME HEALTH CARE
Health care provided to individuals and their families at their homes
Home health agency (HHA)
Governmental
Voluntary
Private: profit or non-profit
Provides HOME HEALTH CARE
SCHOOL SYSTEM
The PT serves as a consultant to teachers who work with students with disabilities in the classroom
PRIVATE PRACTICE
Entrepreneurial PTs that work for or own a free-standing independent PT practice.
Sports Physical Therapy Orthopedic Clinics Rehabilitation Agencies Occupational Health
Settings for PRIVATE PRACTICE
PRIMARY CARE
PTs support this type of care through examination, evaluation, diagnosis, and prevention of musculoskeletal and neuromuscular disorders
SECONDARY CARE
Specialized care
AMBULATORY CARE
Outpatient Care
SKILLED NURSING FACILITY
Extended Care Facility
PRIMARY CARE
Known as the "gatekeeper" to other subspecialists, including PHYSICAL THERAPY