Inpatient Rehabilitation Admission & Discharge Process
Admission Process
Inpatient comprehensive rehabilitation services are provided for patients
who have suffered functional loss. Disabling illness may include:
Stroke (CVA)
Congenital Deformities
Major Multiple Trauma
Brain Injury
Amputation
Polyarthritis/Joint Replacement
Neurological Disorders
Spinal Cord Injury
Femur Fracture
Burns
General Debility
A pre-admission phone screening is available seven days a week.
For more information, please call our pre-admission coordinator at
701.780.2569.
Discharge Process
The discharge process begins at or before the time of admission for rehab
and is evaluated throughout the stay. The case manager/rehab team seeks
active patient and family involvement in this process based on individualized needs.
The following criteria are to be used in determining discharge:
Functional inpatient rehabilitation goals are met in all therapy areas.
No significant progress is evidenced toward functional goals.
Goals can be addressed in a less intense program (i.e., therapy provided
at non-acute inpatient setting).
No longer needs two or more therapy services to increase functional performances.
Appropriate discharge planning processes/follow-up care is completed based
on needs assessment.
Medical needs assessment completed and appropriate post-discharge supplies/services
are coordinated.
Patient is unable/unwilling to actively participate in inpatient rehabilitation
program (3-hour rule).
Patient no longer requires 24-hour medical or nursing supervision/treatment.
Medically unstable - requires acute medical treatment. This will result
in transfer to an acute care setting as determined by the attending physician
(acute hospital admission criteria met).
Denial of third party benefit for continued stay, unless other arrangements
have been coordinated.
Patient/caregiver trained in post-discharge program(s) as appropriate.
Patient/family have received notification of discharge.
Patient/family approve discharge plan.
Appropriate level of care nursing facility placement is available.
Nursing home pre-admission assessment completed prior to nursing facility
placement.
