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.
• Against medical advice discharge.