Inpatient Therapy Program

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.