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Below a quick follow-up and summary of yesterday’s Blog comparing SNF And IRF level care:

In acute rehabilitation provided by an inpatient rehabilitation program, a patient can expect to receive a minimum of three hours of intensive therapy per day, five days per week provided by occupational therapists, physical therapists and speech-language pathology using advanced approaches. Medical care is provided 24 hours a day, seven days a week and a physician will attend to the patient at least three times per week to assess goals and progress. In an IRF, nursing care is provided 24 hours a day, seven days a week by registered nurses as well as Certified Rehabilitation Registered Nurses (CRRNs). The nurse-to-patient ratio is typically one to six or seven patients.  The interdisciplinary team is highly trained group consisting of rehabilitation physicians, internal medicine physicians, nurses, therapists, care managers, dietitians, psychologists and family members who work together to help determine goals and the best individualized treatment approaches the individual. The national average length of time spent at an acute inpatient rehab hospital is 16 days.

In subacute rehabilitation, provided in a skilled nursing facility the patent will receive one or more therapies for an average of one to two hours per day, including physical, occupational, and speech therapy. The therapies are not considered intensive. An attending physician provides a comprehensive initial assessment within 30 days of your admission into a skilled nursing facility. An attending physician, physician assistant, or nurse practitioner is only required to visit once every 30 days. A registered nurse is required to be in the building and on duty for eight hours a day. More often, patients are seen by certified nurse aides. A registered nurse is available in the evening and off hours. The nurse-to-patient ratio is one nurse aide to 20 to 30 patients. In addition to a monthly visit from an attending physician, the patient may be seen by a physician assistant, nurse practitioner, or clinical nurse specialist. Sub-acute teams include physical, occupational, and speech therapists, and a case manager. The national average length of time spent at a skilled nursing facility rehab is 28 days.