Healthcare Headlines Blog
March 18, 2024
By Dr. Dean French, MD, CPPS
While long-term acute care hospitals (LTACHs) and skilled nursing facilities (SNFs) are both potential options for patients discharging from a hospital, they offer very different levels of care. Below are 5 key differences between LTACH and SNF settings that impact medically complex patient recovery and readmission rates.
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LTACHs
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SNFs
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Physicians
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Care is directed by physicians who visit patients daily, and multiple medical sub-specialists are available for consultation.
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Physicians typically visit weekly or monthly, but not daily, and some sub-specialist consultations are available in select centers.
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Nurses
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High-acuity care provided by BLS- and ACLS-certified nurses. Nurses implement and manage IV lines, catheters, and tracheostomy and nasogastric tubes. Nurse-to-patient ratios resemble those in other hospitals.
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BLS-certified nurses monitor and manage IV lines, catheters, and tracheostomy and nasogastric tubes.
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Ventilator Liberation
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Ventilator liberation is a major focus, led by pulmonologists, respiratory therapists, and rehabilitation specialists.
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Ventilator liberation is rare, and ventilator management is typically led by nurses rather than respiratory therapists.
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Patient Characteristics
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Patients typically have serious conditions such as respiratory failure, sepsis, traumatic brain injury, or surgical complications with many concurrent illnesses, and require ongoing acute care.
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Patients tend to have a wide variety of conditions that can be managed by nurses with the goal of restoring functional independence before returning home.
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Ancillary Services
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Services such as telemetry, radiology, pharmacy, lab, and dialysis are typically available on-site.
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Radiology, pharmacy, lab, and dialysis services are accessible off-site.
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Next Level Care. Next Level Recovery.
Kindred Hospitals provide specialized long-term acute care and rehabilitation for medically complex patients.
March 18, 2024
By Dr. Dean French, MD, CPPS