Principles of Subacute care and how its units were created?
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Subacute care is comprehensive inpatient care for people who have an acute illness, injury, or disease process exacerbation. It is goal-oriented treatment provided immediately following, or in lieu of, acute hospitalisation to treat one or more specific active complex medical conditions or to administer one or more technically complex treatments, in the context of a person's underlying long-term conditions and overall situation. Subacute care is the period between receiving acute care in a hospital and being discharged to the patient's home. The philosophy is to create a healing environment while relying less on high-tech interventions. While subacute care patients may not require invasive or intensive diagnostic procedures, they do require frequent physician monitoring, nursing care, and rehabilitation from a multidisciplinary team. Each patient receives care according to an individualised care plan that takes both functional and medical disabilities into account. A physiatrist ensures the best use of rehabilitation services by measuring the physiologic impairment (i.e., strength, physical fitness, balance, and coordination) to minimise any resulting disability. An internist or geriatrician oversees medical care. Patients must have a clear rehabilitation objective and identified needs for skilled care in order to be eligible for subacute care. To shorten their stay in the acute hospital setting, it is critical to identify these patients as early as possible during their acute hospitalisation. Patients who need elective procedures like joint replacement or coronary artery bypass grafting can be identified in advance and directed to subacute care once they are stable.
Good Candidates for subacute care Patients who require: are examples of those who can benefit from subacute care.Close monitoring for a chronic medical condition like congestive heart failure, chronic obstructive pulmonary disease, or diabetes
Why Subacute Care Units Were Created Subacute care developed rapidly in the early 1980s, facilitated by the Prospective Payment System 'PPS'. Medicare. For acute hospital care of by the Diagnostics Related Group (DRG). Under the DRG system, hospitals found they could make a profit if they were able to discharge patients before the DRG reimbursement limit was exhausted, even if the patients were receiving sub-acute or advanced care. Did. , this until recently, was reimbursed based on actual costs, and for profit he added a percentage of . But the motives were not only financial. The Subacute Ward provides continuation of care after an acute illness and is a good option for patients requiring a transition between acute care and hospital discharge.
HOW REIMBURSEMENT HAS CHANGED Subacute care services are reimbursed by Medicare, medical institutions, and other insurers , but most long-term or nursing home care is reimbursed by Medicaid. Many hospitals have their own We are developing our sub-acute care unit as a way to keep more revenue in-house. As a result, the length of stay was significantly reduced in the acute phase, but the expenditure was significantly increased in the subacute phase. Congress saw this as a “double-dip” and to keep costs down, he imposed PPS on subacute care, as he had previously done in acute care hospitals. The reimbursement of PPS reflects the capitalized insurance model, in which for each patient based on Slow Weaning or Aggressive Weaning from Ventilator Nursing If Ventilator Dependent
- Training and Education About Its Signs and Symptoms
- Intravenous drugs (eg, antibiotics,
dobutamine) - Wound management or burn care
- Post-intensive rehabilitation Stroke or surgery (such as joint repair)
- Pain treatment
- Parenteral or enteral nutrition and Education
- Ongoing outpatient or periodic dialysis.