Transitional care hospitals (certified as long-term acute care hospitals and licensed as acute care hospitals) provide an acute hospital level of care and services to patients requiring prolonged hospitalization. Transitional care hospitals are different from acute care general hospitals in that they treat patients who stay, on average, about 25 days. Care levels extend from ICU beds (at most of our hospitals) to monitored beds to general medical care. Most of our hospitals have ORs or treatment rooms for invasive and minor surgical procedures such as G-tube placement and wound debridement.
Nationally we have two types of transitional care hospitals. The first is a freestanding hospital, which typically has 50-80 patient beds. The second is an HIH, or hospital in a hospital. This is a transitional care hospital located inside or on the same campus as a general acute care hospital. These tend to range from 30-45 beds. Both operate as independently licensed, certified and accredited hospitals.
Transitional care hospitals are unique for many reasons, including:
Our specialized services and extended care are tailored to medically complex patients who are unable to recover completely in a short-term setting.
We use patient screening criteria to evaluate the appropriateness of patients admitted to our hospitals to ensure that we are treating those medically-complex patients that benefit most from this level of care – and that patients requiring less-intense services receive care and rehabilitation in appropriate alternative settings.
The typical long-term acute care (LTAC) patient appropriate for our transitional care hospitals is older with three to six concurrent active diagnoses, or someone who has suffered an acute episode on top of several chronic illnesses. Over 95% of our patients are admitted from a STAC (short-term acute care) hospital. Approximately 25% of our patients are on mechanical ventilation, 25% have at least one wound, and almost 50% have a central line.
Most of our patients have already undergone extensive work-ups at the STAC and have developed and initiated a treatment plan with the referring physician team. Common conditions include but are not limited to ventilator weaning, severe infection, complex wound care, CHF, COPD and renal insufficiency. As many as 10% of our patients may require acute hemodialysis at some time during their transitional care hospital stay.
Unlike STACs, transitional care hospitals providing long-term acute care are designed instead for the development, administration and adjustments of prolonged medical treatment plans carried out by a multidisciplinary team including nurses, respiratory therapists, pharmacists, rehabilitation therapists and specialty physicians such as cardiologists, neurologists, gastroenterologists and ENT physicians.
The main attending physician is generally a hospitalist, internist or pulmonologist. In addition, due to the size of our hospitals, the Chief Executive Officer, Chief Clinical Officers and Quality Managers are actively involved in the daily care of patients.
There are several types of physician opportunities available at Kindred Hospitals:
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