Frequently Asked Questions
What is a Long Term Acute Care Hospital? How does it differ from a regular hospital?
Long Term Acute Care Hospitals (LTACHs) offer intensive acute care services to medically complex and critically ill patients requiring extended hospital stays averaging 25 to 30 days. Patients that are admitted to a Long Term Acute Care Hospital must meet specific acute care criteria specified by Medicare guidelines.
Are LTACH's similar to an Acute Rehabilitation Hospital or a Long Term Nursing Facility?
Long Term Acute Care Hospitals offer a completely different level of care where patients are seen daily by physicians. Most are very similar to an ICU or ICU step down unit at a short term acute care hospital. An acute rehabilitation facility does not offer intensive medical care for a patient. The patient going to an acute rehabilitation facility is expected to have a higher level of functionality with a stabilized medical condition in order to receive aggressive physical and occupational therapy. A long term nursing facility is a facility that offers long term care for a patient as their permanent place of residence.
Why do physicians and hospitals recommend a Long Term Acute Care Hospital?
Traditional hospitals are equipped and staffed to manage critically ill and medically complex patients for a limited amount of time. A Long Term Acute Care Hospital is specifically designed to manage these same patients over a longer period of time.
What clinical conditions are treated at Acuity Healthcare?
Patients admitted to Acuity Healthcare typically have one or more of the following conditions:
- Ventilator Dependent Respiratory Failure
- Chronic Obstructive Pulmonary Disease
- Tracheotomy with high flow oxygen needs or medical complications
- Acute Cardiac Disease or complications of Cardiac Surgery
- Major Trauma
- Neurological Injury or Illness
- Complex Medical Diseases
- Multi-System Failure
- Renal Disease
- Infectious Diseases
- Complex Wounds
- Complex Orthopedic Conditions
- Spinal Cord Injuries
What Types of Clinical Services does Acuity Healthcare Provide?
- Ventilator Management and Weaning
- Tracheostomy Insertion
- Chest Tube Insertion and Management
- Central Line Insertion
- Hemodialysis/Peritoneal Dialysis
- Nasogastric Tube (NGT) Insertion and Management
- Percutaneous Endoscopic Gastric (PEG) Tube Insertion
- Medical Wound Management
- Surgical Debridement
- Blood and Blood Product Transfusions
- Telemetry Monitoring
- Infusion Therapy/IV Medication Management
- Comprehensive Radiology, Laboratory, Pharmacy and Respiratory Services
- Physical, Occupational, and Speech Therapies
- Hyperbaric Oxygen Therapy for Complex Wound Management
Who makes up the Acuity Healthcare Team?
- Board Certified Pulmonologists
- Internal Medicine Physicians
- Specialists in the fields of: Cardiology, Neurology, Nephrology, Endocrinology, Infectious Disease, Hematology/Oncology, Urology, Surgery, Anesthesia, Gynecology, Podiatry, Physical Medicine/Rehabilitation, Psychiatry, Orthopedics, Ophthalmology, Gastroenterology, Rheumatology, Pain Management, Otolaryngology
- ACLS Certified Primary Care Registered Nurses
- Patient Care Technicians
- Comprehensive Medical Social Workers & RN Case Managers
- Wound Care Specialists
- Respiratory Therapists
- Physical/Occupational Therapists
- Speech Therapist
- Registered Dietitians
- Clinical Pharmacists
How does the Referral/Admission Process Work?
- Anyone can contact the Admissions Department at either Hospital.
- The sending Hospital’s Case Management department typically makes the official referral.
- A Clinical Liaison from Acuity Healthcare will then conduct an on-site evaluation
- Financial assessment of insurance coverage and eligibility is determined
- If the patient meets medical criteria for admission, an admission date is coordinated between one of the Acuity Healthcare Hospitals, the referral source, the referring physician, the patient and/or family.
- The patient or the family must give consent for the patient to come to Acuity Healthcare
- A tour can be arranged for the family prior to the admission of the patient.
- Communication is arranged between the referring physician and the Acuity Healthcare attending Physician and Nursing Staff.
Do Acuity Specialty Hospitals operate as a part of the main Hospitals?
Although physically located in host hospitals, Acuity Healthcare Hospitals operate as separate hospitals and distinct entities. They are both referred to as a, “hospital-within-a hospital” with their own leadership team, employees, and physician staff. Acuity Healthcare is an independent company that has other hospitals throughout the country.
What kind of Insurances does Acuity Healthcare take? Who will help with getting approval for admission to the hospitals and continuing updates for the insurance approvals?
Acuity Healthcare works with most insurance plans and will assign an insurance care specialist that work closely with the insurance companies to obtain authorization for admission to the LTAC.
The case management departments are responsible for updating the insurance companies on the medical condition of the patient while at the Acuity Healthcare Hospitals to ensure that the patient continues to be eligible for the level of care. This will ensure any unwanted bills incurred by the insurance company.
Does Medicare pay for Acuity Healthcare’s level of care?
Medicare will reimburse the hospital for the level of care needed for the patient as long as the patient meets the admission criteria for Long Term Acute Care.
Is the cost of transportation covered when a patient is transferred from one facility to another facility?
Yes, the cost is not the responsibility of the patient in nearly all cases and the patient will be transported by ambulance.
What are the visiting hours and restrictions for friends and family members? Can friends and family stay overnight with the patient?
We do not restrict visitation to the LTAC but ask for consideration when bringing young children to visit. It is most helpful to communicate with the Nursing Supervisors with any questions regarding visitation.
What is your nurse to patient ratio?
Most nurses will have 4 patients but could be as low as 1 or 2 if the acuity of the patient warrants closer monitoring.
How long will my loved one be in your hospital and what happens if you cannot get them off the ventilator?
Our average length of stay (LOS) is approximately 25 to 30 days. That being said, each patient is different and could require more or less time. Each patient is assigned a case manager upon admission who will discuss the various options upon discharge from our hospital.
Can my Primary Care Physician see me?
Yes, but only if your Primary Care Physician (PCP) is credentialed with us. If your doctor is interested in getting privileges with us, please ask and we can send him or her all the necessary information.
How often will I receive and how many hours per day will I receive physical therapy? Is it every day, 7days/week?
Our therapy team will evaluate each patient upon admission and come up with a plan of care based on that specific patients’ needs. Each patient is different in regards to how much physical therapy they need or can handle.
Does Acuity have free Wi-Fi service?
Yes we do! Just ask a staff member how to connect.