IP Discharge Resources

Acute Care Hospital

• hospital (ex. Medical Center of the Rockies, PVH)

Long Term Acute Care (LTAC)

• facility that provides management of hospital level care for extended period of time (ex. Northern Colorado Long Term Acute Care Hospital)

Acute Rehab

• facility with daily requirements of 3+ hours of rehab a day (ex. Northern Colorado Rehab Hospital, PVH Rehab Unit, PAM)

Sub Acute Rehab-pt can tolerate 1-2 hours of rehab a day, provided in a skilled nursing facility (SNF)

• ULTC-an assessment done by Medicaid to determine the level of services needed in a nursing home environment.  This is what “pays” for the facility services.

• PASRR-pre-admission screening and resident review-a screening mandated by the federal government to ensure that individuals are not inappropriately placed in nursing homes that have mental health dx or intellectual disability

• PASRR Level 1-triggered when individual has mental health dx (anxiety/depression)

• PASRR Level 2-triggered when individual has severe mental health dx (schizophrenia, etc) and needs a more in-depth evaluation for placement

• Exempted Hospital Discharge (EHD)-form that states patient will need less than 30 days of rehab, and is submitted with PASRR.

Long Term Care

• when a patient lives at a nursing home (or SNF)

Behavioral Health

• facility that provides psychiatric services (ex. Longview)

Assisted Living Facility (ALF)

• facility that provides some assistance that can include nursing, CNA, and meals

Prior Living

• patient has been deemed by therapies/behavioral health to be safe to discharge wherever “home” is.  This could be a private residence, a shelter, the street, assisted living, etc.

Hospice

• end of life care provided at home or at a SNF (skilled nursing facility), life expectancy is 6 months or less

Inpatient hospice

• life expectancy is determined to be 5-7 days or less, provided at a special hospice facility or inpatient at a hospital

Hospice General Inpatient Care (GIP)

• hospital death anticipated (hours to days), provided at PVH by Pathways Hospice

Home Healthcare

• nursing, physical/occupational/speech therapy services provided in the patient’s home by an agency.

Outpatient Therapy

• physical/occupational/speech/vestibular therapy services provided at an office located in the community.

Homeless Shelter

• a place people experiencing homelessness can stay at night only, provides some meals, has a lottery system for getting a bed (ex. Catholic Charities and The Mission)

Street

• where a person experiencing homelessness may stay by choice or when other resources are unavailable

Homeless Resource Services

• Sister Alice Murphy Center/Homeward Alliance “aka Murphy Center” where people experiencing homelessness can access showers/laundry/food/representatives from various homeless coalition agencies for services.  Bed lottery available for The Mission.

Respite Hotel Stays

• hotel vouchers for up to 1 week for patients experiencing homelessness while needing additional time to recover before returning to the street, must met medical criteria (arranged by SW), provided by local agencies dependent on funds availability