What
is a Long Term Acute Care Hospital?
The Long Term Acute Care or
LTAC Hospital is a hybrid between the acute care hospital and the
skilled nursing facility. It is a fully licensed acute care hospital.
Not a skilled nursing facility. LTAC
It typically focuses on the medically complex patient and includes
multiple specialty programs to care
for the long-term patient population.
Specialty programs are designed
to meet the needs of long-term, acutely ill patients. These patients
have conditions ranging from ventilator-dependent respiratory failure,
chronic pulmonary problems, complex and severe wounds, infections
requiring long-term antibiotic therapy, to conditions requiring
continued life support, nutritional therapies, and pain control.
The average length of stay for
these patients is about 30 days.
What
is a Hospital within a Hospital? (Back
To Top)
A hospital within a hospital
or HIH allows for a freestanding hospital to be licensed inside
another hospital known as the host facility.
Host facilities are typically
facilities that have a closed wing or floor that is unoccupied,
thus creating overhead for the under-utilized areas. The host hospital
will provide leased space and ancillaries to the LTAC unit by way
of contract.
This approach utilizes pre-existing hospital space and services,
making the HIH operationally efficient with minimal or no construction
costs. Additionally, the host may supply equipments, further reducing
the cost associated with opening a new hospital.
Regulations established by the Centers for Medicare and Medicaid
Services (CMS), require LTAC Hospitals to have a separate governing
body, medical staff, chief medical officer, and chief executive
officer.
LTAC HIH is a separate, fully
licensed, and staffed hospital to provide intensive and complex
medical treatment. LTAC HIH is more than just a tenant of the host
hospital. Typically of the physicians on the medical staff of LTAC
HIH are also on the medical staff of the host hospital.
What
are the benefits of a hospital within a hospital?
For The Hospital:
-
A discharge option for
acutely ill, medically complex patients whose average length
of stay is about 30 days.
-
Gives the host hospital
an opportunity for revenue enhancement through out-sourcing
of ancillary services.
-
Provides a continuum of
care that the hospital can provide its patients and physicians,
and a secondary marketing advantage for their own facility.
For The Patients:
-
Provides highly specialized
long-term acute care for the medically complex and critically
ill patients.
-
Provides easy access to
long-term acute care and reduces the difficulties associated
with transfer to another hospital.
-
Provides continuity of
care for the patients.
For The Physicians (Back
To Top)
-
Continuity of patients
care allows physicians to manage their patients that are transferred
from the host hospital
-
Provides specialized long-term
acute care in the same building with other host hospital services.
-
Provides physicians the
convenience of caring for their patients at a long-term acute
care hospital without leaving the host hospital building.
For The Payors:
-
Provides a cost effective
specialized long-term acute care alternative to an extended
stay in an acute care hospital.
-
Provides specialty programs
that contribute to positive outcomes.
-
Provides case management
and multidisciplinary team management approach that contributes
to the satisfaction of both patients and their families.