Skilled nursing facilities (SNFs)

Respond to your classmates and explain if their analysis would be applicable to one of the other PACs described in the chapter.

The Four PACS (Post-Acute Care) 

1.Skilled nursing facilities (SNFs)

2.Long-term care hospitals (LTCHs)

3.Inpatient rehabilitation facilities (IRFs)

4.Home health agencies (HHAs) (MedPAC 2017a, xvi)

Post #1

Post-acute care facilities are meant to provide various rehabilitation services after an injur or illness. Most post-acute services are provided after discharge from an acute care facility. LTACHs or LTCHs are long term care hospitals that treat patients who require an extended hospital stay. These facilities treat the patients that need the extended stay and treatments but no longer require invasive or extensive diagnostic procedures. They no longer require intensive care. An LTCH is for the patient that still requires the clinical care. Like acute care hospitals, LTCH services are covered under Medicare part A. An average length of stay is 30 days. In fact, the minimum stay in 25 days in order to receive Medicare reimbursement (AHA, 2020).

LTCHs are the compromised between acute care hospitals and skilled nursing facilities. Patients have the same access to a physician as they would in an acute care hospital and the benefit of receiving rehabilitative care. The focus of an LTCH is to provide extensive clinical patient care while moving the patient toward a normal lifestyle. When compared to other post-acute services, the LTCH can better meet the patient’s clinical needs.

 

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