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Acute Care
Traditional hospital care for conditions requiring frequent high-technology medical monitoring or complex diagnostic or treatment procedures. Acute care is directed toward assessment, monitoring, intervention and treatment of an acute illness, injury or recurrence of a disease process.
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Medically unstable
Invasive procedures
System failures
Highly complex care
Short term care needs
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Nursing/therapy hours per day
8-9+ hours/day nursing care
3-4+ hours/day therapy (rehab hospital)
7 days/week of therapy
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Subacute Care
Requires the coordinated services of an interdisciplinary team, including physicians, nurses, therapists and other relevant professional disciplines. A medical professional must certify that such care is required on a daily basis. The care is more intensive than the traditional nursing facility care and is less intensive than acute hospital care. Frequent (daily to weekly) patient assessment, clinical course review and a defined treatment plan is provided for a limited period of time until a condition is stabilized or predetermined treatrnent course is completed.
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Medically sick
Respiratory care
Complicatedpost-surgical care
Complex care
Intense rehabilitation
Short term care needs
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Nursing/therapy hours per day
5.5+ hours/day nursing care
3-4 hours/day therapy
5-7 days/week of therapy
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Skilled Care
Requires 24 hours of skilled nursing care, restorative and other therapeutic services requiring supervision by a registered nurse or licensed therapist. A medical professional must certify that such care is required on a daily basis. The care is less intensive than the subacute level though it is necessary to have frequent (daily to weekly) patient assessment, clinical course review. A defined treatment plan is provided for a limited period of time until a condition is stabilized or predetermined treatment course is completed.
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Medically stable
Rehabilitation
Post-surgical care
Orthopedics
Likely short term care needs/maybe longer
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Nursing/therapy hours per day
3-5 hours/day nursing care
1-3 hours/day therapy
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Intermediate Care
Provides routine care and assistance with activities of daily living and meeting personal needs, with periodic availability of skilled services. The care is more like traditional nursing facility care and is not intensive. Regular patient assessment, clinical course review and a defined treatment plan remains necessary.
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Medically stable
Geriatric care
Low level/maintenance rehabilitation
Supportive/custodial care
Likely a long term resident
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Nursing/therapy hours per day
1-3 hours/day nursing care
2-3 times/week therapy
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Assisted Living
Intended for adults who may be in need of some help with activities of daily living such as housecleaning, meals, bathing, dressing or medication reminders and would like the security of having assistance available on a 24 hour basis in a private apartment within a residential and non- institutional setting. A skilled nursing center is often on the campus as well.
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Medically stable
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Nursing/therapy hours are not provided unless through a certified home health agency. |
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Fairly self sufficient yet needs supportive care
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Personal care assistance available as needed, usually not more than 1-2 hours/day; housecleaning, meals, laundry, 24 hour security, socialization activities and Wellness Programs. |
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Long term resident
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Medical/functional condition permitting |
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Adult Day Health
Intended for older adults who require care and supervision during daytime hours. Serves as an alternative to institutional care to help impaired individuals maintain or improve their level of functioning and remain at home.
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Medically stable
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Nursing/therapy hours may be provided by the on- site nurse or through a certified home health agency. |
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Fairly self sufficient
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Personal care/bathing assistance may be offered at site for additional fee. Independent mobility and eating. |
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Supportive care
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Morning and noon meals, snacks; medication reminders; socialization, recreational and therapeutic activities. |
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Home Health Care
Requires the provision of a skilled services by a registered nurse or licensed therapist in the home setting; medical professional must certify that such care is required and can not be done in an Outpatient setting. The care that is provided is on an intermittent basic and for a limited period of time until a condition is stabilized or predetermined treatment course is completed. 24 hour care does not qualify for coverage.
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Medically stable
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Physician directed services include patient assessment, intervention, treatment and teaching for a limited period of time, i.e. when the individual and/or family member is able to provide much of the care. |
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Skilled nursing
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Ranges from 1-2 visits/day to biweekly depending on need and treatment plan. Serves as the link between the patient and the physician. |
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Rehabilitation
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2-3 visits/week depending on need and treatment plan. |
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Fairly self sufficient
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Personal care/bathing assistance may be included in the plan of treatment in coordination with the skilled services when a person needs assistance in order to be maintained at home. |
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Likely short term care needs
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Home Care
A homemaker or personal care aide is utilized in the home care setting when skilled services are no longer appropriate. Without skilled services, these services are not covered by any insurance.
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Medically stable
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Does not have skilled needs requiring home health care. |
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Skilled nursing
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Does not have skilled needs requiring home health care. Monthly nursing visit required for oversight of personal care aide and plan of care. |
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Rehabilitation
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Personal care aide may provide assistance with exercise program previously developed by a therapist of nurse. |
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Fairly self sufficient
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Homemaker provides light housekeeping, laundry, shopping, meal preparation, and other related chores assistance. A personal care aide provides assistance with bathing, grooming, shampooing, dressing, transfers to and from a wheelchair, bed, bath or toilet personal care. |
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Likely short term care needs
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Retirement Community
Full-service residential community for older adults offering private apartment homes and a range of hospitality services; housekeeping, dining room, leisure activities, socialization, home health services and more. A skilled nursing center is often on the campus as well.
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Medically stable
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Nursing/therapy hours are not provided unless through a certified home health agency. |
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Self sufficient
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Personal care/bathing assistance may be offered at site for additional fee. Generally fully independent. |
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Support Services
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Housecleaning, meals, laundry, 24 hour security, socialization activities and Wellness Programs. |
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Long term resident
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Medical/functional condition permitting. |
The Spectrum of Care