All patients referred to Spalding are treated equally, regardless of race, nationality, religion, disability, sexual orientation, or socioeconomic status. An Admissions Department Representative is available seven days a week to assist you. Please use the toll free number on weekends.
Inpatient Admission Process
All patients referred to Spalding are treated equally, regardless of race, nationality, religion, disability, or socioeconomic status. A pre-admission assessment is completed and reviewed by the facility's admissions team that includes the rehabilitation physician, nursing manager, case manager, and administrative personnel.
Generally, all patients must meet a standard set of Acute Rehabilitation Criteria for admission.
Acute Rehabilitation Criteria for Admission
- The patient must be able to tolerate 3 hours per day (throughout the day, not all at once) of a combination of skilled therapies (Physical, Occupational, Speech, Respiratory Therapies).
- The patient must require daily nursing and physician care.
- The patient must be medically stable, and have functional deficits/needs that can be addressed through rehabilitation techniques.
- The patient must be anticipated to make progress towards functional goals within a reasonable time frame.
A request for evaluation for a rehabilitation admission can be made by anyone: physician, hospital case manager, family member, or other caregiver. Once the referral is received and a physician's order is present to authorize the assessment, the evaluation is completed by one of our Clinical Rehab Specialists. This includes a review of all current and past medical care that is available, as well as contact with the patient and the family if possible. Insurance benefits are identified, so that the family can be notified of limitations to coverage, copayment requirements, etc. If the decision is made that Spalding is an appropriate facility to meet the potential patient's medical/ rehabilitative needs, the referring agency and the patient/family are notified in order to coordinate the admission.
Spalding staff will contact the staff at their current location, and will coordinate all the necessary arrangements for the patient's transition, including getting authorization from insurance (when necessary), accessing medical records and physician orders, and arranging transportation. The patient or the patient's responsible party must be available at admission to complete the admission paperwork. If not immediately available, our admission staff is happy to utilize fax capabilities prior to admission, to complete all necessary admission documentation.
Outpatient “Bridge Rehab Program” Admission Process
Patients who are admitted into the Bridge Rehab Program no longer require continuous medical and nursing supervision, however, the program is medically directed by a physiatrist.
Bridged Rehab provides nursing services, case management by a Registered Nurse, and patient/family education, and is defined by treatment from a minimum of two therapeutic disciplines.
Bridged Rehab Therapeutic Disciplines
- Physical therapy
- Speech therapy
- Occupational therapy
Once we receive an order from your referring physician, we will request relevant medical records so we can start planning your care with us. We check your insurance benefits by calling your insurance company (we accept Medicare, Medicaid and most major commercial insurance). Once we know your benefits, we will discuss these with you ahead of scheduling. We then schedule your initial evaluation session where you will be evaluated by our Nurse Case Manager and your specialist rehabilitation care team. Your rehabilitation care team will develop a customized plan of care for you and schedule your follow up visits, as required.
Spalding typically admits patients that are 16 yrs. old or older, although we have taken younger patients than that on a case-by-case basis. We have no upper age limit for appropriate rehabilitation patients. Patients who meet Acute Rehabilitation criteria and can tolerate the physically active rehab schedule are eligible for admission.
Case Managers coordinate activities with the patient's school (it is helpful to have school/teacher information from family). Spalding will work with the school to arrange educational support services for the patient during their rehabilitation stay when appropriate. We offer a wide variety of activities that could appeal to all ages. Groups from the community frequently arrange to come in to the hospital to provide entertainment. For the younger patients, we also have video games, air hockey, and movies. Books are available upon request. We include community outings for those patients who are ready for those types of activities in their therapy programs. The inpatient dining area has a big screen TV, and can be blocked off if patients would like to invite groups of visitors to the hospital.
Spalding's Therapeutic Recreation Specialist is often directly involved in the rehabilitation team, to identify age-specific, disability-specific information regarding leisure activities in the hospital and the community.
For patients in our brain injury program, we suggest that the patients/family discuss appropriate activities with the team. Individualized activities can be arranged that will enhance the patient's stay at Spalding without potentially compromising progress in their rehabilitation program.
Spalding Rehabilitation Hospital accepts all third party payor types, Medicare and Medicaid. We are also a participating provider for most managed care organizations and insurance companies.