Recommendations from weekly meetings are shared with you and your family. With your input, a plan is determined for your successful return to your home or community.
The average length of stay for patients receiving inpatient care from Courage Kenny Rehabilitation Institute is 14 days.
The decision to discharge a patient is based on each person's individual condition and goals in relation to meeting specific criteria.
Most patients continue with their rehabilitation after discharge from the inpatient unit. Your rehabilitation team may recommend home-based therapy, outpatient therapy, or admission to a nursing home. Your social worker or care navigator will help arrange recommended services for you.
Discharge criteriaA patient will be discharged Courage Kenny Rehabilitation Institute when:The person served has achieved the goals that were established or revised in collaboration with the rehabilitation treatment team.Trans-disciplinary therapy at an inpatient rehabilitation level of care is no longer needed or when the services of skilled therapists are no longer necessary.The individual's progress has slowed or temporarily stopped and he/she is no longer benefiting from the services of the program.The presence of medical, psychological, or social problems hinder the individual's ability to participate.The rehabilitation program is "put on hold" due to prosthetic fittings, resolution of medical problems, pending surgical intervention, or the arrival of specialized equipment.It is the physiatrist's conclusion that other programs or levels of care and treatment are indicated and more appropriate for the patient.The person served requests discharge (even against medical advice assuming legal competence) and persists in this demand despite receiving information relating to medical or rehabilitation consequences and contraindications.The person served is non-compliant with the program, does not adhere to behavioral contracts, engages in drug or alcohol abuse, or causes safety concerns for staff or others.
A patient will be discharged Courage Kenny Rehabilitation Institute when:
Continued stay criteriaEach of the following conditions must be met in order to justify a continued stay in an inpatient rehabilitation facility (IRF):The patient requires frequent physician assessment or intervention due to a significant risk of rapid change in physical or medical status OR the patient's condition is such that the physician monitoring/assessment and, if necessary, intervention be available 24/7 to assure both the highest practicable quality of care and attainment of treatment goals.The patient's condition continues to require the availability of 24/7 rehabilitation nursing care.The patient continues to have impairment in at least two areas (e.g., mobility, ADLs, cognition, communication, etc.).The patient has ongoing need for at least two skilled therapy services (e.g., PT, OT, SLP), one of which must be physical therapy or occupational therapy.Continuous progress has been demonstrated and documented in the clinical notes.The patient continues to demonstrate the potential to make functional change that would allow likely discharge to a community setting or to require less care or supervision.Individual team conferences are held weekly to ensure that the treatment plan is being reviewed every week by the interdisciplinary team, and if necessary, revised accordingly. The information provided indicates a reasonable discharge plan and LOS based on diagnosis, progress, and family support.The patient is able to participate in an intensive rehabilitation program as evidenced by his or her ability to tolerate a minimum of 3 hours of skilled therapy 5-6 out of 7 days per week.
Continued stay criteria
Each of the following conditions must be met in order to justify a continued stay in an inpatient rehabilitation facility (IRF):