When discharge still requires hospital-level care

Hospital care after the first hospital stay

When extended hospital care is being considered

A long-term acute care hospital can review patients who are stable enough to transfer but still have hospital-level needs. The sending team and the receiving liaison should discuss four separate issues:

• Which treatment needs daily physician decisions, nursing or respiratory assessment?
• What is the patient’s current care setting and what resources will the receiving team need?
• Which clinical, coverage or transport decision must be made before transfer?
• Who will communicate the plan to staff and the patient or family?

Clinical Excellence in LTACHs

• Specialized Care Teams: Led by sub-specialized physicians, teams encompass nurses, dietitians, rehab specialists, and more, ensuring holistic care.
• Respiratory Care: 24/7 respiratory therapist coverage, focusing on liberating those on extended mechanical ventilation.

Hospital capabilities to confirm before transfer

• Lakeview provides hospital treatment, respiratory therapy, pharmacy support, rehabilitation and on-site dialysis. For telemetry, specialized testing, imaging or equipment, confirm the current patient-specific requirement with the liaison.
• Communicate any infection, isolation requirement or need for special room arrangements before transfer. Confirm that the receiving team can provide the required precautions and plan of care.

Need Assistance with a Medically Complex Patient?

Ask Lakeview Admissions for an individual review. Send the relevant orders and recent clinical information through the agreed records channel. Admissions is available at (262) 534-8509; clinical referral fax (262) 534-8507.

Before promising a transfer time, confirm acceptance, payer status, available resources and transport. Identify the person who will update the family.