South Florida Hospital News
Monday May 25, 2020
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February 2007 - Volume 3 - Issue 8

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What Is Long-Term Acute Care?

Kindred long-term acute care (LTAC) hospitals are acute care hospitals specializing in the treatment and rehabilitation of patients who require a longer hospital stay to recover from complex medical conditions.

Kindred has three LTAC hospitals in South Florida: Kindred Hospital Ė Coral Gables, Kindred Hospital - Ė Hollywood, and Kindred Hospital Ė Ft. Lauderdale.

Kindred Hospitals:

Are acute care hospitals. LTAC hospitals are licensed, certified and accredited.

Offer specialized care. LTAC hospitals specialize in providing a range of services that is narrower and deeper than a typical general hospital.

Provide treatment and rehabilitation. LTAC hospitals are treatment centers rather than diagnostic centers. STAC hospitals are known for their ability to stabilize a patientís condition, and to perform a myriad of diagnostic studies to determine the underlying cause of a patientís complaints. Once the diagnosis is secure and treatment has been selected, the patient is generally discharged to the appropriate setting, depending on their needs. Treatment is carried out in home health, skilled nursing facilities, independent rehab facilities or LTAC hospitals, depending on whether the patientís needs can be managed by family, nurses, rehab therapists, or physicians, respectively. Unlike general acute care hospitals, rehabilitation is an integral part of the treatment of most LTAC patients.

Care for patients with complex medical conditions. While LTAC patients are often post op, more surgery is not a short-term goal. These patients are complex because there are numerous medical conditions that, taken together, prevent the patient from receiving their treatment at a less intense setting.

Offer prolonged lengths of stay. General hospitals are not set up to deliver long treatment plans. LTAC hospitals are staffed with physicians and clinicians with an expertise in preventing complications, managing and coordinating multiple disciplines of care and making thorough discharge plans.

Kindredís JCAHO-accredited hospitals care for the highest acuity patients in the LTAC industry. As demonstrated by APACHE Medical Systems scores, the typical Kindred patient has the same acuity level as do many ICU patients across the country. Many of our patients are referred from short-term hospitals with a need to transfer medically complex patients from the ICU/CCU to a unit capable of meeting their medical needs.

In 2005, our patientsí average APACHE III score was 43.12, only slightly below the national mean of 46 for ICU patients.

  • Our patientsí ALOS was 31 days, consistent with the industry average.
  • Our LTAC Hospital Case Mix Index is currently 1.22, compared to the industry average of 1.0, showing that Kindred has the most resource-intensive patients in the LTAC industry. Our STAC Hospital Case Mix Index is currently 2.22, compared to the industry average of 1.0, showing that our patients are over twice as resource intensive as STAC hospital patients.
Our internal data is based on the following 2005 information:
  • 1.1 million patient days
  • 37,100 admissions
  • 7,600 vent admissions
  • 648,200 line days
  • 330,100 vent days
Kindred has had continued success in preventing ventilator-associated pneumonia, with an infection rate well below the national ICU benchmark of 6.4/1000 ventilator days.*

Rates per thousand

2002: 2.18
2003: 2.02
2004: 1.91
2005: 1.83

  • We continue to maintain levels at or below 2.55/1000 line days using national evidence-based practices; national benchmarks for ICU are 4.9-5.3.*

    Rates per thousand

    2002: 3.39
    2003: 2.67
    2004: 2.40
    2005: 2.40

  • Kindred has a national wound care team that has developed an evidence-based program for the prevention and treatment of NPW.

    Rates per thousand

    2002: 2.33
    2003: 2.02
    2004: 1.76
    2005: 1.53

  • These levels are high and have improved in every category.

    % Very Good or Excellent: Overall Recommendation

    2002: 92.60
    2003: 93.93
    2004: 95.05
    2005: 95.44

    % Very Good or Excellent: Overall Care

    2002: 80.70
    2003: 84.09
    2004: 87.84
    2005: 88.97

    % Very Good or Excellent: Courtesy of Admissions Staff

    2002: 82.66
    2003: 86.45
    2004: 88.66
    2005: 89.59

    % Very Good or Excellent: Attitude of Nursing Staff

    2002: 79.30
    2003: 82.56
    2004: 86.73
    2005: 87.15

    % Very Good or Excellent: Respect for Privacy

    2002: 79.37
    2003: 82.95
    2004: 87.15
    2005: 88.15

    To consistently improve the quality of care in our hospitals, Kindredís quality initiatives include:

    • a risk-adjusted outcomes methodology for LTAC patients
    • quality councils at the hospital, regional and corporate levels
    • national Medical Advisory Board
    • patient/family satisfaction measures
    • 24-hour hotline for patients, families and employees to report concerns
  • Sean Muldoon, M.D., Senior Vice President and Chief Medical Officer, Hospital Division, Kindred Healthcare, can be reached at sean.muldoon@kindredhealthcare.com.

    Source
    * National Nosocomial Infections Surveillance System

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