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Among the many areas of practice represented in the CARF standards are aging services; behavioral health, which replaces institutional behavior management; psychosocial rehabilitation; child and youth services (with younger and established family services and support); durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS ...
Under the current Medicare system, patients can get post-acute care, care after surgery or a stroke for example, from four different places: "a skilled nursing facility (SNF), a hospital-based inpatient rehabilitation facility (IRF), a long-term care hospital (LTCH), or from a home health agency."
Skilled nursing facilities are less "caretaking" (e.g., laundry, personal care at bed and bathing, meal assistance, housekeeping, medications, mobility, room in units, limited activities -as defined in approval applications). [clarification needed] They offer services such as rehabilitation (physical therapy).
Doctor's surgeries/Doctor's offices/General medical practice: This is the most common site for the delivery of ambulatory care in many countries, and usually consists of a physician's visit. Physicians of many specialties deliver ambulatory care, including specialists in family medicine, internal medicine, obstetrics, gynaecology, cardiology ...
Rehabilitation hospitals were created to meet a perceived need for facilities which were less costly on a per diem basis than general hospitals but which provided a higher level of professional therapies such as speech therapy, occupational therapy, and physical therapy than can be obtained in a "skilled nursing care" facility.
In the mid-1980s, it was believed that Medicare's hospital prospective payment system with diagnosis-related groups may have led to hospitals' discharging patients to post-hospital care (such as skilled nursing facilities) more quickly than was appropriate, to save money. [10]
There are 2 types of pediatric home health nursing: 1) Skilled Nursing Visits (SNV): intermittent, short visits by nurses to a patient's home with the goal of helping the patient and caregivers reach total independence at home. Nurses typically visit the patient to provide monitoring, perform lab work, and administer medications.
Case Managers often coordinate with the patient and family, physician(s), funding sources (i.e. insurance, Medicare), and community resources that provide services the patient may need, such as rehabilitation facilities or providers of medical equipment.