Specialized ICUs Reduce Readmissions

Kindred Hospitals, a national network of long-term acute care hospitals (LTACHs), provide specialized treatment and rehabilitation for medically complex patients.

LTACHs are equipped to treat many of the same conditions that are treated in traditional ICUs at short-term acute care hospitals (STACHs), but are designed to do so for a longer period of time. A look at the top diagnosis-related groups treated at STACH and LTACH ICUs reveals overlap between six of the top 10 conditions treated at each setting.¹

The Benefit of Timely Transfer

It is not only possible for LTACHs to treat patients requiring ICU-level care, but it is also beneficial.

When medically complex patients transfer to LTACHs, they receive specialized acute care and rehabilitation that improves outcomes. In fact, Medicare data shows that readmission rates for medically complex patients are about 50% lower at LTACHs than at STACHs, showing our efficacy in providing lasting recovery for these patients.²

LTACHs also specialize in treating patients with serious respiratory conditions, especially those on mechanical ventilation. In fact, one study found that a one-day delay in discharging to an LTACH after intubation is associated with an 11.6% reduction in the odds of weaning.³

Because LTACHs provide ICU-level treatment for complex conditions, it is beneficial for stable patients with multiple serious diagnoses to be transferred to our hospitals even while they are still in critical condition.

Elements of Kindred Hospitals’ ICUs

At Kindred, our physician-led interdisciplinary care teams with critical care expertise are fundamental to the level of care we provide.

Physicians:

• All treatment plans are led by physicians who visit patients daily
• Attending physicians have expertise in treating critically complex patients
• Physicians with specialties such as pulmonology, infectious disease, and general surgery participate in treatment plans as needed

Nurses:

• All nurses in our ICUs are certified in Advanced Cardiovascular Life Support
• Nurse-to-patient ratios in our ICUs resemble those in STACH ICUs

Respiratory Therapy:

• Respiratory therapists are available 24/7
• RTs specialize in treating pulmonary patients with multiple concurrent diagnoses

Additional members of the interdisciplinary care teams may include

• Physical and occupational therapists
• speech-language pathologists
• wound care nurses
• dieticians
• pharmacists

With our highly-skilled care teams, we are able to provide hospital services such as:

• Management and liberation from mechanical ventilation
• Placement, management, and removal of IV lines, catheters, and nasogastric tubes
• Radiology, telemetry, and dialysis

At Kindred, we take our care to the next level by achieving nationally recognized hospital certifications. All of our hospitals have disease-specific care certifications from The Joint Commission in at least one of the following categories: Respiratory Failure, Sepsis, Pulmonary Rehabilitation, and Wound Care.

With our expert care teams and high-quality treatment and rehabilitation, Kindred Hospitals can help improve outcomes and reduce readmissions for medically complex patients.

To learn more about how Kindred Hospitals can help managed medically complex patients, visit KindredManagedCare.com.

1. MedPAR, 2022 Traditional Medicare FFS and Medicare Advantage ICU and CCU Discharges, DRGs within the top 10 rearranged to show comparison.

2. The Advisory Board. The Post Acute Care Pathways Explorer. State Average Outcomes by HCC Score Tier. HCC tiers include Medicare FFS patients with a total HCC score in the following ranges: ‘Low’ between 0 and 2, ‘Mid’ greater than 2 and less than or equal to 4, ‘High’ greater than 4 and less than or equal to 6, and Very High’ greater than 6. Accessed August 2024.

3. https://bmcpulmmed.biomedcentral.com/articles/10.1186/s12890 021 01454 1