Next Step Program Criteria
- A need for multiple hours of skilled therapy each day. Skilled means that a family member or unlicensed person is not qualified to safely conduct needed activities.
- Willingness to actively participate in the program. This means keeping appointments, arriving on time, and being involved in activities while you are here.
- Potential to make functional gains that are measurable.
In addition, patients admitted to the Next Step Program demonstrate the following characteristics:
- Patients present with a rehabilitation-related diagnosis with an onset or exacerbation date of one year or less.
- Patients are medically stable. Patients do not have a fever and are free from known communicable disease.
- The patient with a brain injury is at a minimum of a Rancho Level V – confused, but non-agitated, maximal assistance, alert.
- The patient with a traumatic or non-traumatic spinal cord injury with either a complete C-5 or lower or incomplete injury.
- The patient is not receiving home health services.
- The patient's pre-morbid condition and/or present symptoms indicate a reasonable expectation for significant, practical improvement in at least 2 of the following areas within a reasonable time frame.
- Mobility skills
- Home management
- School or work re-entry
- Community re-integration
- Minimal nursing care is required – the patient is able to live in a community setting with assistance from family members or other caregivers.
- Patients who require constant supervision have a caregiver who is willing to participate in treatment sessions daily.
- The patient's condition warrants a coordinated, interdisciplinary approach to rehabilitation involving two or more skilled therapies (i.e. PT, OT, SLP, CTRS, NSG and/or neuropsychology, psychology, psychiatry)
- The patient is physically, cognitively, and behaviorally able to tolerate and requires at least 3-5 hours of activity 3-5 days per week.
- The patient is motivated, cooperative and willing to actively participate in the rehabilitation process.
- A family member or caregiver is available and willing to participate in family training on an intermittent basis.
- The patient obtains a written physician's order for rehabilitation services.
- Patients meet the criteria for continued care if program admission criteria are met and discharge criteria are not met.