Admission Criteria

Next Step Program Criteria

Next Step Intensive Outpatient Therapy

  • 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:

  1. Patients present with a rehabilitation-related diagnosis with an onset or exacerbation date of one year or less.
  2. Patients are medically stable. Patients do not have a fever and are free from known communicable disease.
  3. The patient with a brain injury is at a minimum of a Rancho Level V – confused, but non-agitated, maximal assistance, alert.
  4. The patient with a traumatic or non-traumatic spinal cord injury with either a complete C-5 or lower or incomplete injury.
  5. The patient is not receiving home health services.
  6. 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.
    1. Self-care/ADLs
    2. Cognition
    3. Mobility skills
    4. Home management
    5. Communication
    6. School or work re-entry
    7. Swallowing
    8. Community re-integration
  7. Minimal nursing care is required – the patient is able to live in a community setting with assistance from family members or other caregivers.
  8. Patients who require constant supervision have a caregiver who is willing to participate in treatment sessions daily.
  9. 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)
  10. The patient is physically, cognitively, and behaviorally able to tolerate and requires at least 3-5 hours of activity 3-5 days per week.
  11. The patient is motivated, cooperative and willing to actively participate in the rehabilitation process.
  12. A family member or caregiver is available and willing to participate in family training on an intermittent basis.
  13. The patient obtains a written physician's order for rehabilitation services.
  14. Patients meet the criteria for continued care if program admission criteria are met and discharge criteria are not met.