Patient profiles are divided into four broad domains: Domain I: Medical/surgical issues Domain II: Mental status/emotions/coping Domain III: Physical functioning Domain IV: Living environment - physical, social, financial Patient-specific elements within each domain, characterized by intensity (high-medium-low), are then determined to create a profile that can be matched to the capabilities of alternative sites of care. |
Domain I. Medical/surgical issues |
1. Clinical instability. The probability that the patient will need rapid intervention for an Unstable Clinical Condition (UCC). |
2. Complexity of care. The probability that the patient will need a Complex diagnostic or therapeutic Procedure (CP). |
3. The intensity of Nursing services (RN). |
4. The intensity of Physician services (MD). |
Domain II. Mental status/emotions/coping |
5. The extent of Cognitive Impairment or Depression (CID). |
Domain III. Physical functioning |
6. The presence of a Window of Opportunity for Rehabilitation during which rehabilitation services are most effective and outcomes are optimal at a time when the patient has the physical capacity to participate (WOR). |
Domain IV. Living environment - physical, social, financial |
7. Limitations on care options due to Medical Insurance Coverage (MIC). |
8. Limitations on life-sustaining treatments/Advanced Directive (AD). |
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