Acute care hospitals | IRFs and LTACs | Medicare-certified facilities (SNFs, TCUs, subacute) | Medicaid-certified extended care facilities (ECFs) | ||
Hospital-based (TCU) | Community-based subacute and SNF | ||||
Response to resuscitation* | Rapid | Rapid | Rapid | Slow | Slow |
Equipment and trained staff | Equipment and trained staff | Hospital level | Limited equipment and trained staff, "911" | Limited equipment and trained staff, "911" | |
Access to complex diagnostic/therapeutic modalities | High | Moderate | High | Low | Low |
Laboratory, imaging, IR | Radiograph, ultrasound, laboratory on site | Hospital level | Off-site radiograph and laboratory | Off-site radiograph and laboratory | |
Availability of subspecialty consultants | High | Moderate | High | Low | Low |
Full-range, subspecialties | Psych, Pain, Ortho, Neuro, PM&R | Hospital level | Psych, Hospice, Ophthalmology, Dental, Podiatry | Psych, Hospice, Ophthalmology, Dental, Podiatry | |
Intensity of RN services | High | Moderate | Moderate-low | Moderate-low | Low |
12 hours/ patient/day (ICU) | Five to six hours/ patient/day | Three to four hours/ patient/day | Two to four hours/ patient/day | 0.5 to 2 hours/ patient/day | |
Intensity of MD services | High | High | High | Moderate | Low |
24-hour, on-site MD | 24-hour, on-site MD | 24-hour, on-site MD | Two to three times per week, rarely daily | Once per month, rarely daily | |
Intensity of rehabilitation services | High | High | Moderate | Moderate | Low |
All modalities | All modalities | Most modalities | PT, OT, speech, rarely PM&R, low complexity | PT, OT, speech, maintenance |
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