New Post-Acute Capabilities of Skilled Nursing Facilities

Skilled Nursing Facilities, what many once thought were nursing homes, are becoming more sophisticated and proactive in the care for their patients. These advanced facilities are now providing specialized approaches in nursing and therapy programs designed to deliver optimal care. The specific focus is on returning the patient to his/her normal life. The INTERACT (Interventions to Reduce Acute Care Transfers) tools and advanced specialty clinical programs are two ways in which traditional nursing homes are expanding their roles in providing better care in-house and promoting a faster recovery.

The Cardiac Recovery Program provides therapy and nursing staff with advanced training focused on the service delivery of high risk diagnosis like heart failure and other cardiac diseases. When cardiac dysfunction symptoms occur, a 12-lead EKG is performed and immediately sent to the physician, providing more diagnostic information, so that their plans of intervention may be carried out, for better clinical outcomes. Before now, a resident with symptoms of potential cardiac dysfunction would most likely be sent out to the hospital if initial efforts to resolve the problem were not quickly successful. Now with advanced training and technology, the EKG can be performed in-house and a doctor can prescribe orders for nursing interventions remotely, thereby decreasing the need for unnecessary hospitalizations.

The Respiratory Dysfunction Specialty Program includes advanced training for the therapy staff, so that they are equipped to provide the skill sets related to identifying the early onset detection of respiratory dysfunction. It also creates an increased skill level on how to respond through written and verbal communication as well as through advanced clinical intervention, to greatly reduce the rate of unnecessary return admission to the hospital. The core component to this program is centered on elevating the success of the “early onset detection” of high risk diagnoses such as respiratory dysfunctions.

The Nursing Orthopedic Specialty Program prepares the nursing staff with advanced knowledge for the complete care of the postoperative orthopedic patient. Then the nursing staff are able to utilize the advanced techniques and precautions that are required for delivering safe activities of daily living for these patients. Although medical technology has achieved major advancements with regards to design and procedures involving orthopedic surgery, there are some guidelines/precautions that are crucial to maintaining the integrity of the prosthetic hardware utilized by the surgeons. As a result, the overall quality and time frame for the rehabilitation process is improved.

Readmissions to a hospital can be emotionally and physically difficult for residents, and they often result in numerous additional complications as well. However, through new post-acute capabilities, such as INTERACT, the Cardiac Recovery Program, the Respiratory Dysfunction Specialty Program and the Nursing Orthopedic Specialty Program, residents are now receiving the highest and most complete quality of care in one location.

Such programs are being implemented by Windsor of Duval, Heritage Park, Southpark Meadows, Pflugerville Nursing & Rehab, Bastrop of Lost Pines and Elgin Nursing & Rehab Center. They are utilizing such clinical models to become better care providers through these sophisticated proactive initiatives. See the opposite page for more information.

Submitted By: Regency Healthcare Windsor of Duval, Heritage Park, Southpark Meadows, Pflugerville Nursing & Rehab, Bastrop of Lost Pines and Elgin Nursing & Rehab Center

Phone Numbers:

Windsor of Duval (512) 345-1805

Heritage Park (512) 474-1411

Southpark Meadows (512) 292-3071

Pflugerville Nursing & Rehab (512) 251-3915

Bastrop of Lost Pines (512) 321-3527

Elgin Nursing & Rehab Center (512) 281-1283