3001 – Successful Transitions from PICU to Inpatient Rehabilitation
Satisfactory recovery outcomes following critical pediatric illness often involve transfer to an inpatient pediatric rehabilitation facility. Understanding the differences between medical goals and rehabilitation goals are an essential part of an efficient and collaborative transition. There are several key elements that need to be addressed to make the correct decisions for a safe and timely transfer to rehabilitation. Multiple case managers are involved in the discharge planning for these patients and cooperation is a key factor in managing the family expectations and making the transition as least stressful as possible. The case managers’ role in how to include the key players from across the continuum will be described. This presentation will review guidelines for achieving a smooth and informed transition, including the requirements for appropriate treatment of children and their families who have suffered devastating injuries and/or a medical catastrophe. The process is successful when consistent and effective communication principles are utilized. Success is demonstrated by functional measures, decreased readmission rates, payor participation and family satisfaction scores. The central issues will be presented in a lecture format followed by an illustrative role playing scenario with the audience involving a parent, case manager and physician. The scenario will include misunderstandings which can lead to unnecessary and costly delays in the transfer of the patient from acute care to inpatient rehabilitation.
1. Differentiate between goals for rehabilitation in intensive care units and intensive inpatient rehabilitation
2. Describe the requirements for admission to an inpatient rehabilitation hospital
3. State communication misperceptions that may occur during transitions