ChildServe's inpatient rehabilitation program is designed to help children recovering from injury or illness transition from hospital to home.
Certified and licensed staff provide specialty, pediatric care that addresses each child's developmental, medical, and rehabilitative needs in a family-centered, child-focused environment. In addition, through multiple learning opportunities, staff assist parents with the education and support needed to successfully transition their child home.
Each child and family is supported by a care team that understands the child's needs. A care plan focusing on growth, development, and play-based treatment will be designed to transition the child home.
Admission to ChildServe’s inpatient rehabilitation
program is determined by admission committee.This committee includes; medical director, service managers, nursing and
rehab clinical supervisors, access specialist, inpatient
director/administrator, and medical social workers.It is important to note that the inpatient
rehabilitation program must have a room/bed available to admit.A child may meet admission requirements
but may not be admitted due to space capacity.ChildServe will not discriminate based on gender,
race, color, religion, or national origin and will attempt to accommodate all
specific cultural needs or requirements.
ChildServe’s inpatient rehabilitation program will
consider admission for children or young adults who have/are:
0
through 21 years of age
Medically
stable
Identified
discharge plan/option to home or lower level of care
Qualified
funding source
Able
to tolerate at least one therapy service per day (OT, PT, ST) for 30-60 minutes
5 days per week
Able
to reside (24hrs/day) on the Transitional Care Unit until discharge
Who
is not eligible for admission?
ChildServe’s inpatient rehabilitation program will
decline admission to children or young adults who have/are:
Acute
spinal cord injury higher than C5
Active
or acute stages of communicable disease that require airborne isolation
Behavior
that poses a serious continuing threat to themselves or others and cannot be
safely managed by ChildServe staff
Chemical
dependencies
Pregnant
How are referrals made?
Referrals can be made in a number of ways.The most common referral is made by a
discharge planner from an acute hospital setting.Referrals can also be made by physicians, parents/guardians,
or the individual’s case manager. Typically the aforementioned individuals will
contact ChildServe’s Access Specialist to make a referral.
How
are services authorized and funded?
Program costs are authorized and funded through
commercial insurance providers and Medicaid.Specific fees will be discussed during the intake/admission process.
What services are provided?
Care team members will complete individual
assessments to determine service needs.All children will be served by nurses with experience in rehabilitation
and will be followed by a pediatrician.The
following services are available on site and will be provided if
recommended by care team and ordered by a physician:
Occupational
Therapy
Physical
Therapy
Speech
Language Pathology
Therapeutic
Recreation
Child
Life
Respiratory
Therapy
Music
Therapy
Aquatics
Orthotics
Adaptive
Equipment
Where
are services provided?
Inpatient Rehabilitation Services are provided on
the Transitional Care Unit and in the connecting inpatient rehabilitation
treatment wing.Sometimes participants
are taken up to the outpatient therapy wing on the same campus in order to
access different types of equipment to meet their needs.
When are services provided?
Primary inpatient rehabilitation services are
provided anytime between the hours of 7:30 am and 6:00 pm 5 days a week.Some therapy services may recommend additional
services on the weekends based on medical necessity.Some services like therapeutic recreation and
aquatics may serve children later in the afternoon after 6:00 pm based on the
child’s needs and staff schedules.
How
often are services provided?
All services are physician ordered.Care team members will complete individual
assessments to determine service frequency.Frequency may vary from 1 service 1x per day (QD) up to 2x a day (BID)
per service depending on medical necessity.
How
long will I continue to stay in inpatient rehabilitation?
Length of stay varies by child.A length of stay estimate will be provided
within the first week based on facility averages per diagnosis type and
national benchmarks.However, it is
important to note that every child’s rehabilitation is different and length of
stay could be longer or shorter than what was estimated.If the child does not meet any of the
criteria for discharge as stated below it is likely the child will be able to
continue their stay in the program until discharge criteria is met.
When
will I discharge from inpatient rehabilitation?
Consideration for discharge from inpatient
rehabilitation will be based on the following criteria:
Plan
of care (treatment) goals are achieved (including all training and education
required of patient and/or family).
Child
no longer requires a daily therapy service.
Goals
are not consistently met and/or there is not reasonable expectation of them
being met in the future.
Child
is hospitalized for a length of time that exceeds our ability to maintain an
active care status.
The
child’s behavior support needs pose a significant danger to other children
and/or staff and cannot be safely managed by staff.
The
physician determines that services are no longer required.
There
is a lack of funding.
Child
is older than 21 years.
I’m
interested in inpatient rehabilitation services for my child – what do I do
next?
If your child is currently in an acute hospital
contact your discharge planner about your interest in our services.You may also contact us directly and we can
give your discharge planner a call.If
your child is not in a hospital you can have your child’s physician contact us or
you may contact us directly via phone 515-331-8106 or our website (www.childserve.org)
Inpatient Rehabilitation
ChildServe's inpatient rehabilitation program is designed to help children recovering from injury or illness transition from hospital to home.