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Referral Triggers

Any ONE of the following may trigger referral to LTAC after a five-day acute care LOS:
  • Multi-system disease processes – e.g. diabetes, heart failure
  • Frequent change in condition – e.g. increasing or decreasing oxygen saturation, diuretic needs, fluid balance
  • Frequent medication changes – e.g. cardiac meds, repeated IV bolus of Mg or KCL
  • Positive blood or fluid cultures (CSF, sputum)
  • Patients who are positive for osteomylitis
  • TPN patients with ileus or swallowing problems (need for speech therapy, nutritional analysis, frequent labs)
  • Obese patients with poor respiratory status (hypoventilation) or who need CPAP or BiPap (sleep apnea)
  • Surgical patients with postoperative complications (ileus, respiratory instability, pain control problems, wound infection)
  • Orthopedic patients with complications (MI, diabetic control)
  • Complicated diagnosis – e.g., new CVA with old head injury, multiple pathways
  • Fragile medical conditions – e.g., respiratory problems plus new MI, COPD or CHF plus pneumonia
  • Mechanical ventilation – invasive or noninvasive
Any TWO of the following may trigger referral to LTAC after a five-day acute care LOS:
  • Recent stay in ICU or step-down unit
  • High oxygen requirements (>5 liters/min)
  • Debrided wound
  • Complex wound processes – e.g., lymphedema, cellulites
  • Infected wounds
  • Wounds requiring whirlpool treatment or pulse lavage
  • New tracheostomy
  • Patients requiring frequent pain management (IV or pump)
  • Patients requiring frequent physician monitoring (daily vs. weekly)
  • Patients with frequent hospital admissions
  • Patients with reported downward course at home over the past several months
  • Patients who are NPO for a lengthy time (>7-10 days)
  • Nutritional issues – e.g., decreased albumin, decreased protein, underweight, obese, cachexic
  • Multiple wounds
  • Nursing home patients with need for complex management
  • Patients with evidence of deconditioning
Inappropriate Candidates for Referral:
  • Patients refusing to participate in therapy
  • Patients with end-stage disease – e.g., extensive cardiomyopathy (EF<20%), cancer with metastasis
  • Patients with mental health issues
  • Simple disease processes with short treatment course
  • Patients without LTAC reimbursement benefits

To Make a Referral

If you have a patient whom you believe is an appropriate candidate for the LTAC level of care, you can refer him/her via one of the following convenient ways:
  • By phone at 404.501.6226
  • By fax at 404.501.6334
  • Online via Allscripts Referral system (participating healthcare facilities only)

A member of our staff will perform an assessment at no charge and help you determine if your patient meets our admissions criteria. The assessment can be conducted at an acute-care hospital, in a nursing home, in the physician’s office or at the patient’s home. To schedule an assessment, call 404.501.6262.
450 North Candler St Decatur, GA 30030
404.501.6100
Patient Inquiries: 404.501.6130

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