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Post-Hospitalist Medicine is the discipline concerned with the medical care of patients residing in Post-Acute, Long-Term Care, Rehabilitation and Assisted Living Facilities. The Physicians whose primary professional focus is the post-hospital medical care of these patients are called Post-Hospitalists.
The Improving Medicare Post-Acute Care Transformation Act of 2014 or IMPACT Act of 2014 is a bill that is intended to change and improve Medicare's post-acute care (PAC) services and how they are reported. [1] The bill was introduced into the United States House of Representatives during the 113th United States Congress.
To begin the certification process applicants must be a physician medical director at a long-term care facility, and have completed a post-graduate training program accredited by the U.S. Accreditation Council for Graduate Medical Education or American Osteopathic Association, or a Canadian Royal College of Physicians and Surgeons or College of ...
Representative locations include (but are not limited to) hospitals, sub-acute and post-acute nursing homes, the patient’s home, primary and specialty care offices, and long-term care facilities. Transitional care is based on a comprehensive plan of care and the availability of health care practitioners who are well-trained in chronic care ...
It is common for nursing homes to continue operations by using reimbursements from short-term Medicare post-acute care to subsidize the care of Medicaid patients. Due to the dramatic decrease in surgical procedures that would necessitate post-acute care during the COVID-19 pandemic, this model is becoming increasingly untenable. [9]
The ACO's model of fostering clinical excellence while simultaneously controlling costs depends on its ability to "incentivize hospitals, physicians, post-acute care facilities, and other providers involved to form linkages and facilitate coordination of care delivery". [8]
Originally a provider of emergency department services, it is outsourcing physicians in emergency medicine, hospital medicine, anesthesiology, critical care, obstetrics, orthopedic surgery, general surgery, ambulatory care, post-acute care and medical call centers to approximately 2,900 acute and post-acute facilities nationwide. [2]
"Long-term services and supports" (LTSS) is the modernized term for community services, which may obtain health care financing (e.g., home and community-based Medicaid waiver services), [7] [8] and may or may not be operated by the traditional hospital-medical system (e.g., physicians, nurses, nurse's aides).
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