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how rehab hospitals kidnap elderly patients cnn article

by Karianne Wuckert Published 2 years ago Updated 1 year ago
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What happened to the Texas nursing home that raped an elderly man?

Mar 30, 2022 · Elderly patients are an increasing customer for hospitals, a trend that will likely intensify as baby boomers age. Patients over 65 already make up more than one-third of all discharges, according to the federal government, and about 13 …

Is there evidence for domiciliary rehabilitation in older people?

Aug 15, 2016 · Many elderly patients deteriorate mentally or physically in the hospital, even if they recover from the original illness or injury that brought them there. CNN values your feedback 1.

What happens to the elderly when they are hospitalized?

Aug 07, 2012 · Patients who spend three consecutive days (not counting the day of release) as a hospital inpatient pay nothing for the first 20 days and …

Are rehab centers harmful to patients?

Sep 13, 2019 · Keywords: inpatient rehabilitation facilities, outcomes, three -hour rule. Go to: 1. Introduction. An inpatient rehabilitation facility (IRF) is eligible for payment as an IRF under the Center for Medicare and Medicaid Services (CMS) prospective payment system if it complies with a number of regulations set forth by CMS.

How do hospitals handle the elderly?

How hospitals handle the old — and very old — is a pressing problem. Elderly patients are a growing clientele for hospitals, a trend that will only accelerate as baby boomers age. Patients over 65 already make up more than one-third of all discharges, according to the federal government, and nearly 13 million seniors are hospitalized each year. And they stay longer than younger patients.

How long does it take for an elderly person to return to the hospital?

The federal government penalizes hospitals when patients fall, get preventable infections or return to the hospital within 30 days of their discharge.

How much does a nursing home cost?

Nursing home stays cost about $85,000 a year . And the average hospital stay for an elderly person is $12,000, according to the Agency for Healthcare Research and Quality.

When do hospitals use middle ground?

For decades hospitals have used the middle ground of observation when a doctor can't confidently okay your release but isn't sure you're sick enough to be admitted. Typically you're watched and treated for up to a day until the doctor can make the call.

How much is a day short of the threshold for rehab?

The price of being one day short of the threshold: $20,000 for nearly three months in rehab. Had the inpatient label stuck from the get-go, according to Pacific Grove Convalescent home, she wouldn't be out a dime, since she has a supplemental insurance policy too.

Why do hospitals have to rely on the same tool as the auditors?

Because Medicare regulations are so short on specifics, the hospitals making the admission decision have come to rely on the same tool that the auditors reviewing that call down the road check with as well: screening programs created by private firms.

How long does Medicare cover inpatient hospital stays?

You'll owe a fixed deductible, $1,156 in 2012, for a stay of up to 60 days.

How much does Medicare pay for chest pain?

Spend a night in the hospital for chest pain, and Medicare might pay the hospital $4,100 if you're an inpatient, $1,800 if you're on observation, says Sandra Routhier, a consultant for Panacea Healthcare Solutions.

Who is Laura Coughlin?

Another doctor beef: Auditors have the benefit of hindsight. Laura Coughlin, vice president of InterQual development and clinical strategy , says that the company simply offers guidelines to doctors. Ultimately, though, her team makes a judgment call that can be costly for a hospital to ignore.

What is Medicare Part B?

Observation care falls under Medicare Part B, the insurance for doctor visits and tests you get as an outpatient. With Part B, you typically owe 20% co-insurance or a co-pay (after a $140 deductible) on each service.

How do hospitals handle the elderly?

How hospitals handle the old — and very old — is a pressing problem. Elderly patients are a growing clientele for hospitals, a trend that will only accelerate as baby boomers age. Patients over 65 already make up more than one-third of all discharges, according to the federal government, and nearly 13 million seniors are hospitalized each year. And they stay longer than younger patients.

How long does it take for an elderly person to return to the hospital?

The federal government penalizes hospitals when patients fall, get preventable infections or return to the hospital within 30 days of their discharge.

How much does a nursing home cost?

Nursing home stays cost about $85,000 a year. And the average hospital stay for an elderly person is $12,000, according to the Agency for Healthcare Research and Quality. Patient Janet Prochazka, 75, celebrated her birthday during her stay at San Francisco General Hospital.

Who is Ron Schwarz?

Ron Schwarz, 79, was hospitalized after falling in the shower. Schwarz is a patient in a special ward known as the Acute Care for Elders unit, or ACE, at Zuckerberg San Francisco General Hospital and Trauma Center. (Heidi de Marco/KHN)

Why do people go to rehab?

Patients may go to rehabilitation hospitals to recover from a stroke, injury or recent surgery. But sometimes the care makes things worse. In a government report published Thursday, 29 percent of patients in rehab facilities suffered a medication error, bedsore, infection or some other type of harm as a result of the care they received.

Is physical therapy a part of healing?

The physical therapy workouts a rehabilitation facility offers can be a crucial part of healing, doctors say. But a government study finds preventable harm — including bedsores and medication errors — occurring in some of those facilities, too.

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