Crystal J EvansSNF And IRF Comparison Chart South Carolina1
Classification / Skilled Nursing Facility(SNF) / Inpatient Rehabilitation Facility (IRF)Facility Name / Heartland of Columbia Rehabilitation & Nursing Center
2601 Forest Dr
Columbia, SC 29204
Phone: 803-256-4983
Fax: 803-256-6273 / HEALTHSOUTH REHABILITATION HOSPITAL OF COLUMBIA
2935 COLONIAL DRIVE
COLUMBIA, SC 29203
(803) 254-7777
Years in Operation
Size / Manor Care (Corporate) acquired this large, 132-bed facility in 2006.
(for-profit, corporate ownership; corporate exists since 1982).
Note: Providerdata.com (2017) reports Date first approved to provide Medicare and Medicaid services : 2/28/1972 / 96 beds
For-profit ownership
Licensing / US DHHS Skilled Nursing Facility
License No. 425008 (Issued by U.S. Department of Health & Human Services ( Medicare)
Licensed as Nursing Home through SC
Note: JCAHO accreditation NOT found. / JCAHO
Licensed as Rehabilitationfacility through SC
Payment & Insurance Types Accepted/ Reimbursement / Medicare Part A (100 days per admission/illness) and Medicare Part B, Medicare Advantage, Medicaid, but MediGap status unknown
*Managed care- skilled nursing and rehabilitation centers accept most managed care or insurance plans for post-hospital care.
Works with auto insurance and worker’s compensation claims
Private Payment / Medicare, Medicaid
It also has contracts with most major insurance companies and is willing to negotiate with other companies as needed.
Scholarships for patient care are offered minimally and are on a case-by-case basis, as determined by CEO.
Medicare & Medicaid Reimbursement / Medicaid- per diem based on costs, level of care and RUGS in Medicaid reimbursement
Medicare SNF prospective payment system- per diem for each admission based on adjusted resource utilization group (RUG) based on MDS data / According to Peden (2017):
Medicare inpatient rehabilitation prospective payment system (IRF PPS)
Case mix groups (CMGs) depending on Rehabilitation impairment categories, levels of functional & cognitive impairments, age, and comorbidities.
Notably, comorbidities affect relative weights
Conditions treated and Managed (via short or long-term) via services / Individualized Treatment Plans
Short-Term Rehabilitation includes(Manor Care Heartland, 2017):
Wound care
Chronic Disease Management
Stroke & neurological recovery
Orthopedic injuries & total joint replacement
Pulmonary issues
Oncology Care
Physician Care
Vocational Services
Podiatry Services
Pharmacy Services
Clinical Lab Service & Blood Administration Service
Mental Health Services
X-Ray Services / According to Medicare.gov (2017): Stroke, Nervous system disorder (excluding stroke) Brain disease and non-traumatic brain condition
Traumatic Brain Injury
Traumatic Spinal Cord injury
Spinal cord disease or non-traumatic spinal condition
Hip or femur fracture,
Hip or knee replacement, amputation or other bone or joint conditions
All other conditions
Services include (UCompareHealthcare.com, 2017): Blood bank, ICU Medical/Surgical, Occupational Therapy, Pharmacy, Physical Therapy
Rehab- Inpatient (Not CARF accredited) and Outpatient
Respiratory Care, Speech Pathology
Modalities / Physical Therapy/ Treadmill, stairs, and exercise
E-stimulation, Ultrasound, WII & OmniVR, whichuses movements in 3-dimension space to create an interactive experience, similar to popular video games, speech pathology & the Synchrony Dysphagia Solutions Program, which uses biofeedback to help patients to "see" the swallow and aids the speech therapist in treatment of swallowing disorders, Diathermy (Heartland Manor Care, “Recovery,”2017).
Tube feeding, IV, Central Line/PCC, BiPap/CPap, Trach / None listed for specific conditions
HIM Needs / ICD 10 code for diagnosis codes for claim forms and MDS 3.0
CPT code for Part B
RAVEN software from CMS for LTC facilities accomplishes many of the tasks listed below, but facilities can choose other packages.
According to Peden (2017):
Software capabilities for tracking Quality Indicator Survey (QIS) and Quality of Care Indicators
Other documentation for Comprehensive resident assessment utilizing resident assessment instrument (RAI) process
– Minimum Data Set (MDS)
– Care area assessment (CAA) process including Care area triggers, care plan, discharge/transfer &CAA summary
– Utilization guidelines (supplies and services)
And for external reporting, auditing
Must document Resident rights
Also need electronic information systems for Physician orders, medication, treatment, Financial information, Integration of care plan with nurse aid assignments, Interdisciplinary progress notes, as well as Incidents/accidents, infections, and other significant events / Software capable of capturing all intake, nursing, physician, therapy, lab tests and care
According to Peden (2017):
IRF-PAI captures information necessary to assign CMG • Data encoded and transmitted within 17 days of discharge
ICD for UB-04 (principal diagnosis) and IRF-PAI (etiologic diagnosis)
Current Procedural Terminology
–International Classification of Functioning, Disability and Health
Electronic information systems such as IRVEN or other systems from other vendors
National Databases
Classifications & rating scales for Traumatic Brain Injury (TBI)
Such as the Glasgow coma scale
Rancho Los Amigos levels of cognitive function scale
Katz index, Barthel index • FIM® – Most commonly used measure of independence – Incorporated into the IRF-PAI – 13 motor areas, 5 cognitive areas – Repeated scoring documents patient progress – WeeFIM® for pediatric patients
FIM® scores
References
Department of Health & Environmental Control South Carolina [DHEC], (2017). Licensed health care facilities. Retrieved from
HCR Manor Care (2017). Our history. Retrieved from
Health South Rehabilitation Hospital of Columbia (2017). Retrieved from
Heartland Manor Care (2107). Home Page. Retrieved from
center/
Health South Rehabilitation Hospital Of Columbia (2017). Retrieved from
Health South Rehabilitation Hospital Of Columbia (2017). Retrieved from
Heartland Manor Care (2017). Road to recovery. Retrieved from
Heartland of Columbia Rehabilitation & Nursing Center (2017).Retrieved from Provider Datawebsite at:
heartland-of-columbia-rehabilitation-nursing-center.aspx
Heartland of Columbia Rehab and Nursing Center (2017). Retrieved from UComparehealthcare website at: heartland_of_columbia_rehab_and_nursing_center/
Medicare (2017). Health south rehabilitationHospital Of Columbia. Retrieved from
inpatientrehabilitationfacilitycompare/#profile&pid=423025&pdist=1.7&loc=29204&lat=34.0291227&lng=-81.0036821&sort=undefined%7Cundefined&dist=0&previouspage=results&viewall=0
Peden, A. (2017). Section IV: Post-Acute care [Powperpoint]. ComparativeHealth Systems: Cengage learning.
Peden, A. (2017). Chapter 11: Rehabilitation [PowerPoint]. ComparativeHealth Systems: Cengage learning.
Skilled Nursing Facilities in South Carolina (2017). Search page retrieved from
U.S. News & World Report (2017). Heartland of Columbia Rehabilitation and Nursing Center. Retrieved from