The Specialty Hospital at Rittenhouse THE NEXT STEP ON YOUR JOURNEY TO RECOVERY
TABLE OF CONTENTS Welcome to the Specialty Hospital at Rittenhouse... 2-3 Why the Specialty Hospital at Rittenhouse? What is a long-term acute care hospital? What can you expect when you are admitted? Why we are right for you... 4-5 Awards and Accreditations Our pledge to you Admission to the Specialty Hospital at Rittenhouse... 6 Program Services... 7 Infectious Diseases Program... 8 Pulmonary Program... 9 Medically Complex Program... 10 Wound Management Program... 11 Transitional Rehabilitation Services... 12 Frequently Asked Questions... 13 What to Expect: Preparing you for discharge... 14 Services & Locations Overview... 15 Our Mission and Vision... 16
THE NEXT STEP ON YOUR JOURNEY TO RECOVERY BEGINS AT The Specialty Hospital at Rittenhouse At the Specialty Hospital at Rittenhouse, we re committed to helping you regain your life one step at a time. The Specialty Hospital at Rittenhouse also serves as a bridge to other levels of care. Patients can transition to our inpatient rehabilitation unit (located in the same building), a skilled nursing facility, home with home health care services, or to outpatient therapy.
NEW PHOTO AND QUOTE BEFORE MY RECOVERY AT THE SPECIALTY HOSPITAL, I figured that there would be no choice but for me to live the rest of my life in a nursing home. But here I am, back at home. I m in good shape and home with the people I love. The Specialty Hospital gave me my life back. MARIANNE WILLIAMS, FORMER PATIENT WHY THE SPECIALTY HOSPITAL AT RITTENHOUSE? Our team partners with you to guide your recovery, and help take the stress and worry out of your journey to regain health. Patients admitted at the Specialty Hospital at Rittenhouse come from all walks of life, and may be experiencing a wide variety of medical conditions. It is often a stressful and confusing time, as patients look ahead to the road to recovery, unsure of the path they will need to take to regain their health. The level of care and staff expertise we provide is the highest level available outside of an acute care hospital. Our continuum of care ensures that your needs are managed around-the-clock by a team of medical professionals including: Internal medicine physicians, nurse practitioners, and physician assistants Consulting physicians with a variety of specialties such as: pulmonology, nephrology, and infectious disease Nurses Respiratory therapists Case managers Dietitians Physical therapists, occupational therapists and speech language pathologists Pharmacists Wound care specialists We act as a bridge to other services and therapies, helping you improve strength and health as you prepare for the road ahead. 2 The Specialty Hospital at Rittenhouse Admissions 215.893.6570 pennpartners.org/ltach
WHAT IS A LONG-TERM ACUTE CARE HOSPITAL? Patients admitted to the Specialty Hospital at Rittenhouse are typically too ill to go to other levels of care, require a doctor s care every day, or need rehabilitation at a slower pace. Long-term acute care hospitals (LTACHs) like the Specialty Hospital at Rittenhouse also offer more intensive medical intervention, such as cardiac monitoring, administering multiple IVs and ventilator weaning. WHAT CAN YOU EXPECT WHEN YOU ARE ADMITTED? At the Specialty Hospital at Rittenhouse, we re equipped to meet your unique needs and challenges. We are a state-of-the-art, long-term acute care hospital, driven by innovative medicine, such as portable ventilators and Penn E-lert, a tele-monitoring system that allows staff to access additional medical expertise as needed. Highlights of key aspects of our services to you: A team of Penn Medicine physicians A unique, individualized plan of care developed and directed by a multidisciplinary physician-lead team within our trusted Penn Medicine network A multidisciplinary family meeting within 2 weeks of admission to understand your expectations and to connect you with the many staff members who will be involved in your care Integrated electronic medical records within the Penn Medicine network WE DEVELOP INDIVIDUALIZED DAILY CARE PLANS that focus on recovering optimal health and quality of life, while developing personal and supportive relationships with patients and their families GENEVEEN KLUSKA, RN 3
WHY WE ARE RIGHT FOR YOU We recognize that your journey is challenging. At the Specialty Hospital at Rittenhouse, we are committed to helping you meet and overcome those challenges through state-of-the-art technology, our comprehensive Penn Medicine network of skilled physicians, and compassionate care. To achieve this, we maintain high standards of both medical care and comfort, including: At the Specialty Hospital at Rittenhouse, we are equipped to meet your unique needs and challenges Spacious private rooms 38-bed unit In-depth pre-admission consultation to provide a seamless transition of care Around-the-clock on-site medical coverage Complex medical services and diagnostics Outstanding therapy for individualized medical rehabilitation Collaborative communication with your preferred physicians»» Daily physician-led multidisciplinary patient rounding WE NOT ONLY TREAT OUR PATIENTS, BUT WE EDUCATE THEM TOO. It gives patients a greater feeling of independence when they understand how to exercise and get better on their own. JAYEA WATSON, PHYSICAL THERAPIST 4 The Specialty Hospital at Rittenhouse Admissions 215.893.6570 pennpartners.org/ltach
THE CORNERSTONE OF MEDICAL CARE in the LTACH Specialty Hospital at Rittenhouse is daily, multidisciplinary rounding, enabling a detailed discussion of the plan of care and affording patients and their families an opportunity to ask questions and achieve clarity on important issues. MICHAEL A. GRIPPI, MD Chief Medical Officer and Vice Chairman, Department of Medicine, Penn Medicine Our partnership with Penn Medicine ensures seamless access to your medical history through Penn s electronic medical records. Our clinicians also reach out on a routine basis to discuss your medical needs to providers involved in your care, whether they are within Penn Medicine or other health systems. The Specialty Hospital at Rittenhouse also offers a range of inpatient amenities to make your recovery experience as comfortable and productive as possible. These include free parking for one vehicle per day, wireless internet and cable at no charge, pet visitation, pastoral care and more. AWARDS AND ACCREDITATIONS Good Shepherd Penn Partners and the Specialty Hospital at Rittenhouse are honored to have received the Pennsylvania Department of Health s award for Excellence in Health Care Compliance. This award was given by the Commonwealth of Pennsylvania to identify facilities demonstrating excellence in meeting or exceeding state regulations. As part of the Penn Medicine continuum of care, the Specialty Hospital at Rittenhouse is accredited by The Joint Commission, which is an acknowledgement of our commitment to meeting standards for safety, quality and value. OUR PLEDGE TO YOU The road to your recovery may be long and challenging. We pledge to help you cross the bridge to the next phase of improved health. Our goal is to partner with you and encourage you to return to the highest possible level of function, independence, and health. We provide state-of-the-art tools and physician-led programs to guide your recovery and we will support and champion you on your path. With family, friends, and your care team at the Specialty Hospital at Rittenhouse by your side, you will receive the advanced medicine, education and support you need to help regain your life. 5
AFTER AN INFECTION TURNED INTO PNEUMONIA, I was hospitalized for dehydration and couldn t get enough oxygen for my daily routine. At the Specialty Hospital, they helped build up my strength and oxygen levels I m walking further here than I have in two years. EUGENE WHITMORE, FORMER PATIENT ADMISSION TO THE SPECIALTY HOSPITAL AT RITTENHOUSE PRIOR TO ARRIVAL We encourage you to schedule a tour of the Specialty Hospital at Rittenhouse by calling 877.969.7342. We also have a video tour we can show you in the hospital. We take your medical care seriously. Prior to admission, our physicianlead team will work with the medical professionals caring for you and your insurance provider to determine if your medical needs meet the criteria for long-term acute care hospital level of care. Our clinical liaison(s) and a hospital discharge planner will work with you to coordinate your transition. We treat a wide variety of conditions, including: Ventilator dependence/respiratory complications Wounds Pre and post-transplant surgery Head trauma or injury Cardiovascular disease Infections Spinal cord injury Cancer Peripheral vascular disease Stroke As a patient, you will have access to a range of treatments to meet your complex medical needs, such as: Cardiac monitoring Complex wound management Infectious disease management Long-term IV antibiotics Nutritional support services Hemodialysis Bariatric care 6 The Specialty Hospital at Rittenhouse Admissions 215.893.6570 pennpartners.org/ltach
PROGRAM SERVICES The Specialty Hospital at Rittenhouse has unique programs that are dedicated to the care of individuals with a variety of conditions. Our care is delivered with four core specialty programs: Infectious Diseases, Pulmonary, Medically Complex, and Wound Management. 7
MY HUSBAND HAD A HERNIA THAT BECAME INFECTED after multiple surgeries, he came to the Specialty Hospital at Rittenhouse to grow stronger. We knew the doctors and wound care nurses here were in constant contact with the Penn Network, which really reassured us. CATHY MATTERA, SPOUSE OF FORMER PATIENT INFECTIOUS DISEASES PROGRAM Infections are often unexpected and stressful events that can lead to extended hospital stays. The Specialty Hospital at Rittenhouse provides comprehensive medical and nursing services to care for patients with infectious diseases requiring IV antibiotics. Our program provides the highest quality care, led by specialized medical staff and board-certified infectious disease physicians. WHAT TO EXPECT Our physician-led infectious disease team is backed by the Penn Medicine network, and includes a board-certified infectious disease physician and a certified infection control nurse. These clinicians work closely with pharmacists, hospitalists and other team members to prevent, monitor and treat infections, through a variety of methods: Managing antibiotic use to prevent development of drug-resistant organisms Diagnosing early infections Comprehensive clinical wound management and therapy IV therapy (TPN and antibiotics) Nutritional counseling WHO CAN BENEFIT FROM OUR PROGRAM? Patients who may require specialized care for conditions such as: Endocarditis Osteomyelitis Brain abscesses Septic arthritis Infected surgical wounds We also specialize in caring for patients with complicated medical conditions such as organ transplants, HIV, chronic mycobacterial infections, fungal infections, and cystic fibrosis. Surveillance of all patients for drug-resistant organisms Updating clinical staff on infection prevention measures Program clinicians have expertise in treating infections with organisms such as methicillin-resistant staphylococcus aureus (MRSA), multidrugresistant gram-negative bacteria and recurrent infections with C. difficile. 8 The Specialty Hospital at Rittenhouse Admissions 215.893.6570 pennpartners.org/ltach
PULMONARY PROGRAM The pulmonary services program at the Specialty Hospital at Rittenhouse serves patients who need pulmonary, respiratory and/or ventilator care requiring comprehensive medical, nursing, respiratory and rehabilitation services. The majority of our patients require a ventilator after surgical complications or infections. Our goal is to help manage your respiratory illness and reduce the need for supplemental oxygen to help you achieve your highest possible level of independence. WHAT TO EXPECT Patients admitted to our pulmonary services program work closely with a physician-led team to become as stable as possible, and begin restorative therapies aimed at supporting recovery. We provide a wide range of technologically-advanced care to patients, including: Specialized nursing and respiratory therapy Cardiac monitoring Aerosolized medications Airway management, clearance and chest physiotherapy modalities Comprehensive low-tolerance rehabilitation therapy FEES (Fiberoptic Endoscopic Evaluation of Swallowing) to evaluate swallow function and provide treatment for dysphagia patients Fiberoptic bronchoscopy WHO CAN BENEFIT FROM OUR PROGRAM? Patients who benefit from our pulmonary services program include those with conditions such as: Respiratory failure and emphysema Cystic Fibrosis (CF) Amyotrophic Lateral Sclerosis (ALS) Spinal cord injuries Brain injuries Pulmonary hypertension and severe pulmonary disease Medical complications Trauma Pre- and post-transplant Noninvasive ventilator support Titration and monitoring of patient s oxygen needs Patients may also require antibiotic therapy, hemodialysis, nutritional support and wound care management. Other available services include airway clearance, chest physiotherapy, on-site radiology and non-invasive ventilator support. 9
THE THERAPISTS BELIEVE YOU CAN GET BETTER, and continue to encourage you. Every step you take, is a step closer to a better point in your recovery. RUSSELL BURT, FORMER PATIENT MEDICALLY COMPLEX PROGRAM Every patient s needs are unique, and may require a combination of treatments and therapies to treat more than one issue at a time. The medically complex program at the Specialty Hospital at Rittenhouse provides a variety of state-of-the-art therapies that compliment ongoing medical care for multiple diagnoses. To meet these challenges, we provide a physician-led multidisciplinary team. WHAT TO EXPECT Our Medically Complex program provides comprehensive medical management and a variety of therapy services for your specific needs. Below is a list of treatment options: Specialized nursing and respiratory therapy Intravenous (IV) medications, fluid replacement, and nutritional support Advanced pain management Advanced cardiac disease and heart failure management Hemodialysis Anti-coagulation Insulin therapy, insulin pump regulation and diabetic teaching WHO CAN BENEFIT FROM OUR PROGRAM? We offer an integrated program of professional, clinical and technical resources for the treatment of medically complex conditions, including: Cardiac disease and heart failure Pre- and post-transplant care Liver failure Deep vein thrombosis (DVT) or pulmonary embolus Blood disorders Malnutrition Multi-organ failure We understand the complexity of medical care. We partner with you, your family and the Penn Medicine network to help you take the next step on your road to recovery. 10 The Specialty Hospital at Rittenhouse Admissions 215.893.6570 pennpartners.org/ltach
WOUND MANAGEMENT PROGRAM Complex wounds often exist concurrently with other conditions including cardiac, pulmonary, neuromuscular and renal diseases. The Specialty Hospital at Rittenhouse has a wound care program that features comprehensive medical and nursing services to care for patients with infections requiring IV antibiotics. Our program provides the highest quality care, led by specialized medical staff and specially trained wound care professionals. WHAT TO EXPECT Our wound care team consists of nurses, nurse practitioners, and as needed, a vascular/general surgeon. A comprehensive wound care treatment plan includes regular exams, follow-up and communication with outside providers (surgical teams, wound care specialists, etc.), to ensure continuity of care. Wound program provides: Comprehensive clinical wound assessment and treatment plan Physical and occupational therapy services Patient-specific specialized seating and support surfaces WHO CAN BENEFIT FROM OUR PROGRAM? Patients who may require specialized care for a variety of complex wound conditions such as: Diabetic, arterial, and venous ulcers Fistulae/ostomies Pre- and post-flap surgery Pressure ulcers Surgical wounds/wound dehiscence IV therapy (TPN and antibiotics) Nutritional assessments and counseling Negative Pressure Wound Therapy that provides vacuum dressing to promote wound healing 11
I REALLY DON T KNOW WHERE I D BE WITHOUT MY THERAPISTS in my corner. They really helped me get back to normal again. RYAN ALBURGER, FORMER PATIENT TRANSITIONAL REHABILITATION SERVICES At the Specialty Hospital at Rittenhouse, as you begin to grow stronger and prepare for the next step in your journey to recovery, our transitional rehabilitation services provide a therapy component that complements our four medical programs and focuses on increasing your overall function, strength, and vitality. WHAT TO EXPECT Transitional rehabilitation patients at the Specialty Hospital at Rittenhouse receive a mix of physical, occupational and speech therapies. The duration and frequency of therapy is adjusted on a patient-by-patient basis, to accommodate each person s care plan, taking into account: Medical status Progress toward functional goals Willingness to participate Participation in daily life activities Discharge destination The transitional rehabilitation services also serve as a bridge to other levels of care, such as inpatient rehabilitation, skilled nursing, outpatient therapy, or home health care. Through our transitional rehabilitation, we re committed to work with you to help maximize your independence one step at a time. WHO CAN BENEFIT FROM OUR PROGRAM? As transitional rehabilitation patients build strength they begin to tolerate more physical, occupational and speech therapy. To officially move to our transitional rehabilitation services you must be able to tolerate one hour of therapy, 5 days a week, and have a discharge goal to either go home or to another level of inpatient rehabilitation. Our patients are transitioning on the road to recovery from conditions such as: Brain injury Spinal cord injury Progressive Central Nervous System (CNS) Cardiac disease Major or multiple trauma Amputation Stroke 12 The Specialty Hospital at Rittenhouse Admissions 215.893.6570 pennpartners.org/ltach
FREQUENTLY ABOUT THE SPECIALTY HOSPITAL AT RITTENHOUSE ASKED QUESTIONS Insurance and Billing Can the Specialty Hospital at Rittenhouse take patients with Medical Assistance? Pennsylvania Medical Assistance (MAPA) and managed medical assistance plans do not recognize the long-term acute care (LTACH) level of care, which limits our ability to accept medical assistance as primary insurance. We do accept patients with MAPA or managed medical assistance as their secondary insurance on a case-by-case basis. What about other insurances? The Specialty Hospital is an in-network provider for many insurance companies and most of the commercial payers in the area. We are happy to review your coverage and if needed negotiate with your insurance company, if we are not contracted. Does the Specialty Hospital at Rittenhouse bill the Skilled Nursing Facility (SNF) benefit under Medicare? No. The Specialty Hospital is licensed as a long-term acute care hospital and, therefore, the days are billed as hospital days. Visitors Are visitors allowed? Yes. General visitation hours are from 9 a.m. to 9 p.m. friends and family are encouraged to visit during these hours. Please note that since the care of each patient is individualized, visitations may be limited, if necessary. The Specialty Hospital physicians and staff works closely with your family and friends to determine suitable visiting hours. Visitation is often limited during flu season. Is parking available? Yes. Convenient parking for Penn Medicine Rittenhouse is available at the parking garage located at 1740 South Street. We offer free parking for one vehicle per day, and discounted rates with validation for other visitors. We also have valet parking available from our 18th Street entrance. Is the Specialty Hospital at Rittenhouse accessible by Public Transportation? Yes. It is accessible by several public transportation routes: The SEPTA Broad Street subway line (orange line) stops four blocks east from the Specialty Hospital at the Lombard Street and South Street station. The PATCO subway line from south Jersey stops at 16th & Locust Streets, just blocks from the Specialty Hospital. SEPTA bus route 40 stops at the Specialty Hospital, both east on South Street and west on Lombard Street. Post-Admission Is the Specialty Hospital at Rittenhouse a rehabilitation unit? No. While the Specialty Hospital is not a rehabilitation unit, we incorporate physical, occupational and speech therapy into your plan of care as appropriate. Your care team will work with you to determine your individual goals and what role therapy may play in meeting them. Can patients stay permanently? No. Patients admitted to the Specialty Hospital are in a hospital level of care that averages 25 days. As a specialty hospital we are not able to provide long-term custodial care. What if the patient has a physician appointment outside of the hospital? Our staff will make the necessary arrangements for those patients who need to be seen by a physician outside of the hospital, when required. 13
WHAT TO EXPECT PREPARING YOU FOR DISCHARGE While your recovery journey may not be easy, your physician-led team at the Specialty Hospital at Rittenhouse will help you transition to the next level of care and support your needs. We work with you and your family to begin the preparation for the next steps. FOR MORE INFORMATION, please visit our website pennparters.org/ltach. As we prepare for discharge from the Specialty Hospital at Rittenhouse, your case manager will help you and your family transition to the best level of care for your situation. Our case managers help coordinate communication with your clinical team and insurance company to ensure you receive the highest quality of care and determine a discharge plan to progress you to your next level of care. The Penn Medicine continuum of care is important for patients looking to regain function and independence following an inpatient stay. Patients choose Penn Medicine for renowned expertise and standards of care. Maintaining those standards is important when continued care is needed after your stay. That s why we focus on providing the best quality of care throughout the entire Penn Medicine system to ensure your medical needs are met at every level of care. Some of the most common continuum of care you may need include: Inpatient Rehabilitation Skilled Nursing Facilities Home Care Services Hospice Services Outpatient Rehabilitation If your medical team is outside of Penn Medicine we will coordinate communication and services with them as well. 14 The Specialty Hospital at Rittenhouse Admissions 215.893.6570 pennpartners.org/ltach
THANK YOU FOR CHOOSING GOOD SHEPHERD PENN PARTNERS Good Shepherd Penn Partners provides inpatient and outpatient rehabilitation and specialized long-term acute care throughout the Greater Philadelphia Area and South Jersey Region. Good Shepherd Penn Partners is the official therapy provider for the Penn Medicine network, including: The Specialty Hospital at Rittenhouse, a 38-bed long-term acute care hospital at Penn Medicine Rittenhouse Penn Institute for Rehabilitation Medicine, a 58-bed inpatient rehabilitation hospital located at Penn Medicine Rittenhouse Acute and Sub-Acute Therapy Services at the Hospital of the University of Pennsylvania, Pennsylvania Hospital and Penn Presbyterian Medical Center, Penn Center for Rehabilitation Care, and Penn Presbyterian Center for Continuing Care Penn Therapy and Fitness, a large number of outpatient rehabilitation sites throughout the Greater Philadelphia Area and South Jersey Region Good Shepherd Penn Partners Locations FOR MORE INFORMATION on Good Shepherd Penn Partners services and locations, call 877.969.7342. Acute Therapy Services Hospital of the University of Pennsylvania 3400 Spruce Street Philadelphia, PA 19104 215.662.4000 Pennsylvania Hospital 800 Spruce Street Philadelphia, PA 19107 215.829.3000 Penn Presbyterian Medical Center 51 N. 39th Street Philadelphia, PA 19104 215.662.8000 Inpatient Therapy Services Specialty Hospital at Rittenhouse (LTACH) 1800 Lombard Street Philadelphia, PA 19146 877.969.7342 Penn Institute for Rehabilitation Medicine 1800 Lombard Street Philadelphia, PA 19146 877.969.7342 Outpatient Therapy Services Penn Therapy and Fitness To find an outpatient therapy site near you, please visit pennpartners.org/outpatient or call 877.969.7342. 15
OUR MISSION We create world-class, patient-centered rehabilitation and post- acute care services by defining evidence-based practice and fully integrating care throughout the continuum. Good Shepherd Penn Partners 1800 Lombard Street Philadelphia, PA 19146 877.969.7342 pennpartners.org OUR VISION Partnering to realize life s potential. The Specialty Hospital at Rittenhouse is a partnership between Good Shepherd Rehabilitation Network and Penn Medicine. We are proud to be the official therapy provider for the Penn Medicine network. Good Shepherd Penn Partners is a joint venture between Good Shepherd Rehabilitation Network in Allentown, Pennsylvania, and Penn Medicine in Philadelphia, and is the official post-acute care provider for the Penn Medicine network. Good Shepherd Penn Partners is a 501(c)(3) tax exempt non-profit organization as provided by Internal Revenue Service regulations. 16 The Specialty Hospital at Rittenhouse Admissions 215.893.6570 pennpartners.org/ltach
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1800 Lombard Street Philadelphia, PA 19146 877.969.7342 pennpartners.org
The Specialty Hospital at Rittenhouse THE NEXT STEP ON YOUR JOURNEY TO RECOVERY