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Inpatient Referral Guide

This brief guide has been prepared to answer common questions families and referral sources have when choosing a rehabilitation facility.

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  • Keene, NH
    Phone: (603) 354-6633
    Fax: (603) 354-6724

How is a referral made?
Most of our clients come to us from a hospital setting. Referrals are usually made by a discharge planner or social worker at the referring facility. However, if a person is having difficulty managing at home, referrals are sometimes made by home health agency staff, concerned family members or the patients themselves.

What happens after a referral is made?
As soon as a referral is called to our facility, the evaluation process begins. A Referral Liaison will be sent to the facility to perform an on-site evaluation, which includes a chart review and discussion with staff. Many people have questions concerning the rehabilitation process, and our Referral Liaison meets with each patient and frequently also his or her family to describe our facility and services, and to answer any questions they may have.

How quickly is a decision made?
Normally, admission decisions are made within a few hours, and sometimes may be made at the time of the evaluation.

What happens then?
The referral source is notified of the admission decision and bed availability. The social worker or discharge planner at the referring facility will arrange transportation to our unit, usually by ambulance. If the patient is coming from home, the family usually provides transportation. Insurance verification is done prior to transfer to Farnum.

What kind of patients are admitted to a rehabilitation facility?
People who are medically stable and have a need for intensive physical rehabilitation may be considered for admission to Farnum. They need to be capable of participating in at least three hours of therapy daily. Most of the patients we treat are recovering from strokes, orthopedic injuries or surgery, neurological disorders, amputation, multitrauma, spinal cord injury, brain injury, or arthritis. We also offer programs for patients with cancer, heart or lung conditions, and congenital deformities.

What does insurance cover?
Physical rehabilitation is covered by Medicare, provided it is ordered by a physician and the patient continues to make progress while he or she is on the rehabilitation unit. In the case of commercial insurance, rehabilitation coverage varies from policy to policy. We feel it is important to avoid adding financial concerns to what families are already coping with concerning their loved one's illness. We therefore include insurance verification as part of our initial assessment process.

How long does a patient usually stay?
The initial evaluation done by our therapists are completed within 48 hours of admission to Farnum. The discharge date is set during the first interdisciplinary treatment team following completion of these evaluations (they are held on Tuesdays and Wednesdays). This discharge date is tentative, and may be lengthened or shortened depending on discharge destination and speed of recovery. Patients who are returning to home are discharged as soon as they are independent and safe enough to manage with the assistance that is available to them. Our social workers can arrange home services, if needed.

What happens if a patient becomes acutely ill?
The Farnum Unit is located on the fifth floor of The Cheshire Medical Center, a 177-bed hospital and designated Trauma Center. The Cheshire Medical Center is licensed by the state of New Hampshire and is approved by the Joint Commission on Accreditation of Hospitals. Each patient is provided with 24-hour physician coverage. If there is a change in a patient's medical stability, other specialists may become involved, and the hospital's state-of-the-art diagnostic equipment are at hand.

How can I get more information?
For additional information or to arrange a tour, call our Referral Hotline at (603-354-6633) and ask for Liz Olmstead, Rehab Liaison or Beth Lukin RN, CRRN, Referral and Outpatient Coordinator. The fax # is 603-354-6724, and our email address is rehabreferrals@cheshire-med.com