Physical Medicine and Rehabilitation

Physical and Occupational Therapy

Physical and occupational therapists in the acute care hospital fulfill multiple functions, including assessing skilled needs for postacute care, providing patient and family education about safe postdischarge activity, and delivering treatments that begin the rehabilitation process during progressively shorter hospital stays. Patients with rehabilitative needs often continue their therapy in a skilled nursing facility (SNF).

Mobility Improvement in Acute Care and Skilled Nursing After Physical Therapy (N = 1808)

2018

AM-PAC = Activity Measure for Post-Acute Care

Patients’ mobility was assessed as they moved from the acute care hospital to a Cleveland Clinic Connected Care SNF using 6 Clicks Basic Mobility, a short form of the Boston University Activity Measure for Post-Acute Care (AM-PAC™). For some patients, inpatient physical therapy only begins the rehabilitation process, and patients are more likely to see functional gains when they receive a more intense level of therapy in the SNF. Median intervals between assessments were 3 days for acute care and 18 days for Connected Care SNF.

Change in Daily Activity in Acute Care and Skilled Nursing After Occupational Therapy (N = 1781)

2018

AM-PAC = Activity Measure for Post-Acute Care

Patients’ daily activity was assessed using the 6 Clicks Daily Activity domain score. For some patients, inpatient occupational therapy only begins the rehabilitation process, and patients are more likely to see functional gains when they receive a more intense level of therapy in the SNF. Median intervals between assessments were 3 days for acute care and 18 days for Cleveland Clinic Connected Care SNF.