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. Many patients with rehabilitative needs continue their therapy in a skilled nursing facility (SNF). Through Cleveland Clinic Connected Care, many local SNFs are partnered with the Cleveland Clinic Health System. Across all Cleveland Clinic hospitals and Connected Care SNFs, functional outcomes are assessed using the 6-Clicks Basic Mobility and Daily Activity short forms of the Boston University Activity Measure for Post-Acute Care (AM-PAC™).

Mobility Improvement in Acute Care and Skilled Nursing After Physical Therapy

2020

Patients’ mobility is assessed by physical therapists in Cleveland Clinic hospitals and Connected Care SNFs. For some patients, physical therapy in the acute care setting 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 6-Clicks Basic Mobility assessments were 3 days for acute care and 20 days for Cleveland Clinic Connected Care SNFs.

Change in Daily Activity in Acute Care and Skilled Nursing After Occupational Therapy

2020

Patients’ level of participation in daily activities is assessed by occupational therapists in Cleveland Clinic hospitals and Connected Care SNFs. For some patients, occupational therapy in the acute care setting 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 6-Clicks Daily Activity assessments were 4 days for acute care and 20 days for Cleveland Clinic Connected Care SNFs.