Outpatient Rehab Therapy Criteria

Kettering Health Network Criteria for Outpatient Rehab Therapy

The following list identifies potential priority patients and will be considered for therapy until plan of care and home program can be established to avoid long-term or permanent dysfunction.

Any patient for whom the referring physician/patient/or therapists determines the benefits of outpatient rehabilitation outweigh the risks of receiving treatment in a hospital ambulatory setting would be considered for therapy.

Anyone in healthcare or other pandemic essential jobs (consistent with the State Ohio essential jobs) who requires skilled intervention to return to work would be considered for therapy.

1. Acute vestibulopathy: patient at high risk for falls or other injuries.
2. Acute to sub-acute neurological conditions: patient at high risk for falls or other injuries.
3. Acute stroke, brain Injury, and spinal cord injury who require skilled intervention to remain in the home safely.
4. Acute to sub-acute treatment dysphagia: risk of aspiration pneumonia or malnutrition (patients who do not have a safe diet and who do not have an alternative feeding system in place).
5. Wheelchair evaluations requiring new wheelchair seating due to decubiti.
6. Patients with new joint impairments due to a condition in which intervention is required to keep the function of an extremity.
7. New post-operative patients consistent with those established KHN surgical guidelines by the Essential Procedure Review Team, in which not receiving therapy may likely lead to permanent dysfunction.
8. Current post-operative patients on caseload in which not receiving continuation of therapy may likely lead to permanent dysfunction.
9. Concussion – Acute concussion (less than 30 days) with severe symptoms, especially patients who work in healthcare or other essential pandemic jobs).
10. Acute injuries occurring within the last 30 days, in which not receiving therapy may likely lead to permanent dysfunction.
11. Lymphedema in which not receiving therapy may likely lead to permanent dysfunction.

March 23, 2020