Stroke, Cardiac & Pulmonary Rehabilitation 2013 update

Apollo Managed Care, Inc., January 2013, Pages: 161

Clinical and review criteria guidelines for the post-acute evaluation and management of stroke and cardiac surgery or infarction rehabilitation including criteria for rehab admission, continued stay and discharge. Includes Apollo's Coronary Artery/Peripheral Arterial Disease & Stroke Prevention clinical guideline.

Stroke, cardiac & pulmonary rehabilitation clinical review criteria guidelines for ambulatory care, inpatient admission, continued stay and discharge; plus clinical care and prevention guidelines, literature resources and web links.

Stroke rehabilitation

Introduction

Key components of a rehabilitation program

Goals for rehabilitation services

Initial assessment and stabilization

Inpatient rehabilitation

Criteria for inpatient rehabilitation

Initiation of rehabilitation services

Rehabilitation referral criteria – decision tree

Speech therapy

Continued stay review

Home-based rehabilitation vs. day hospital rehabilitation stroke programs

Durable Medical Equipment needs

Wii Gaming Technology

Robotic-assisted rehabilitation

Coverage issues

Rehabilitation unit discharge criteria

Course of recovery and therapy following a stroke

Potential common complications secondary to neurologic deficits

Outcome evaluations

Depression

Cognitive rehabilitation

Post-stroke rehabilitation screening checklist

Medications affecting progress in stroke rehabilitation

Stroke rehabilitation algorithms

Standard instruments for patient assessment following a stroke

Constraint induced movement therapy

Stroke Prevention – Primary and Secondary

Potential common complications secondary to neurologic deficits

Notes

Cardiac rehabilitation

Cardiac rehabilitation program guidelines

Home Program

Case Management

Initial evaluation

Exercise testing

Exercise prescription

Risk definitions

Phases of cardiac rehabilitation

Exit criteria

Canadian Cardiovascular Society Classification of angina by effort

Cardiac Rehabilitation – Medicare policy

Notes

Pulmonary Rehabilitation

Pulmonary rehabilitation – introduction, guideline

Hospice indicators

Respiratory Therapy Services

Therapeutic exercise

Postural drainage & Pulmonary exercises

Pulmonary/Respiratory DMS/DME – refer to the Pulmonary chapter for additional clinical review guidelines in Apollo's Medical Review Criteria Guidelines for Managing Care.

- Airway Clearance/High Frequency Chest Wall Oscillation Devices
- Mechanical in-exsufflation/in-exsufflator devices
- Intrapulmonary Percussive Ventilator (IPV), Medicare NCD
- Nebulizers Oxygen coverage guidelines, outpatient
-- Portable oxygen guideline
-- Oxygen for travel
- Peak expiratory flow meters
- Respiratory Assist Devices
- Suction Pumps, respiratory

References and Resources

References

American Association of Respiratory Care: Clinical Practice Evidence-based Guideline links

Pulmonary web links

Coronary Artery Disease and Stroke – Preventive Health Care

Introduction

Risk factors, major and minor

The Metabolic Syndrome

Homocysteine

Protective factors and risk reduction strategies

Risk reduction strategies summary table

Management of hypercholesterolemia

Nutritional management of hypercholesterolemia

Hypolipemic drug therapy

Hypolipemic drug therapy, estrogen replacement therapy

Laboratory monitoring of therapy

Notes

References and Resources – Preventive Health Care for CAD & Stroke

References

Acronyms

Patient version of the guideline – A coronary artery disease prevention program for you and your family

Soy protein content of soy foods

Nutritional components of fish, shell fish

Web Sites

Resources

Glossary of National Associations for Health Care related to stroke and CAD

OBRA Regulations

Case Mix Prospective Payment System (PPS) for Hospitals and SNFs

Rehabilitation Acronyms and Abbreviations

Types of facilities defined

References

Preventive physical fitness

Stroke rehabilitation

Carotid/Vertebral Artery Endarterectomy, Percutaneous Angioplasty, Stenting

Cardiac rehabilitation

Joint Commission Standardized Stroke Measure Set

Rehabilitation, Cardiovascular and Stroke web sites

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