America’s health care system needs a new approach to delivering and financing medical rehabilitation services provided by today’s inpatient institutional providers: inpatient rehabilitation hospitals and units (IRH/Us), hospital-based skilled nursing facilities (SNFs) and long term care hospitals (LTCHs).
AMRPA proposed the creation of a Continuing Care Hospital (CCH) that would organize care around the patient instead of the facility.
The CCH concept provides an opportunity to deliver patient-centered care that eliminates setting distinctions and transcends the silos established by different Medicare payment systems. A key feature of the CCH is that it would enhance quality of care by eliminating boundaries among these current hospital-based post-acute care (PAC) providers and implement common quality standards, outcome measures, and accountability. It would result in reduced costs to deliver the care and also improve the cost benefit and cost effectiveness of those services.