Post-Acute Care Case Examples

The Section for Long-Term Care & Rehabilitation has identified examples of members who have shared successful Post-Acute Care strategies and best practices that they have implemented to enhance care coordination, improve patient-centered care, achieve better patient outcomes, and improve their operational and financial performance.

For more information on each of these examples, please contact the institutional contacts listed. And, if you have examples that you would like to share, please contact Shawna Brown at 312/422-3309 or click here to submit an email.

New England Rehabilitation Hospital of Portland - Portland, OR
Brain Injury Voices


The Implementation of the ICD-10 Guidelines and the Impact for PAC Providers, June 8, 2011 

Boston Medical Center - Boston, Massachusetts
Re-Engineered Discharge Process 

Christiana Care Visiting Nurse Association and Delaware Physicians Care Inc.  
Learnings from a Pilot Partnership with a Managed Care Medicaid Organization
September 19, 2011 Member Conference Call

HealthEast Care System – St. Paul, Minnesota
Care Navigation Strategy

May 29, 2009 Member Conference Call with HealthEast Care System:

HealthEast Care System - St. Paul, Minnesota
Reducing MRSA Rates in Post-Acute Care through Hand Hygiene and Body Substance Isolation Practices 

HealthSouth Rehabilitation Hospital of Toms River - Toms River, New Jersey
Interdisciplinary Acute Care Transfer Process/Review; 

Holy Family Medical Center - Des Plaines, Illinois
Reducing Long Term Acute Care Hospital (LTACH) Central-Line Associated Bloodstream Infection (CLABSI) Episodes 

Madonna Rehabilitation Hospital - Lincoln, Nebraska
Madonna ProActive Structured Independence Program

Palmetto Health: Building a Firm Foundation: How PACE Enabled Palmetto Health to Develop Their ACO, December 12, 2011 

Partners HealthCare and Partners Continuing Care - Boston, Massachusetts
Partners HealthCare's Continuing Care Network: Building Foundations for Bundling,
January 26, 2011 Member Conference Call 

RML Specialty Hospital - Hinsdale, Illinois
Reducing Hospital-Acquired Clostridium difficile Transmission Rates 

St. Luke's Rehabilitation Institute - Spokane, Washington
Improving Rehabilitation Care through Technology and Collaboration 

Valir Rehabilitation Hospital - Oklahoma City, Oklahoma
Using Patient- and Family-Focused Care to Achieve Positive Outcomes and Negotiate Favorable Reimbursement Rates

Nursing Home Residents with Lower Respiratory Tract Infection




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