The Long Term Acute Care Hospital (LTACH) at Madonna Rehabilitation Hospital offers patients with complex medical conditions access to physical medicine and rehabilitation and daily visits by internal medicine physicians. Combined with an interdisciplinary team approach, this specialized care ensures that each patient's plan of care is targeted at achieving functional gains and independence.
Patients on LTACH receive a wide array of services including physical, occupational, speech, recreational, respiratory and nutritional therapies, rehabilitation nursing, rehabilitation psychology, spiritual services, orthotic/prosthetic services, case management, social work and other services depending upon the unique needs of each individual served. Therapies are provided, on average, 2 hours per day during week days with supplemental therapy on the weekend. Registered nurses with rehabilitation experience are involved with care 24 hours per day, seven days per week. Patients on LTACH are seen daily by an internal medicine physician. Consultations with physicians with training in physical medicine and rehabilitation (called "Physiatrists" ) and other medical specialties such as pulmonology or wound care are provided as needed.
Madonna serves adults with a wide variety of complex medical conditions resulting in activity limitations and participation restrictions on LTACH. Cultural diversity is respected. Most patients transfer to Madonna directly from an acute care facility, and are expected to be medically stable although still quite acutely ill. Madonna accepts funding from Medicare and most commercial payers. Nebraska Medicaid does not recognize the LTACH level of care.
LTACH patients are expected to discharge to a lower level of care, including community settings, acute rehabilitation hospital, or skilled nursing facilities. For specific outcomes, please click on the outcomes button.
Licensed as a hospital and accredited by CARF, Madonna's LTACH is a 96-bed unit that offers treatment for acute illnesses, which require a longer time to recover than is generally provided in an acute care hospital.
Pharmacy: Madonna's in-house pharmacy is open Monday-Friday 8 a.m. to 10 p.m. and
8 a.m. to 4:30 p.m. on weekends and holidays. During closed hours, a pharmacist is on call. Madonna provides a full range of inpatient pharmacy services, including medication distribution (both oral solids and IV preparations), patient education, clinical/dosing services, drug information, and participation in several hospital committees. Madonna does not supply take home medications for patients and patients who require parenteral chemotherapy are sent out to a patient infusion center for that service.
Respiratory Therapy: Madonna provides access to respiratory therapy 24 hours a day, seven days a week with Madonna staff who are licensed respiratory care practitioners. Madonna's respiratory therapists provide ABG services. Pulmonologists perform bronchoscopies on-site with assistance from respiratory therapy staff.
Laboratory: Madonna's in-house laboratory is open from 7 a.m. to 7 p.m., Monday - Friday and 7 a.m. to 3:30 p.m. on weekends and major holidays. Outside of these hours, STAT laboratory analysis is available through contract testing with an acute care hospital. Madonna's laboratory provides anticoagulation, hematology, chemistry, therapeutic drug level testing and urine analysis services. Additional testing, if necessary, is provided by Madonna’s reference lab Physicians Laboratory Services. Most general lab tests are performed by Madonna staff and results are available the same day. Send-out tests, such as cultures or less common tests, are resulted within 3-5 days.
Radiology: Madonna provides limited in-house radiology services, inlcuding X-ray, Ultrasound, Echocardiogram, Venous Doppler, Arterial Doppler, Holter Monitor, Sleep Study and EEG. CT scans, MRI scans and any other comprehensive radiology exams are performed at one of the medical facilities in Lincoln. Regular hours for Madonna's radiology department are 8:00 a.m. to 9 p.m. Monday-Friday and 8:30 a.m.-5 p.m. on weekends. Patients are transported to one of the medical facilities in Lincoln if they require services after those hours. Results of in-house Radiology testing are interpreted by Radiology Associates, PC and in most cases reported the same day.