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Long Term Facility in florida w/vent and trait patients

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December 19, 2010, 06:33 PM
jocelyn
Long Term Facility in florida w/vent and trait patients
I need anyone help please. My mom is in a hospital. She is currently on a vent where she is weining sometimes she do good and sometimes she do not. She needs to be in a facility for long-term care. My mom has so much life in her so I can't give up on her. The problem i'm having is finding a facility in Florida that will accept her as a vent patient. She has good insurance and needs to be placed so or they will be sending her out of state well we have no other family members. Please help me!


Jocelyn
December 20, 2010, 08:46 AM
GaryMefford
Jocelyn,
It sounds like your mother is already in a Long Term Acute Hospital. If she is not that would be a good next alternative. Your mother's case manager should be able to direct you to local LTAC hospitals to tour so you can move her there for more intense weaning. If she already is in one, the case managers there will know the local discharge alternatives at the long term skilled nursing facility level. Sadly in many parts of the country there is no alternative that accepts patients on vents at that level. I am not personally familiar with your market area so the best advice I can offer is rely on the case managers for advice. If she is still making any progress at all most insurance providers will allow her to continue at her current level of care. You can attempt to dig in your heels until she is free of the vent and can be discharged locally. Sometimes regardless of prior level of health, people just can not be removed from the vent successfully. If the care team has come to that conclusion, she will have to a lower level of care. I have recent experience with a family that was in a similar situation. A discharge option was found, only it was several hundred miles away. The family contacted the insurance company and explained that would be unacceptable for them and the company renegotiated a long term agreement with the hospital allowing the patient to stay near the family. Honestly I have not seen this pulled off ever before and was actually surprised when it was accomplished. It may have just been the policy or the carrier. In any case I hope it is worked out to your satisfaction, and your mother is able to is able to return to her old self.
January 06, 2011, 04:16 PM
jocelyn
Thanks so much for you reply. I will keep you informed.


Jocelyn
January 06, 2011, 04:19 PM
jocelyn
quote:
Originally posted by GaryMefford:
Jocelyn,
It sounds like your mother is already in a Long Term Acute Hospital. If she is not that would be a good next alternative. Your mother's case manager should be able to direct you to local LTAC hospitals to tour so you can move her there for more intense weaning. If she already is in one, the case managers there will know the local discharge alternatives at the long term skilled nursing facility level. Sadly in many parts of the country there is no alternative that accepts patients on vents at that level. I am not personally familiar with your market area so the best advice I can offer is rely on the case managers for advice. If she is still making any progress at all most insurance providers will allow her to continue at her current level of care. You can attempt to dig in your heels until she is free of the vent and can be discharged locally. Sometimes regardless of prior level of health, people just can not be removed from the vent successfully. If the care team has come to that conclusion, she will have to a lower level of care. I have recent experience with a family that was in a similar situation. A discharge option was found, only it was several hundred miles away. The family contacted the insurance company and explained that would be unacceptable for them and the company renegotiated a long term agreement with the hospital allowing the patient to stay near the family. Honestly I have not seen this pulled off ever before and was actually surprised when it was accomplished. It may have just been the policy or the carrier. In any case I hope it is worked out to your satisfaction, and your mother is able to is able to return to her old self.



Jocelyn
January 06, 2011, 04:20 PM
jocelyn
Do you know what type of insurance they had?


Jocelyn