Disclosures: Matthew B. Sonagere: Nothing to disclose

Objective: To improve post-acute care for patients that have sustained a stroke by identifying the appropriate setting for therapy.

Design: Quality improvement control intervention.

Setting: 442 bed community hospital.

Participants: Stroke patients that had Physical Medicine and Rehabilitation (PM&R) consultation.

Interventions: Established a new PM&R consultative service to help to determine appropriate level of care, help navigate insurance barriers, educate patients and families about rehabilitation outcomes.

Main Outcome Measures: Acute rehabilitation referrals.

Results: There were 689 acute rehabilitation admissions during a 1-year period which was a 22% increase in admissions to from the previous year. There was a 0.56 day reduction in length of stay in stroke patients that went to acute rehabilitation over the previous year

Conclusions: The increased admissions and reduced length of stay may be due to insurance optimization through documentation, peer to peers and appeals, increased awareness of acute rehab via rounding, presentations, and process improvements.

Level of Evidence: Level IV

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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/physical-medicine-and-rehabilitation-acute-care-consult-service-increases-acute-rehabilitation-referrals-for-stroke-survivors-a-quality-improvement-project/