After a hospital stay, your doctor and care team may urge you to have post-acute care. Such care comes in many forms and from a group of providers whose values and quality of care match ours. It is a partnership with GHS, MyHealth First Network® or other agencies who meet our quality care standards.
What are Post-Acute Services?
Long-term acute care (LTAC) is for patients who need a longer hospital stay because of chronic or complex illness such as wounds, long-term IV therapy, or a recent need for a ventilator to help with breathing. Total stay lasts about 25 days.
Inpatient rehabilitation helps patients regain quality of life and return to the community quickly following a serious illness or trauma. Patients must need 24-hour care and at least two types of therapy. Examples are physical or occupational therapy. Patients here have quick access to emergency care.
Patients must be able to take part in three hours of therapy a day. Total stay lasts about two to three weeks. Doctors and nurses are always on hand. Families are urged to visit and help prepare for the patient’s return home. Support groups and social events are offered to patients and families after discharge.
Outpatient rehabilitation services are provided at a variety of clinic locations throughout the upstate of South Carolina. GHS offers a wide range of outpatient services focusing on a variety of diseases, disorders and diagnostic categories including Spinal Cord Program, Amputee Program, Brain Injury and Stroke Programs, lymphedema management, vestibular rehabilitation, movement disorders, swallowing disorders as well as rehabilitation services such as physical therapy, occupational therapy, speech language pathology, neuropsychological services, case management, wheel chair evaluations and driver’s rehabilitation. Some locations also provide vocational rehabilitation and school re-entry consultation. The outpatient programs emphasize community-based rehabilitation with individual and group therapies provided in the clinic, in the community, and at home to make a functional difference in patient lives.
Sub-acute units are for patients needing short-term rehab. These units are based in a hospital. Patients here work on improving their daily routines or continuing medical treatments started during their hospital stay to help them be able to go home or another community setting. Medicare requires a three-day hospital stay before going to these units. Other insurance coverages may not have the same requirements.
These patients need 24-hour nursing care and some kind of rehab. Nurses and aides are always on-site. Therapists are there during the day.
A medical team creates the treatment plan, and doctors oversee the care. Doctors may not need to visit every day, but the hospital physicians provide the medical care on the unit and are available 24 hours a day. Based on health needs, patients move to another care setting or return home.
A skilled nursing facility offers short-term or long-term care. Patients here need 24-hour nursing care and cannot perform the basic routines of daily living like bathing, getting dressed or getting to the bathroom safely. Nurses and nurse aides are always on hand. Therapists are there during the day.
A medical team creates the treatment plan, and doctors oversee the care. Doctors may not need to visit every day.
Short-term patients receive physical, occupational or other therapy. Medicare requires a three-day hospital stay before going to these facilities. Some offer programs for Alzheimer’s and dementia patients.
Assisted living is a long-term option for adults who can live on their own but need some help with things such as cooking, cleaning, taking medications, bathing or dressing. Nurses, social programs and access to medical care are part of assisted living.
Home health care covers a range of services to treat an illness or injury. It often costs less and is more convenient than going to a facility.
Patients must be homebound to qualify. Here are some of the services:
- Wound care
- Education about medicine
- Pain management
- Disease education and management
- IV or nutrition fluids
- Monitoring a serious or unstable condition
Services may involve nurses; physical, speech or occupational therapists; social workers; and home health aides. The goal is for patients to recover and regain their independence.
Durable medical equipment covers a variety of home health equipment and medical supplies; including off-the-shelf orthotics/orthopedic bracing.
Palliative care seeks to ease symptoms and stress of a serious illness. A special team of doctors, nurses and other experts work together with a patient’s other doctors to provide an extra layer of support. The goal is to improve quality of life for both the patient and the family. Palliative care can be given at any age or stage of a serious illness. It also can be provided along with treatments for a cure.
Home-based palliative care is offered by a team of doctors, nurses and social workers. This team gives care and support at home for those with serious illness and for their families.
Doctors on call help manage medical issues that arise during off-hours (nights, weekends and holidays). Social workers help patients and families cope with the stress and anxiety related to illness.
Outpatient palliative care takes place in internal medicine specialty clinics and at the GHS Cancer Institute. This care is provided by doctors, nurses and social workers.
Hospice care focuses on bringing quality of life, comfort, dignity, self-respect and guidance to those who may have less than six months to live. Hospice is an option when people no longer seek aggressive treatment for a cure. Instead, they want comfort and quality of life.
Symptoms such as pain, shortness of breath and nausea are controlled. Care goals are discussed, and spiritual and emotional needs are supported. Hospice caregivers believe the journey toward the end of life is not a medical one. Rather, it is a human experience that benefits from the support that hospice offers. Hospice care often occurs in the patient’s home. For patients with symptoms that cannot be managed at home, a hospice house may be an option.
When you are ready to be discharged from the hospital, post-acute services may be encouraged by your care team. You can choose your post-acute provider.
A complete list is available on request from your discharge planner.
GHS-owned Post-Acute Services
North Greenville Hospital–Long Term Acute Care (LTAC)
807 N. Main St. (Hwy 276) • Travelers Rest, SC 29690
Roger C. Peace Rehabilitation Hospital Inpatient & Outpatient Services
701 Grove Road • Greenville, SC 29605
GHS Skilled Nursing & Rehabilitation Facility–Laurens
22725 Hwy. 76 E. • Clinton, SC 29325
GHS Hospice of the Foothills & Cottingham Hospice House
390 Keowee School Road • Seneca, SC 29672
(864) 882-8940 • Toll-free: 1-888-460-3739