Article

Cancer continues to evolve from a terminal diagnosis to a chronic medical
condition. With improved survivorship rates, opportunities exist to deliver
rehabilitation care throughout the oncology continuum.
By definition, inpatient
rehabilitation is generally considered postacute care and is provided either in
inpatient rehabilitation facilities, in skilled nursing facilities, or in
long-term care hospitals. Each institution is subject to specific regulations and
legislation that help define appropriateness for admission based on diagnosis,
medical necessity, and functional need. However, these criteria may present
barriers to access care for the oncology survivor. As the healthcare landscape
changes, and reimbursement structures shift from fee-for-service to those that
emphasize effectiveness and efficiency in care, inpatient rehabilitation has a
unique opportunity to improve value in terms of outcomes and cost. With the
implementation of the Improving Medicare Post-Acute Care Transformation Act,
standardization of measures throughout postacute care may allow for a more
consistent approach to delivery of inpatient rehabilitation care. Further work
will be necessary to define the parameters by which oncology survivors should be
gauged in this framework.

Langue : ANGLAIS