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Physiatry as a Leader for Postacute Care in Integrated Healthcare Systems

Bartels, Matthew N., MD, MPH

American Journal of Physical Medicine & Rehabilitation: April 2019 - Volume 98 - Issue 4 - p 311–318
doi: 10.1097/PHM.0000000000001039
Literature Review

Because health care is being moved to a higher level of accountability, there has been a focus on improving outcomes through improving postacute care. The issues of cost and readmissions to acute care settings are very important, but the focus on patient function has not been foremost. Because of the fact that most postacute care needs are based on functional limitations and that physiatrists are well versed in transitions of care, rehabilitation of patients back to community settings, team building, and leadership, it is appropriate for rehabilitation medicine to take a leadership role in the planning and development of postacute care services in the new integrated healthcare systems that are becoming prevalent in healthcare. This review discusses some of the issues in postacute care, the growth of the integrated health system model, and how there are opportunities and challenges for physiatric leadership to help develop these new models of care.

From the Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York.

All correspondence should be addressed to: Matthew N. Bartels, MD, MPH, Department of Rehabilitation Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, 150 East 210 St, Bronx, NY 10467.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.