United States Department of Veterans Affairs

VA Boston Healthcare System

Acute Inpatient Rehabilitation

 

Our acute inpatient rehabilitation program, formally known as the Comprehensive Integrated Inpatient Rehabilitation Program (CIIRP), is located at our West Roxbury campus. The program is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).

 

This program offers a team approach to the care of Veterans with complex medical, neurological, orthopedic, and surgical conditions. Together, doctors, therapists, nurses, and other professionals work with Veterans who require intensive rehabilitation to reach an optimal level of function and independence.

 

Helping our Veteran patients get back to their best

Our compassionate and dedicated rehab team works to provide Veterans with the highest quality treatments.

In addition, we provide the equipment needed to help with Veteran mobility and performance of everyday activities.

We educate Veterans and their caregivers in the rehabilitation process, and provide transitional services when the Veteran is ready to leave inpatient rehab.

Folloe-up after discharge ensures that improvements gained during treatment are maintained after discharge.

Who We Help

We provide rehab services to Veterans with a wide variety of needs, including those with the following conditions:

 - amputation
 - heart conditions
 - lung conditions
 - multiple trauma injuries
 - neurological conditions
 - spinal injury
 - stroke
 - total knee and hip replacements
 - bone fractures
 - traumatic brain injury

Admission Criteria

Veterans will be admitted to the Acute Rehabilitation Unit & the Inpatient Amputation Specialty Program in accordance with medical general admission policies and must satisfy the following criteria:

 - Onset of injury, medical or surgical event resulting in the need (in at least two therapeutic disciplines: e.g. physical therapy, occupational therapy, speech therapy, pain management, wound care, and/or cognitive rehabilitation) for rehabilitation was within the past ninety days unless complicating factors exist 

 - The event has resulted in impairments of functional performance relative to the baseline

 - Veteran has specific functional improvement goals within a projected time frame

 - Veteran is medically and mentally stable for at least 24 hours and is able to actively and safely participate in the rehabilitation program (2-3 hours daily; 6-7 days per week); Those on ventilators and/or on 1:1 supervision will not be accepted
 
 - Veteran agrees to participate in rehabilitation
 
 - Discharge setting is either to the pre-hospital living setting or alternative living options that have been identified with necessary support systems

Discharge Criteria

The interdisciplinary rehabilitation team, along with the Veteran and his/her family/support system, meets weekly to discuss and review discharge planning.  A Veteran is discharged from the Acute Inpatient Rehabilitation Unit & the Inpatient Amputation Specialty Program when:

 - Treatment goals have been achieved

 - Care needs require transition to a higher or lower level of care than offered by the program

 - Veteran is no longer making progress towards goals and no new goals have been identified

 - Veteran requests discharge from the program

 - Veteran has shown non-adherence to program services

 - Veteran is unable to actively and safely participate in the rehabilitation program

 

 

 

 

 


 

 

 

 

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