Long-Term Acute Care Hospitals

  • A major outcome for many long-term acute care hospital (LTACH) patients is successful liberation - or weaning - from mechanical ventilation. Select Medical's Pulmonary / Ventilator Program provides specialized care for patients with acute or chronic respiratory disorders who may need ventilator weaning or require extensive respiratory treatments to breathe independently. Approximately 20 percent of our LTACH patients are on mechanical ventilation. Select Medical has had a high success rate for weaning patients off of the ventilator. Approximately 70 percent of patients who failed weaning during their stay in a traditional hospital setting have been successfully weaned off of the ventilator in Select Medical LTACHs.

    Patient Satisfaction

    Patient outcomes serve as one important set of measures regarding the quality of our care and services. Similarly, the satisfaction of our patients is a key indicator of how well we meet their acute care needs and individual goals. Select Medical measures the satisfaction of patients and families following their LTACH stay using the Select Medical Patient Perception of Care survey. Our overall patient satisfaction trend shows a very consistent, high proportion of positive responses from patients and families. The overall average LTACH positive raw score percentage, since the first quarter of 2011, has been 92 percent or higher. (Note that the satisfaction survey return rate is approximately 50 percent).

    Infection Control

    Many of our patients arrive at our specialty hospitals with multiple infections, a high incidence of resistant organisms and an increased risk for new and recurrent infections. Because patients come to us in fragile condition and often with compromised immune systems, infection control is a major area of focus for Select LTAC hospitals. The Centers for Disease Control and Prevention (CDC) has benchmarked three infection measures for long-term acute care hospitals: ventilator associated pneumonia (VAP), central line associated blood stream infection (CLABSI) and catheter-associated urinary tract infection (UTI). Select Medical LTACHs submit infection data through the National Health Safety Network (NHSN) which is the report arm of the CDC. With the exception of one quarter, Select Medical average Ventilator Associated Pneumonia (VAP) rate has been 36 to 71 percent lower than the CDC LTACH mean VAP rate for the past two years.

    75 percent of Select Medical Hospitals have 0.0 VAP infections

    Across all Select Medical hospitals, catheter-associated urinary tract infections (CAUTI) have been shifting toward lower rates. A similar shift has occurred in the distribution of Central Line Associated Blood Steam infections (CLABSI) rates from Select Medical LTACHs, which has been a major area of focus due to a high degree of morbidity and mortality associated with this type of infection.

    Antibiotic Stewardship

    There has been much interest in reducing the use of antibiotics for all types of hospitals and care settings and an abundance of evidence to support the case for antibiotic stewardship. Yet according to the CDC such programs are often absent in hospitals today. Overuse of antibiotics can lead to increased resistance by bacteria to these medicines, illnesses that cause diarrhea, and injury to the patient for medications that may not be needed. Tracking the average antibiotic charge per patient day facilitates a determination of the relative use of antibiotics at Select Medical LTACHs. The average antibiotic charge per patient day decreased from 2009 to 2011, for Select Medical LTACHs that began the Antibiotic Stewardship program in 2008.

    Other Quality Indicators

    Other important quality indicators that we continually monitor are hospital-acquired wounds and falls with injury. Patients in Select LTAC hospitals have a very low rate of acquiring pressure wounds and prevention remains a focus of our care. Hospital-acquired pressure ulcer rates have been decreasing since the beginning of 2010, reaching a hospital average of less than one per 1,000 patient days and rates are expected to decline further in 2012 because of the implementation of pressure ulcer reduction protocols at all Select Medical LTACHs. Select Medical also monitors the risk of patient injury due to falls. Falls with injury are tracked as the number of falls of severity level 2 or greater per 1,000 patient days. (A level 2 injury requires first-aid or follow up treatment.)

What People are Saying


Leanne Korthals

Regency Hospital-Minneapolis, Minnesota

Leanne Korthals, 29-year-old, lives in a group home in Wyoming, Minnesota. She enjoys her job and her independence. Leanne struggles with Autism. She is happy and... View more

Christopher Newman

Select Specialty Hospital-Akron, Ohio

Nineteen-year-old Christopher Newman was working in New York City and on his way to dinner one evening. He was sitting on a bench on the subway platform, waiting for... View more

Rick Berry

Select Specialty Hospital-Longview, Texas

Fifty-two-year-old Rick Berry was the District Attorney in Harrison County for 21 years. He was enjoying working as a trial attorney and going bass fishing as often as... View more

Maureen Messer

Select Specialty Hospital-Savannah, Georgia

Maureen Messer was enjoying life in Beaufort, South Carolina, with her little dog, Molly. Her illness began with a cough and weakness that worsened to the point her... View more

David Condon

Select Specialty Hospital-Pittsburgh, Pennsylvania

David Condon, an 18-year veteran of the Pittsburgh police department, was visiting in New York and had just enjoyed his 30 year class reunion. About 11:30 pm that night,... View more

Nell Jenkins

Select Specialty Hospital-Augusta, Georgia

Summer of 2010, Nell and Sammy Jenkins, both in their 80s, lost their Waynesboro, Georgia home to a house fire. They moved in with their kids until the house could be... View more

Joel Zito

Select Specialty Hospital-Macomb, Michigan

Nineteen-year-old Joel Zito was attending Oakland University with a focus in pre-med. On March 27, 2010, he was helping some friends move a large soccer net when it fell... View more

Esther Harner

Select Specialty Hospital-Wichita, Kansas

When 76-year-old Esther Harner began having shortness of breath, she assumed it was her lungs. However, tests revealed it was her heart and an aneurysm doctors had been... View more

Barbara Saunders

Regency Hospital-Northwest Indiana, Indiana

Barbara Saunders taught social studies to junior high students for 32 years and loved it. She was preparing lesson plans one January when she grew weak and her legs gave... View more
Eric LeGrand formatted

Eric LeGrand

Kessler Institute for Rehabilitation, New Jersey

The first thing you notice about Eric LeGrand is his smile. It’s a warm, engaging smile that reflects a quiet maturity and deep inner strength. It also belies a... View more
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Jean Altomari

Kessler Institute for Rehabilitation, New Jersey

“I’m not sure what the future holds, but I know the best is still ahead of me.”   Jean Altomari and a group of friends were enjoying a terrific Caribbean cruise.... View more

Melinda Minton

Select Specialty Hospital-Denver, Colorado

Melinda Minton was healthy and adventurous, raising two girls and having fun traveling overseas. In July 2010, while visiting a friend in Denver, Melinda fell ill with... View more

Caitlyn Cota

Select Specialty Hospital-Augusta, Georgia

Caitlyn Cota is a dancer. During her high school years, she was injured during a performance. The resulting pain grew worse over time and eventually she was treated with... View more

Brad Henry

Select Specialty Hospital-Springfield, Missouri

Brad Henry, a 45-year-old international customer service representative, had just celebrated his youngest son's birthday. During the next few days, Brad found himself... View more

Jim Thompson

Select Specialty Hospital-Tulsa Midtown, Oklahoma

Jim was in a motorcycle accident on April 1 in Arkansas. He was transported to the nearest trauma facility, which is located in Tulsa. "My family thought that I was... View more

Joyce Paul

Select Specialty Hospital-Danville, Pennsylvania

Joyce Paul was transporting two small children to school the day before Thanksgiving break. One mile from home, her van was struck head on by a vehicle going 100 miles... View more

Carolyn Abeyta

Regency Hospital of Central Georgia, Georgia

Carolyn Abeyta considers herself a "can do" girl. The physicians and staff at Regency Hospital of Central Georgia call her a miracle. Carolyn's story began with a simple... View more

Charles Loftis

Regency Hospital of Meridian, Mississippi

Charles Loftis prides himself on his family, especially his grandchildren. He's grateful to be back in Butler, Alabama, where he lives with his wife and two Jack Russell... View more

Ernest Mickens

Select Specialty Hospital-Tallahassee, Florida

Ernest Mickens and his wife, Latonja, were energetic and athletic. Each week they ran several miles together, the family dog running alongside them. January 2010, while... View more

Kramer Beverage Company

New Jersey

...DJ Nork once again delivered a terrific injury prevention program to our delivery drivers. View more

Frank Gregory

Select Specialty Hospital-Nashville, Tennessee

If you visit Frank Gregory's workshop on a hot summer day in Eagleville, Tennessee, you will find a 1967 pickup truck in the process of renovation, big red tool boxes... View more
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Lamar Baker

Kessler Institute for Rehabilitation, New Jersey

When he walked, Lamar Baker felt like there was a golf ball stuck under his foot. His doctors initially thought it might be a strain, but further testing led to a... View more

Henry Rafferty

Select Specialty Hospital-Erie, Pennsylvania

Henry Rafferty, professional horticulturalist, was outdoors examining a tree when he was suddenly struck by a car. That's the last thing Henry remembers until weeks... View more

Judy Barth

Select Specialty Hospital-North Knoxville, Tennessee

Judy Barth was working in her yard when she experienced what she thought was heartburn. The pain increased to the point that she called for help. The last thing she... View more

Janice Cooks

Regency Hospital-Columbus, Ohio

Janice Cooks thought she was having an asthma attack. It turned out to be something much more serious, necrotizing pneumonia. She was admitted to ICU in respiratory... View more
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Linda and David Kubert

Kessler Institute for Rehabilitation, New Jersey

Most married couples share interests and enjoy spending time together. But Linda and David Kubert have taken togetherness to a new level.  They were out for a ride... View more
Courtney King Dye formatted

Courtney King Dye

Kessler Institute for Rehabilitation, New Jersey

To be an Olympic athlete takes great skill, determination and perseverance. Rehabilitation requires the same qualities.  For Courtney King Dye, an equestrian who... View more

Eugene Harris

Select Specialty Hospital-Memphis, Tennessee

Eugene Harris and his wife Jerlean were working on his antique truck, trying to get it to start. He was working with the carburetor when it blew up. Jerlean bravely... View more
Windham Weaponry Logo

Windham Weaponry


...early intervention program has helped us to enjoy yet another annual drop in our workers' compensation insurance premiums. View more

Daniel Williams

Select Specialty Hospital-Tallahassee, Florida

Daniel Williams, 22 years old, had just started a new job with an air conditioning company when he became sick with fever, a headache and a stiff neck. Within 24 hours... View more

Alphonso Holt

Select Specialty Hospital-Atlanta, Georgia

For years, Alphonso Holt struggled to breathe due to severe asthma and sarcoidosis (inflammation occurring in the lymph nodes, lungs, liver, eyes, skin, or other... View more

Myrtle Mason

Select Specialty Hospital-Ft. Smith, Arkansas

Thirty-eight-year-old Myrtle Mason had been struggling for breath for about a month. Her body was swollen from fluid retention due to congestive heart failure and she... View more

Kerry Fetherston

Select Specialty Hospital-Phoenix, Arizona

Kerry Fetherston, of Tempe, AZ, and her husband Jack had just arrived at their holiday destination, a ski resort in Denver, when she began to have a terrible headache.... View more

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