Post-Acute Care

After a hospitalization, illness, medical procedure, or injury you may need support to help you recover to your fullest potential. Post-acute care services provide rehabilitation and palliative services after or in some cases instead of, a stay in an acute care hospital. The amount of care and support required will determine which service you may choose. You may need facility-based care in a Skilled Nursing facility for short-term therapy or nursing needs, outpatient therapy, or care provided at home through Home Health Care services.

When should you begin planning for post-acute care?

Ideally, planning for post-acute care begins before you need to access the care. Preparing in advance of needing post-acute services allows you to understand the differences within each level of care and begin researching post-acute care providers.

Click the following links to learn more about the different levels of post-acute care and the advantages of PPCP Post-Acute Care Partner providers.

Skilled Nursing Facility

  • Skilled nursing facilities and rehabilitation centers support ongoing recovery through nursing care and therapy. With teams of licensed practitioners that include registered nurses and therapists, these skilled nursing and rehabilitation facilities provide short-term therapy, wound care, intravenous (IV) therapy, and monitoring of vital signs and symptoms.
  • A stay in a skilled nursing facility is generally short, ranging from a few days to a few weeks. During this time the focus of the rehabilitation services is on transitioning the patient from hospital to home.
  • Patients in a skilled nursing facility do not see a doctor everyday like in the hospital. The move to a skilled nursing facility is considered a transition to a reduced level of care as the patient continues to recover and transition from hospital to home; therefore, patients are medically stable and a physician is seen on admission, prior to discharge and intermittently during the stay.
  • There are many skilled nursing facilities to choose from and many things to consider when choosing a facility. It is a good idea to visit a facility first to evaluate the quality of the facility and personnel.
  • To help with the evaluation, here is a downloadable checklist.
  • For more information about Skilled Nursing Facilities, visit: CMS: Skilled Nursing Home Compare.
  • For a list of Preferred Primary Care Physicians Preferred Skilled Nursing Facilities, click here.

Home Health Care

  • Home Health Care offers a wide range of services including wound care, intravenous (IV) therapy, physical, occupation or speech therapy, and monitoring of serious illness or unstable health status all within the comfort of home.
  • In-home services are usually less expensive, more convenient than and just as effective as hospital or skilled nursing facility care, and are most likely covered by the patient’s health insurance.
  • Only homebound patients qualify for insurance-paid home health services. Homebound means: leaving home is not recommended or it takes a considerable effort to leave home due to patient’s condition; patient may leave home for medical care or short, infrequent absences for non-medical reasons such as attending religious and special events, hair appointments, etc.
  • For more information about Home Health Agencies, visit: CMS: Home Health Compare.
  • For a list of Preferred Primary Care Physicians Preferred Home Health agencies, click here.

Palliative and Supportive Care

  • Palliative and supportive care is specialized medical care that focuses on providing relief from the symptoms and stress of a serious illness. Serious illnesses include but are not limited to: cancer, heart disease, lung disease, kidney disease, Alzheimer’s, and many more. Palliative care is appropriate at any stage of serious illness.
  • Palliative and supportive care will aid in relief from symptoms such as pain, shortness of breath, fatigue, constipation, nausea, loss of appetite and difficulty sleeping. Palliative care will help you carry on with daily life. It will improve your ability to go through medical treatments. And it will help you to match your goals to your treatment choices.
  • Palliative and supportive care is usually provided in your home but can also be provided in Assisted Living or Skilled Facilities. The goal of Palliative care is to keep you comfortable in your own surroundings, avoiding in Hospital care by anticipating problems before they happen.
  • For a list of Preferred Primary Care Physicians Preferred Palliative Care providers, click here.

Hospice Care

  • Hospice care is a special kind of care that focuses on the quality of life for people and their caregivers who are experiencing an advanced, life-limiting illness. Hospice care provides compassionate care for people in the last phases of incurable disease so that they may live as fully and comfortably as possible.
  • Hospice care treats the person and symptoms of the disease, rather than treating the disease itself. A team of professionals work together to manage symptoms so that a person’s last days may be spent with dignity and quality, surrounded by their loved ones.
  • For a list of Preferred Primary Care Physicians Preferred Hospice agencies, click here.

Outpatient Physical Therapy

  • Outpatient physical therapy allows people to receive therapy in their community, usually at a local clinic, and often treat patients with similar medical conditions as those in an inpatient setting. The difference is that patients visiting a clinic tend to have conditions that, while acute in nature, are less medically complex, with fewer comorbidities.
  • Outpatient Physical Therapy is also an option for patients who do not meet homebound criteria required for Home Health but require physical therapy.
  • The goal of Outpatient Physical Therapy is to help the patient gain strength and mobility to make life more enjoyable and to prevent accidents.

Other Home and Community-Based Services

  • Adult Day Care provide planned program of activities in a professional care setting designed for older adults who require supervised care during the day, or those who are isolated and lonely. Adult day care centers enable seniors to socialize and enjoy planned activities in a group setting, while still receiving needed health services. At the same time, they offer family caregivers respite from caregiving duties while knowing that their loved one is in a safe place.
  • Home Care is provided by in-home caregivers who assist with non-medical tasks that a patient cannot safely perform. Services include bathing and personal care, meal planning and preparation, shopping, light housekeeping, and/or medication reminders. These Home Care services are paid for by either community funds or by the patient. They are not covered by insurances.
  • Contact your PPCP office for additional home and community-based service options.

Choosing the Level of Care

Your physician and/or discharge planner at the hospital will offer guidance in determining the most appropriate level of care based on the amount of support and medical care needed. Preferred Primary Care Physicians (PPCP) also provides a medical social worker who will provide information and make the connections that are appropriate.

Once the appropriate level of care is determined a facility or agency must be selected. PPCP has developed collaborative partnerships with select post-acute care providers. These select providers have agreed to work closely with your PPCP physician to ensure a high level of ongoing communication with the PPCP health care team, ensuring that we maintain the continuum of care that is vital to successful, satisfactory outcomes.

Whether the selection is a PPCP partnered provider or another facility or agency, options may depend on individual insurance coverage and/or clinical needs.

Advantages of PPCP Post-Acute Care Providers

Along with knowing all the options, we want PPCP patients to fully understand the benefits of selecting a PPCP Post-Acute Partner Provider. Our partners were selected because they provide the quality of care and coordination of treatment that meet or exceed the levels we demand. Here’s how:

  • They are aligned with our goals of optimum patient care, accessibility and patient satisfaction.
  • They meet our standards of quality care and ongoing coordination with your hospital and physician. Our partners meet with the PPCP staff regularly to share best practices, develop clinical guidelines and review quality levels.
  • They welcome PPCP physicians to make rounds in partnered skilled nursing facilities, thus furthering the coordination with the PPCP care team.

PPCP Post-Acute Care Partners

Use the following lists of post-acute care partners to guide your selection based on level of care and location. Choose with confidence knowing that each one meets the PPCP partner guidelines and standards. For additional questions regarding post-acute care, partnered providers, and/or other care planning needs, please contact your PPCP office.

Skilled Nursing Facility List

BAPTIST HOMES OF WESTERN PENNSYLVANIA
LOCATION: MT LEBANON / SOUTH HILLS
CONTACT: 412-563-6550
PPCP ATTENDING: Donald McFarland, DO

FRIENDSHIP VILLAGE OF SOUTH HILLS
LOCATION: UPPER ST. CLAIR / SOUTH HILLS
CONTACT: 724-941-3100
PPCP ATTENDING: Ashith Mally, MD / Barry Austin, DO

JOHN J KANE REGIONAL CENTER
LOCATION: SCOTT TOWNSHIP
CONTACT: 412-429-3000
PPCP ATTENDING: Joshua Goldman, DO / Richard Egan, MD / Andrew Egan, MD

MOUNT MACRINA MANOR
LOCATION: UNIONTOWN
CONTACT: 724-437-1400
PPCP ATTENDING: Joseph Labuda, MD / Kenton Hess, MD / Paul Hartley, MD

PROMEDICA SKILLED NURSING AND REHABILITATION--BETHEL PARK
LOCATION: BETHEL PARK
CONTACT: 412-831-6050
PPCP ATTENDING: Barry Austin, DO

PROMEDICA SKILLED NURSING AND REHABILITATION--GREENTREE
LOCATION: GREENTREE
CONTACT: 412-344-7744
PPCP ATTENDING: Barry Austin, DO

PROMEDICA SKILLED NURSING AND REHABILITATION--PETERS TOWNSHIP
LOCATION: PETERS TOWNSHIP
CONTACT: 724-941-3080
PPCP ATTENDING: WILLIAM BADER, MD

PROMEDICA SKILLED NURSING AND REHABILITATION--WHITEHALL
LOCATION: WHITEHALL
CONTACT: 412-884-3500
PPCP ATTENDING: Bhavank Doshi, MD / Shari Rozen, MD
 
PROVIDENCE POINT HEALTHCARE RESIDENCE
LOCATION: SCOTT TOWNSHIP
CONTACT: 412-489-3560
PPCP ATTENDING: Joshua Goldman, DO / Richard Egan, MD / Andrew Egan, MD

SOUTHMONT OF PRESBYTERIAN SENIORCARE
LOCATION: WASHINGTON
CONTACT: 724-222-4300
PPCP ATTENDING: Bruce Sharpnack, MD / Michael Falcione, MD / Bruce Maskarinec, DO

VINCENTIAN MARIAN MANOR
LOCATION: GREENTREE
CONTACT: 412-440-4300
PPCP ATTENDING: Joshua Goldman, DO / Richard Egan, MD / Andrew Egan, MD

Home Health List

AHN HEALTHCARE AT HOME
CONTACT: 800-381-8080

AMEDYSIS HOME HEALTH & HOSPICE
CONTACT: 724-438-6660

ANOVA HOME HEALTHCARE SERVICES, INC
CONTACT: 412-618-1044

CONCORDIA VISITING NURSES
CONTACT: 877-352-6200
 
GALLAGHER HOME HEALTH SERVICES
CONTACT: 412-279-7800

INTERIM HEALTH CARE OF PITTSBURGH
CONTACT: 412-436-2200

OPSTA HOME HEALTH CARE & HOSPICE
CONTACT: 724-483-4859

Palliative Care / Hospice List

AHN HEALTH CARE AT HOME HOSPICE
CONTACT: 800-381-8080

AMEDYSIS HOME HEALTH & HOSPICE
CONTACT: 724-439-4440

ANOVA HOSPICE PALLIATIVE CARE SERVICES, LLC
CONTACT: 412-885-8500

CONCORDIA HOSPICE OF WASHINGTON
CONTACT: 724-250-4500

GALLAGHER HOSPICE, LLC
CONTACT: 412-279-4255

INTERIM HOSPICE & PALLIATIVE CARE
CONTACT: 412-436-2200

OPSTA HOME HEALTH CARE & HOSPICE
CONTACT: 724-483-4859

PROMEDICA HOSPICE
CONTACT: 800-497-0575