Admission Criteria

The person to be served:

• Has acquired a brain injury or other neurological disorder. Persons who also present with a spinal cord injury may be considered on a case-by-case basis
• Has the potential to participate in, and benefit from, comprehensive rehabilitation services
• Is medically stable and no longer requires acute hospitalization
• Breathes independently, without medical assistance
• Does not demonstrate a severe behavioral, psychiatric or personality disorder that poses a threat to self or others, or that requires intensive or long-term psychiatric intervention
• Is age 10 or older (persons from age 10 to 17 need permission from the state of Iowa)
• Has either a legally appointed decision maker or a family representative responsible for decisions and/or informed choices in cases of a minor or adult not capable of informed decision making
• Has means of payment for services

Medical Complexity

On With Life’s staff can manage tracheostomy tubes, CPAP, BiPAP, supplemental oxygen, PICC and IV for hydration or antibiotics, gastrostomy tubes, jejonstromy tubes, foley catheters, supra-pubic tubes, intermittent catheterizations, wound care on a case-by-case basis and diabetic management including insulin pumps and edema management.

On With Life’s inpatient program also has the ability to manage persons with amputee, Bariatric needs and common medical complexity post-brain injury, such as seizures, sleep apnea, anticoagulation and dysautonomia.

Discharge Criteria

The person served:

• Has improved sufficiently so he or she no longer needs the services provided within the Inpatient Rehabilitation program.
• Is no longer medically stable and cannot benefit from the intense rehabilitation program.
• Has had a responsible party determine that he or she no longer wants to participate in the comprehensive rehabilitation program.
• No longer has a viable funding source for inpatient rehabilitation services.
• Has the means to pay but has failed, after reasonable and appropriate notice, to pay for services.

Funding Sources

• Health Insurance (various commercial benefit plans such as Wellmark BCBS, United HealthCare, Aetna, Cigna, etc)
• Medicare
• Iowa Medicaid
• Private Pay
• Workers’ Compensation Insurance