The St. Vincent Seton Specialty Long-term Acute Care Hospital (LTCH) specializes in the care of medically complex patients who need intensive skilled nursing and medical follow-up after being hospitalized for a critical illness. This long-term acute care facility is in Indianapolis and focuses on patients, who on average stay for 25 days or more.
The LTCH team includes physicians, nurses, wound care specialists, respiratory therapists, physical and occupational therapists, and social workers who embrace a holistic approach and Caring Spirit to heal the physical, emotional and spiritual needs of the patient. This team supports the family during the recovery process. While the term, “long-term care” refers to basic needs and custodial care like help with feedings and getting dressed, St. Vincent Seton Specialty Hospital provides a much higher level of inpatient services.
Medicare benefits apply if you are transferred directly from an acute-care hospital or admitted to the long-term acute care hospital within 60 days of being discharged from an inpatient hospital. For information call 317-415-8450.
St. Vincent Seton Specialty Hospital is a faith-based long-term acute care hospital (LTACH) that specializes in the treatment of medically complex patients who require extended hospital stays-often of 25 days or longer.
Many of our patients arrive from an intensive or critical care unit, and often require ventilator support and pulmonary or cardiac monitoring. Once in our care, our interdisciplinary medical team of physicians, nurses and specialists provide them with specialized treatments and therapeutic intervention, 24/7.
Seton provides focused specialized treatment programs. Our standard nursing- to-patient ratio is 1:4 and we can flex ratios based on patient's needs. We provide 24/7 in-house medical provider coverage that includes physicians, nurse practitioners and physician assistants. Patients are seen daily by these providers. When emergencies arise, access to specialists are available as needed.
We follow a thorough set of procedures to ensure patients and their families have an understanding of how to prepare for their arrival at Seton. This makes for a more successful transition process for everyone involved.
A clinical nurse liaison will complete a pre-admission assessment, gathering information from the patient's medical providers and any family members involved in their care. This process helps ensure Seton is the most appropriate environment for the patient's treatment plan.
Long-term acute care hospitals (LTACH) are focused on patients with serious medical problems that require intense, special treatment for a long period of time - usually 20-30 days. The biggest difference between LTACH's and traditional hospitals is that LTACH's specialize in long-term acute care services while a traditional hospital offers many general services (like emergency rooms, maternity departments and pediatrics).
The graph below depicts the differences in care between an LTACH, an Acute Rehabilitation Hospital and a Skilled Nursing Facility.
If you have questions, please contact our admissions coordinator at 317-415-8450.
|What does the patient need?||LTACH||Acute Rehabilitation||Skilled Nursing Facility|
|Can the facility take care of specialized patient needs? (Ventilator management and weaning, trauma including brain injury for example)||YES||NO||NO|
|Does the facility have 24-hour on-site physician/medical provider coverage?||YES (Physician visits daily)||NO (Physician visits every 1-2 days)||NO (Physician visits every 30 days)|
|Does the facility have Respiratory Therapy coverage in-house 24 hours each day?||YES||NO||NO|
|Does the facility provide Rehabilitation services?||YES (Individualized patient plan to provide PT, OT and ST as tolerated, an average of 1-5 times per week.)||YES (Patient needs to tolerate 15 hours of therapy over 7 days)||YES (Patient can receive up to 2.25 hours a day)|
|Licensed as an Acute Care Hospital||YES||YES||NO|
|Certified and reimbursed by Medicare Part A||YES||YES||YES|
|Recognized and reimbursed by Commercial Insurances||YES||YES||YES|
It would be our privilege to arrange a tour of our hospital so that you may see first-hand our commitment to comfort, quality and compassion. We encourage touring our facilities and believe it is very valuable in making an informed decision about the next level of care for you or your loved one. Tours can be given anytime Monday through Friday between 8 a.m. and 4:30 p.m. Tours after 4:30pm weekdays, weekends and holidays should be prearranged with our Admissions Coordinator. For more information or to schedule a tour, please call 317-415-8450.
Our admissions department will verify insurance coverage to ensure the patient will be covered during their stay. The patient may be asked to provide a copy of his or her insurance cards to help with verification.
The clinical nurse liaison will work with the sending medical facility to determine the date and time of patient readiness for admission. A room will be identified and assigned based on availability, clinical care needs and condition of the patient. Patients are evaluated for admission to either a regular or a high-observation bed based on medical necessity. An admitting physician will be determined based on patient needs, and a clinical assessment will be provided to care providers so equipment and supplies can be arranged to ensure safe care is delivered from admission.
Seton’s admissions coordinator will arrange transportation. The patient will be transported by ambulance if their medical condition warrants. The patient may or may not be accompanied by a Seton staff member. Also, the patient’s clinical needs will be reviewed to determine whether a Seton respiratory therapist will accompany the patient on transport for admission.
Our rehab team works closely with nurses, respiratory therapists, physicians, nurse practitioners and physician assistants to provide holistic care that results in excellent outcomes. When admitted, patients will be evaluated for therapy within 24-72 hours (depending on the day and time of admission). Following that, a treatment plan is developed. Treatment frequency ranges from one to five times per week, Monday through Friday, as deemed appropriate by the therapy team.
Physical therapy is focused on helping patients improve their functional mobility. An example treatment plan may include posture re-education, balance training, strengthening exercise and more.
Occupational therapy helps patients in the areas of daily living, functional mobility and upper body function. Treatment plans may include self-care training, coordination exercises, cognitive skills training and more.
Speech therapy addresses the needs of patients who have had tracheotomies, are at risk for swallowing disorders or have cognitive or communication disorders. These therapies supplement the patient's medical care needs while at Seton.
St. Vincent Seton Specialty Hospital treats patients with complex respiratory needs, and provides respiratory therapy services 24 hours a day. We specialize in weaning patients from the ventilator, as well as treating complex pneumonia, Adult Respiratory Distress Syndrome (ARDS) and CHF/COPD/Asthma related illnesses and intestinal lung disease. Patients who fail vent-weaning attempts at a short-term acute hospital are ideal candidates for Seton Specialty Hospital. This is because an ICU level of care can be provided while allowing specialized treatment for an extended period of time.
Animal-assisted therapy helps patients get better physically and emotionally. Working with professional rehab or a pet therapy dog, patients improve their range of motion, strength, endurance and more.
Due to the specialized care that St. Vincent Seton Specialty Hospital provides, patients must be referred. Referrals can be made by physicians, social workers, caregivers, or family members. Each patient referral is evaluated by a nurse liaison to determine if the patient meets admission criteria and can benefit from our model of care.
Our team strives to make the referral and admission processes as seamless as possible to ensure a smooth transfer to St. Vincent Seton Specialty Hospital.
To refer a patient for evaluation or admission, please contact our Admissions Coordinator by phone: 317-415-8450 or fax: 317-415-8480.
Corey Restivo never expected to be a heart patient. The heart crisis happened suddenly after dinner one evening many months ago. Gasping for breath, dizzy and fatigued, his family acted quickly and got him to the ER. Corey and his family never saw this coming. He is in his 60s, doesn’t smoke and didn’t feel like he was especially at risk for a heart attack.
Corey’s heart was severely damaged and had a quadruple blockage. Bypass surgery was indicated yet only two of the four bypasses could be safely done because Corey’s veins and vessels lacked the integrity to support a quadruple bypass. (The initial heart surgery and subsequent intensive care was provided by a southside hospital in Indiana.)
“The first phase of Dad's six-month recovery was long and stressful for the entire family,” recalls Sarah Restivo-Jones, Corey’s daughter. “We learned it would be a long process to heal and there were many critical days when we were uncertain if dad had the strength to pull through.”
Then an infection in Corey’s chest developed and his sternum (the center chest bone) essentially dissolved from the infection. “This complication significantly stalled the recovery process,” said Sarah. “Now my Dad had an open wound in his chest and needed specialized long-term, acute care. We specifically sought out a long-term care center that was highly rated for their work with wounds, infection and heart disease. The Seton care team shared statistics on their impressive recovery rate after a tracheotomy and laid out Dad’s wound care plan.”
TIP: Always tour the facility but also ask lots of questions and ask to see the long-term acute care center’s survival outcome and performance statistics for different types of care.
Another benefit at Seton Hospital is their Caring Spirit and flexibility to accommodate the family. Prior to the heart attack, Corey was recently remarried. “The Seton staff made it possible for my step-mom to literally move in with Dad full-time, setting up another bed next to Dad’s. At other times, I was able to bring in our child in to visit. All of these little kindnesses made a difference in Dad’s overall recovery.“
“I remember we looked as several facilities in central Indiana and Seton Specialty Hospital struck a positive note,” says Sarah. “The Seton staff has a lot of expertise with wound care and that's what Dad needed.” They also needed medical caregivers who could build-up his strength because over the many months Corey had lost excessive weight and was very weak. Through a combination of specific nutrition goals and concentrated rehabilitation, Corey safely regained weight and strength.
Another piece of this recovery at Seton Hospital was working with Corey's tracheotomy and implantable cardioverter defibrillator. “Before Dad came home we had to understand how to keep these devices in top working order and avoid interference. The Seton staff and St. Vincent’s Heart team are good educators and continue to follow Dad’s care.”
Now Corey is home and is making stronger strides every day. “All of the heart devices are working great, the wound in this chest is healing and stable, and every day looks better for my Dad. We feel very fortunate that Seton's was there for us.”
Elizabeth Brand from Indianapolis has a deep affection for the Seton Specialty Hospital nursing staff, especially the night shift. This St. Vincent long-term acute care hospital was her home for at more than two months following a medical emergency, lung surgery and hospitalization due to a stubborn pneumonia. That part of her story is not unusual because all of the patients at the Seton Specialty Hospital have medically complex illnesses that require 24/7 medical care for nearly a month or more. What Seton’s nursing staff identified in Elizabeth was a courageous, independent spirit that needed to know that even when you are at your weakest, there are options for getting medical care and for being in a place that can heal the body, mind and spirit.
At age 60, Elizabeth enjoyed her career as a college recruiter and freelance writer. She had been balancing a job she loved with the joys of grand-parenting and the companionship of her treasured Scottish terrier, named Gracie, for some time. Then in the spring of 2014 her job position vaporized in the wake of corporate downsizing. Now she had to make hard choices, especially with so much change in her life. “I remembered getting extremely fatigued and having a persistent cough which turned into a very resistant form of pneumonia,” says Elizabeth. “On top of that, my health insurance was now non-existent. So admittedly, times were tight and stressful. I coped by essentially becoming a hermit in my own home because I felt my body could weather this storm too.” Her daughter urged her to see a doctor. The first stop was an urgent care center and that doctor encouraged her to get more advanced medical attention for her lung condition; however, Elizabeth opted for a prescription of antibiotics and headed home. “My body was spiraling, so weak, I was barely nourishing myself yet in denial. Via text I would respond to family and friends that I was OK. Looking back, I was grappling with so many conflicting thoughts, including maybe this was my time.”
It was her beloved dog Gracie, with those gentle nudges that kept Elizabeth in the circle of life. “I realized that at times I was delirious, not really sure what was real and what was a vision,” says Elizabeth, “but I know I was challenged to choose life or death and that challenge resurfaced again while I was at the Seton Hospital trying to recuperate from a lung disease that was taxing every part of my body.”
As with many complex medical stories, there were many ups and down on Elizabeth’s medical journey. Times when her body just didn’t seem to cooperate. “The cheerful encouragement of the Seton staff was steady and strong. I really needed it during those long spring and summer days.” Elizabeth couldn’t spend time with her two precious grandchildren and Gracie was placed with a foster family. Yet, for all the pain and struggle, Elizabeth says she is so appreciative for the Seton staff, especially the night crew. “I was groggy or sleeping so much on and off during the day, yet at night I was often more alert. The night staff seemed more intimate and relaxed, and would genuinely share bits and pieces of their lives. A day didn’t go by when some extra kindness came my way; I wasn’t a chart, I was a person who they wanted to know.” Elizabeth adds that their “Caring Spirit” made her experience at Seton so much fuller (and more bearable).
Finally, when the IV’s were removed and the chest tube was gone, Elizabeth was ready to take on Life and all that it offered. Elizabeth came to St. Vincent via ambulance in a nightgown with few belongings. When she left Seton, the staff gathered for a heartfelt send-off that included gifts of clothes and food. The social workers and billing navigators at St. Vincent worked closely with State resources and other charities to significantly minimize the financial impact after nearly 4 months of acute medical care. “I now feel like I have options that include a support system and access to consistent medical follow-up at the Joshua Simon Primary Care Center (on the St. Vincent 86th St. campus). I know I have to be an active participant and stay the course in order to keep improving. My comeback story isn’t finished yet, but it sure had a good start while at Seton Specialty Hospital.”
When Pam was told that she needed to choose a long term acute care facility for her father, she didn’t have to look any further than St. Vincent Seton Specialty Hospital. “They offered all of the medical services my dad would need to transition from intensive care to coming home. The beautiful garden, peaceful chapel and personal patient services offered gave my dad the independence and quality of life he needed to heal mentally as well as physically.” Pam appreciated the caring and committed staff, and feels that St. Vincent Seton Specialty Hospital was the perfect choice for her loved one.
Long-term resident of Anderson, Indiana, Dave Holt is an exceptional printer at Saint John’s Health System. And while he’s worked on a number of projects for St. Vincent Seton Specialty Hospital over the years, he’s never had a reason to go there—not until he was admitted on April 3, 2011 as a patient.
Due to an unexpected and life-threatening reaction to a new combination of medications, Holt lost consciousness and was taken to Saint John’s Health System for immediate care. Failing to show improvement, Holt was transferred to Seton Specialty Hospital.
At Seton Specialty Holt regained consciousness, but he was uncertain of his new, unfamiliar surroundings. He was also understandably anxious about being so far from his family in Anderson.
The Seton Specialty nursing staff quickly recognized Holt’s need for company and began dropping in to chat or to help him shave and fix his hair. One nurse even let Holt borrow her cell phone to make a few calls while he waited for his family to bring him his own phone.
Holt said, “I was amazed at how everyone made such an effort to make me comfortable. All the nurses and staff made me feel like I was a part of their family. And they were always right there if I needed anything.”
When he left, Holt felt nothing short of a celebrity as everyone came out to say goodbye. Of course, no one wants to end up in intensive care, but he said that, “If you have to go somewhere, there’s no doubt that St. Vincent Seton Specialty Hospital should be your first choice.”
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