Long-Term Acute Care Hospital Referral Partner Program
LTAC patients are among the most complex in post-acute care. I refer families to LTACs when the clinical picture requires it and coordinate transitions back to lower levels of care.
Long-Term Acute Care Hospitals serve patients with the most complex post-acute needs — ventilator weaning, medically complex wounds, respiratory failure recovery, and multi-system medical instability. Families of these patients often don’t understand the continuum of care and may not know LTAC exists as an option between the ICU and a standard SNF. I help families understand when LTAC is appropriate, refer when it is, and plan the step-down pathway from LTAC to SNF or home when the patient is ready.
Why Partner With Erika
Complex Case Navigation
I help families of ICU/critical care patients understand post-acute options including LTAC — and refer when the patient’s ongoing medical needs require LTAC-level oversight.
Step-Down Planning
LTAC is a transitional level of care. I help families understand the trajectory from LTAC to SNF to home, and coordinate transitions at each step when the patient’s condition warrants it.
Proactive Family Communication
LTAC families are often overwhelmed and confused about prognosis and next steps. I serve as a communication bridge between the care team and the family when families need help understanding options.
How It Works
Family contacts during ICU or acute hospital stay
A family or hospital social worker reaches out while a critically ill patient is in the ICU or acute hospital, seeking guidance on what happens when the patient is “stable enough to leave” the acute hospital but still too medically complex for a standard SNF.
LTAC appropriateness assessment
I gather information about the patient’s medical complexity — vent status, wounds, infection, multi-system needs — and assess whether LTAC or a high-acuity SNF is the more appropriate next step.
Warm referral with full clinical context
I contact partner LTACs with a complete clinical brief before the referral call. Your admissions team has the information needed to assess appropriateness before the first contact with the family.
Step-down coordination
When the patient is ready to step down from LTAC, I help coordinate the next placement — SNF, IRF, or home health — maintaining continuity and avoiding unnecessary delays in discharge.
Common Questions
Related Partnership Pages
Ready to Connect?
Whether you want to add your community to my referral network or discuss a specific family in need of placement, I’m easy to reach and respond quickly.
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