CriticalMindAI — NeuroICU Clinical Intelligence Platform

Rehab Readiness Assessment

A structured multidomain assessment tool to identify when NeuroICU patients are ready to transition from intensive care to acute inpatient rehabilitation or long-term acute care (LTACH) after tracheostomy and PUG placement.

Assessment Domains

• Cognitive Function: Arousal level, command-following, attention, and short-term memory consistent with rehab participation
• Motor & Mobility: Upper and lower extremity strength, sitting tolerance, and functional mobility trajectory
• Swallow & Communication: Speech-language pathology evaluation, swallow screen status, and communication readiness
• Respiratory Status: Ventilator weaning progress, tracheostomy tolerance, and decannulation readiness criteria
• Medical Stability: Hemodynamic stability, infection/fever control, line management, and nutrition delivery
• Psychosocial: Family support availability, goals of care alignment, and rehab facility coordination

Transition Destinations

• Acute Inpatient Rehabilitation (AIR): ≥3 hours therapy/day tolerance, medically stable, motivated participation
• Long-Term Acute Care (LTACH): Ongoing ventilator weaning, complex wound care, or medical needs exceeding AIR thresholds
• Skilled Nursing Facility (SNF): Lower therapy intensity needs with continued skilled nursing support

Related Resources

• Clinical Protocols — early intervention timeline
• Weaning & Decannulation — readiness criteria
• AI Billing & Rehab Placement — payer authorization
• Training Module 6 — Bridge to Stroke Recovery & Rehab
• Revenue Integrity — DRG and insurance tools

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