Hospital-level Care for Medically Complex Patients
Patients with medically complex conditions often face multiple, overlapping health challenges that require more than short-term treatment or standard rehabilitation. At RML, medically complex care is provided in a hospital setting designed for patients who still need acute, physician-led care over an extended period of time.
As a long-term acute care hospital (LTCH), RML supports patients whose recovery requires close medical oversight, coordinated treatment, and time to rebuild strength and stability.
Who This Program is for
Medically complex care at RML is designed for patients whose conditions involve multiple systems and require ongoing hospital-level treatment rather than discharge to home or rehabilitation.
This program may be appropriate for patients who:
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Require extended acute-care hospitalization to regain strength and stamina
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Have multiple medical conditions requiring coordinated management
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Are too medically complex for inpatient rehabilitation or skilled nursing care
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Need continued physician oversight and interdisciplinary support following ICU care
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Are experiencing multiple organ system failure or significant medical instability
How Care Works at RML
Each patient admitted for medically complex care is evaluated by an RML physician, who leads the development of an individualized plan of care. Based on the patient’s condition, appropriate rehabilitation therapies and medical treatments are integrated into the care plan.
Patients are closely monitored throughout their stay, with physicians, nurses, and therapists adjusting care as medical needs change. This ongoing reassessment allows the care team to respond to complexity and variability rather than following a fixed pathway.
What Makes RML Different
RML is structured to care for patients with high medical complexity in a hospital environment where care decisions can be made promptly and collaboratively.
Key elements of RML’s medically complex care include:
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24/7 on-site physician coverage, ensuring continuous medical oversight
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Attending physician leadership, with board-certified physicians directing care based on patient needs
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Interdisciplinary care teams, including nurses and therapists who monitor patients closely
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Hospital-level LTCH care, designed specifically for patients requiring extended acute treatment
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Experience managing high-acuity conditions, where complexity requires coordination across specialties
How Care Is Coordinated Across Disciplines
Medically complex care often involves addressing physical, medical, emotional, and functional needs at the same time. At RML, supportive disciplines are integrated into each patient’s care plan based on clinical needs and physician direction.
Care coordination may include collaboration with:
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Respiratory Therapy, when patients require respiratory monitoring or support
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Physical and Occupational Therapy, focused on rebuilding strength, mobility, endurance, and functional abilities needed for daily activities
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Speech-Language Pathology, addressing communication or swallowing concerns when present
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Dietary and Nutrition Services, supporting patients’ nutritional needs as part of their overall medical and recovery plan
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Psychology, supporting emotional and mental well-being during prolonged hospitalization
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Spiritual Care, offering additional support to patients and families as part of whole-person care
These disciplines work together under physician oversight to support coordinated, hospital-based care rather than isolated services.
What Families Can Expect
Families should expect a care experience that acknowledges the seriousness and complexity of their loved one’s condition. Progress may occur gradually, and care plans are adjusted as patients respond to treatment.
Throughout the stay, families are supported by a care team that communicates regularly, coordinates across disciplines, and focuses on providing safe, compassionate hospital-level care tailored to each patient’s needs.
Take the Next Step
Medically complex care is designed for patients who still require hospital-level treatment and close medical oversight as recovery continues.