Frequently Asked Questions
Q. How do I get admitted?
A: Admissions to Spaulding inpatient programs are completed by a physician referral or by pre-admission through a Spaulding representative at an acute-care facility. Admission criteria are determined by each program. Patient referrals may be made by calling 1-617-952-5350.
Q. What should I expect when I arrive?
A: A member of our care team will help you get you settled at Spaulding. Your Spaulding physician and nurse will meet with you within the first 24 hours of your stay. You will meet your other team members either that day or the next.
Q. What rehabilitation services does Spaulding offer?
A: The Spaulding Rehabilitation Network offers major rehabilitation programs including amputee and vascular disease rehabilitation, brain injury rehabilitation, burn rehabilitation, pediatric and adolescent rehabilitation, disorder of consciousness rehabilitation for those with severe brain injuries, musculoskeletal rehabilitation, spinal cord injury rehabilitation and stroke/neurology rehabilitation. We offer specialized programs in ventilator weaning, oncology, pulmonary, cardiac care, neurology/stroke, post-organ transplant, post-surgical and orthopedics. Our clinical capabilities include a unique combination of complex medical and rehabilitative care, with comprehensive physical, occupational and speech therapy. We provide management of chemotherapy, peritoneal and hemodialysis, pain management and complex wound care.
Q. How much therapy will I receive?
A: There is specific admission criteria for rehab and your information will need to be reviewed. Patients must meet Medicare's requirements for medical necessity in a rehabilitation hospital, including: the expectation for measurable progress towards practical, functional goals; a need for nursing care and frequent physician visits; and the patient must be able and willing to engage in intensive rehabilitation, usually three hours a day.
We encourage family members to take part in your therapy, as they can provide support and motivation and can learn skills to help you. Family/care team conferences are scheduled regularly to discuss or reassess your treatment program.
Q. What are the accommodations like?
A: Each patient has a private room with full windows and optimal natural light, equipped with a television and a telephone, each with its own fully accessible bathroom, including shower. You are welcome to bring your laptop computer. We provide free wireless Internet service.
Q. What are the meals like?
A: We offer special menu plans that provide tasty, nutritionally balanced meals appropriate for your medical condition. You may choose what you’d like to eat each day.
Q. Can I get a tour of Spaulding’s facilities?
A: Tours of Spaulding facilities are available and may be arranged by calling 1-617-952-5000.
Q: What should I bring?
A: Click here for our handy “What to Bring” checklist.
Q. How long will I stay?
A: Your length of stay will depend on your individual treatment plan and progress in reaching your goals. Your recovery does not stop when you leave Spaulding. We will work with you to arrange ongoing care through home care or outpatient therapy upon your discharge.
Q: Who will coordinate my care?
A: While you are with Spaulding, your care is coordinated by physicians and nursing staff, who may access other medical specialists, diagnostics and treatments as needed. Rehabilitation therapies are customized to meet the unique needs of each person. The rehabilitation team can include physicians, nurses, physical therapists, occupational therapists, speech-language pathologists, social workers, discharge planners and other specialists.
Q. How can I pay for my care?
A: Insurance or managed care programs generally cover rehabilitation services prescribed by a physician. Discuss coverage with your insurance representative prior to treatment. During your stay at Spaulding, a Case Manager will keep you informed about your insurance coverage.
Q. What if I need help when I go home?
A: Many patients require assistance to make the transition from Spaulding to home. Your patient care coordinator will work with you to identify your home care needs and will make appropriate referrals to arrange the services you need.
Q. Is there Smoking or Alcohol Allowed at Spaulding?
A. Spaulding is a smoke-free and tobacco-free campus, which includes the hospital and its grounds. E-cigarettes are prohibited. Alcoholic beverages are not permitted in the hospital or on the ground.
About Spaulding Programs:
Q. What is Spaulding’s philosophy of care?
A: Our interdisciplinary team approach supports the optimum recovery of the individual by involving the patient and family in all phases of the treatment process. Since the goal of the facility is to assist all patients in returning to the most independent living environment as quickly as possible, our dedicated staff helps patients reach their recovery goals successfully through an outcome-orientated approach to care. We do this by assembling a team of case managers, nurses, physicians, nurse practitioners, social workers and therapists who meet weekly to review and revise treatment plans. We encourage family members to attend these meetings to promote dialogue and stay updated.
Q: How does Spaulding’s research help patients?
A: Research is an integral component of Spaulding's work. Our faculty members maintain a vigorous research agenda at the hospital, and collaborate with colleagues at other teaching hospitals and universities. Our research focuses on improving areas of rehabilitation treatment and care, such as improving neurological or musculoskeletal functions, understanding the effects of physical activity or inactivity and exercise, evaluating the efficacy and delivery of new treatments, and applied research on new technologies. Spaulding research is conducted in accordance with the highest ethical principles and regard for the protection of our study volunteers. We adhere to all federal regulatory policies on research with human subjects.
Q. What is medically complex care?
A: Medically complex care is a unique system of care that facilitates recovery from illness or injury. It is designed for patients with diverse medical conditions, such as post-surgical complications, multi-system failure, altered wound healing and metabolic imbalance. Learn more about our Complex Medical Care.
Q: What are the offerings of Spaulding’s integrative medicine program?
A: Integrative medicine is also known as complementary and alternative medicine. Building on a 30-year history of interdisciplinary inpatient treatment of chronic pain, integrative medicine approaches at Spaulding have steadily spread to other inpatient and outpatient settings in recent years. Spaulding offers integrative therapies, including acupuncture, Reiki, yoga, martial arts, massage therapy, hypnotherapy, biofeedback and more, to both inpatients and outpatients.
Q. What makes Spaulding’s adaptive sports program unique?
A: The Dr. Charles H. Weingarten Adaptive Sports & Recreation Program, in coordination with AccessSport America, provides Spaulding patients, former patients, and disabled members of the community with a range of therapeutic recreational activities. The program helps individuals gain muscle strength, coordination, equilibrium, endurance, self-esteem, self-confidence and independence. Available activities include park and campus sports, cycling, wall climbing, water sports, canoeing, rowing, kayaking, sailing, paddle boating and windsurfing.
Q. What should I know about the Spaulding Traumatic Brain Injury Model Systems?
A: Spaulding has continued to work with the Traumatic Brain Injury Model Systems (TBIMS) as a longitudinal follow-up center by virtue of a contract with the TBIMS National Data and Statistical Center at Craig Hospital in Denver, Colorado, which is in turn funded by a grant from the National Institute on Disability and Rehabilitation Research, U.S. Department of Education. The grant supports the participation of Spaulding in a nationwide database collecting a broad variety of data from TBI patients to build a better understanding of the dynamics of this condition.
Q. What should I know about the Spaulding Spinal Cord Injury Model Systems?
A: Spaulding’s Spinal Cord Injury Program works as a Spinal Cord Injury Model System site by virtue of a contract with the National Institute on Disability and Rehabilitation Research (NIDRR). NIDRR awards SCI Model Systems grants to institutions that are national leaders in medical research and patient care. Each site provides the highest level of comprehensive specialty services, from the point of injury through rehabilitation and community reentry. This funding will allow Spaulding clinicians and researchers to improve both regional and national understanding of SCI treatment models. Spaulding contributes to the national SCI Model Systems Database for a better understanding of long-term health outcomes.
Q. What should I know about the Burn Injury Model Systems?
A: The Boston-Harvard Burn Injury Model System is one of four sites that has been awarded a national grant for research for the 2012-2017. The grant is funded by the National Institute of Disability and Rehabilitation Research (NIDRR), a component of the Department of Education - Office of Special Education and Rehabilitative Services (OSERS). The main mission of NIDRR is to help improve the lives of individuals with disabilities.
We work in collaboration with Massachusetts General Hospital and Shriners Hospital for Children - Boston.
Today - Spaulding Hospital Boston serves as the flagship for the Spaulding Rehabilitation Network, together with fellow rehabilitation facility Spaulding Hospital Cape Cod, two long-term acute-care facilities (Spaulding Hospital Cambridge and Spaulding Hospital North Shore), two skilled nursing facilities (Spaulding Hospital North End and Spaulding Hospital West Roxbury) and an outpatient network of 23 centers throughout Eastern Massachusetts.
2013- On April 27, 2013 Spaulding Rehabilitation Hospital began a new chapter in its history with the new replacement facility in the Charlestown Navy Yard. This 132 bed, patient-centered facility is recognized for its green design with a LEED Gold certification as well as serving as model of inclusive design.
2012- Spaulding is one of only a select few sites to hold Model System distinction awarded by NIDRR in Spinal Cord Injury, Burn Injury and Traumatic Brain Injury simultaneously.
2012 – In a study co-led by Dr. Joe Giacino, Director of Rehabilitation Neuropsychology at Spaulding, Amantadine, a drug commonly used to treat Parkinson’s disease, was found to improve function in severely brain-injured people.
2011 – Spaulding Rehabilitation Network partnered with Ekso Bionics to test their new exoskeleton, known as Ekso. The device gives people with paralysis a new form of mobility. Originally designed for our military soldiers, the exoskeleton helps support a person while walking. Spaulding and Berkeley Bionics incorporated this technology into our therapy program in 2012.
2008 – Spaulding introduced the Lokomat robotic gait training devices developed by Hocoma with collaborations with the Massachusetts Institute of Technology and Spaulding’s Motion Analysis Lab, to assist patient regain walking abilities. Spaulding had the first pediatric training unit in the United States.
2002 – The Charles Weingarten Adaptive Sports and Recreation Program began water and land recreational sports activities at the new Spaulding Pier at Nashua Street. The program gives patients and participants with new ways to recover and enjoy recreation.
1995 – Spaulding first appeared in U.S. News & World Reports “Best Hospitals Issue” and is the only rehabilitation hospital in New England ranked each year since then.
1993 – Spaulding became home to the Harvard Medical School Department of Physical Medicine and Rehabilitation, supporting clinical excellence, breakthrough research and serving as training ground of the next generations of leaders in rehabilitation medicine.
1988 – Spaulding opened its first suburban outpatient therapy center. As technology progressed, new methods in robotics, computers and virtual technologies such as those used and developed in the Motion Analysis Lab allowed entirely new avenues of rehabilitation medicine and recoveries to occur.
1983 – MRH was renamed Spaulding Rehabilitation Hospital (SRH) to honor Josiah Spaulding and his vision. The Spaulding family is still involved with the hospital in various roles, serving as current and honorary board members and supporting SRH’s philanthropic efforts.
1974 – An early pioneer the rehabilitation field, MRH introduced physician-led, team-orientated specialty programs, now considered the industry standard. Rehabilitation programs from the start focused on spinal cord injury, stroke, brain injury and musculoskeletal rehabilitation. Physical, occupational and speech therapy also were core components.
1970 – After Congress passed Medicare providing benefits for inpatient rehabilitation to all citizens for the first time, Josiah A. Spaulding and other civic leaders recognized the need for a new rehabilitation hospital in Boston. On September 16, 1970, Massachusetts Rehabilitation Hospital (MRH) opens its doors.