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Direct Admissions Program

The Direct Admission Program (DAP) at Spaulding Rehabilitation Hospital Cape Cod is an innovative approach to two critical needs: helping at-risk seniors remain in their homes and reducing preventable hospital admissions.

Spaulding Cape Cod’s DAP gives qualifying patients access to advanced inpatient rehabilitation from home, the emergency room, and skilled nursing facilities – without a prior three-day hospital stay required by Medicare. DAP is designed to help those who are in a medical and/or functional decline due to a known cause or diagnosis and may prevent an avoidable hospitalization.

Spaulding's Approach to the Direct Admissions Program

Criteria for Spaulding’s Direct Admission Program include:

  • Patient’s medical and rehab needs necessitate close physician monitoring
  • Patients must need and be able to participate in at least three hours of therapy per day, at least five days per week
  • Improvement in function (or adaption to an impairment) that is of practical value is predicted with intense rehabilitation
  • The decline in function is related to a known condition or diagnosis
  • Patient is motivated to participate
  • Payment is available for the program
  • Patient is age 15 or older

Qualifying conditions for Spaulding's Direct Admission Program include:

  • Parkinson’s disease and/or movement disorder
  • Recent stroke with functional decline
  • Gait disorders due to a known cause
  • Recurrent falls due to a known cause
  • Multiple sclerosis exacerbation (flare-up) with loss of function
  • Brain or spinal cord injury with a need for specific skill training
  • Post-polio syndrome
  • Spasticity
  • Other diagnoses causing functional decline and inpatient medical care needs are considered on a case-by-case basis