Where do patients go after they leave a Polytrauma Rehabilitation Center? How is their health care program maintained?
The majority of patients are discharged to home and receive their specialized follow-up care at a Polytrauma Network Site, or another VA facility in the Polytrauma System of Care. However, some patients, due to the severity of their injuries, require ongoing sub-acute or long term care. Some patients return to a Military Treatment Facility for follow-up after VA discharge. Some patients return to Active Duty within the military. Polytrauma Rehabilitation Teams develop individualized follow-up plans for each patient after discharge. These include recommendations for continued medical care, therapy services, mental health, prosthetic devices and aids, and community re-entry services and resources. The plans are developed with patients and families and communicated to the receiving medical facilities as well as the military case managers. Polytrauma Case Managers make phone calls following the discharge of a patient to ensure that follow-up plans are implemented and to help resolve any is
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