Promise Hospital of Gonzales is the state's first Long-Term Acute Care (LTAC) hospital. As a free-standing, 54-bed hospital, 82,000 -square-foot Promise Hospital of Gonzales offers a full range of acute care hospital services to our patients who need a longer length of time to recover in the hospital setting At Promise Hospital we use an interdisciplinary, team approach to treatment specifically designed for patients who need a longer acute care recovery period. We specialize in the medical management of patients with complex, unresolved, acute, chronic, or catastrophic illnesses, as well as multi-system disease processes. Patients benefit from our unique LTAC hospital environment that delivers acute medical care and therapy services while maximizing our patients’ recovery options.
Promise Hospital’s interdisciplinary team approach to treatment is led by a select group of dedicated local physicians who are committed to providing quality patient care. Our nurses, therapists, nutritionists, and case managers work with our physicians to insure our patients get personalized, compassionate care in the most efficient and appropriate manner. Each patient's treatment plan is individually designed to meet their specific goals in order to reach their maximum quality of life. At Promise Hospital our staff provides on-going communication and education to patients and their families throughout their stay. We understand that patients and their families are important members of the treatment team, and that building good relationships will enhance the healing process.
One of our goals is to make the referral process quick and easy. Our admissions department works closely with a patient's physician as well as the other healthcare providers within the continuum of care to make the patient’s transition to the LTAC hospital a smooth process. Promise Hospital’s team of area clinical liaisons will provide an on-site evaluation of the patient as quickly as possible to determine if they meet criteria for our unique level of care. We know that time is valuable and every minute counts when treatment is needed.
Promise Hospital of Gonzales is JCAHO accredited, Medicare certified, and licensed as a long-term acute care hospital. We are also an approved provider for most health insurance plans.
Established as a LTAC hospital in 1988, Ascension Hospital was acquired by Promise Healthcare on October 1, 2006. Promise Healthcare, Inc., is a Boca Raton-based corporation that owns and manages hospitals throughout the country. The Promise name reflects a commitment to patients, physicians, hospital staff, and families nationally, and locally in the Ascension/Baton Rouge area and surrounding communities.
M. Bryan Day, Sr. Vice President, CEO/Administrator
M. Bryan Day has more than 20 years experience in healthcare administration including general, Acute Care, Rehabilitation and Long-Term Acute Care. Day holds a Master's degree in Health System Management from Tulane University and a Bachelor of Science degree from Louisiana State University.
I am excited to be a part of the Promise Healthcare Organization and am very proud of the excellent work our skilled team of professionals accomplish for our patients every day.
Ruby Cointment, RN, APCS
Ruby Cointment, RN, APCS is the director of nursing and has managed the nursing staff at Ascension Hospital for more than 16 years. She has more than 20 years of nursing management experience in acute and long term acute care hospital settings. Coinment holds a BSN from Northwestern State University, and previously held a teaching position at Southeastern Louisiana University in Hammond, LA.
CLINICAL SERVICES AND PROGRAMS
On-site Intensive Care
Cardiac Monitoring
Hemodynamic Monitoring
Ventilator Weaning
Respiratory Therapy & Care
IV Antibiotic Therapy
Total Parenteral Nutrition-TPN
Wound Care
Hyperbarics
Vacuum Assisted Closure-VAC
Pain Management
Physical Therapy
Occupational Therapy
Speech Therapy
Nutritional Services
Diabetes Management
Pharmacy Services
Radiology
Laboratory Services
DIAGNOSES AND CONDITIONS TREATED
Multi-System Failure
Respiratory Failure – Vent Dependent
Post Myocardial Infarction – MI
Post Operative Coronary Artery
Bypass Graft – CABG
Congestive Heart Failure – CHF Exacerbation
Post Traumatic Injury
Post Cerebral Vascular Accident – CVA
Pneumonia
Pleural Effusions
Respiratory Distress Syndrome – ARDS
Chronic Obstructive Pulmonary Disease – COPD Exacerbation
Conditions Requiring Respiratory Isolation
Sepsis
Methicillin-Resistant Staph Aureus – MRSA
Vancomycin Resistant Enterococcus – VRE
Osteomyelitis
Stage III & IV Wounds
Non-healing Surgical Wounds
Circulatory and Diabetic Ulcers
Pressure Ulcers
Burns
Necrotic Conditions/Wounds
Post Amputation
Arthritis
Sickle Cell Crisis
Within the continuum of healthcare, long-term acute care hospitals (also known as “LTACHs”) provide specialized acute care for medically complex patients who are critically ill; have multi-system complications and/or failures and require hospitalization, averaging a length of stay of 25 days or more, in a facility offering specialized treatment programs and aggressive clinical and therapeutic intervention on a 24-hour/7-day-a-week basis. Many of the patients are admitted directly from a short-stay hospital intensive care unit with respiratory or ventilator-dependent conditions or other complex medical conditions requiring aggressive and continuous acute care services. The first free-standing LTACHs under the current Medicare definition were established in the mid-1980s.
LTAC hospitals differ from chronic care settings in that the LTACH focus is on treating these critically ill and/or high acuity patients in an intensive way, utilizing specialized treatment programs geared to each patient’s illness and requirements. The goal is medical recovery and return to home and family. These programs and this focus are not generally available or appropriate in a chronic care facility.
LTAC hospitals differ from nursing home/subacute programs in that their patients are much more acutely ill, often critically ill, and require more specialized programs and intensive nursing intervention than are generally available within subacute programs.
The severity of the LTACH patient’s condition requires a hospital stay that provides:
• Interactive physician direction with daily on-site assessment;
• Significant ancillary services as dictated by complex, acute medical needs – such as full service and STAT laboratory, radiology, respiratory care services, etc;
• A patient-centered outcome-focused, interdisciplinary approach requiring a physician-directed professional team that includes intensive case management to move the patient efficiently through the continuum of care;
• Clinically competent care providers with advanced assessment and intervention skills;
• Education for the patient and family to manage their present and future healthcare needs.
These hospitals focus on patients with medically complex conditions or multiple conditions (comorbidities). Many patients arrive directly from intensive care units of general hospitals, with patients often still on life support. Our aggressive clinical and therapeutic intervention involves daily physician monitoring, 24-hour RN care with a high proportion of licensed clinical staff, significant ancillary services and complicated medication regimens.
In October of 2002 the U.S. Department of Health and Human Services implemented a prospective payment system for LTACHs.
*The Acute Long Term Hospital Association (ALTHA) represents over 160 LTACHs (both free-standing and “hospitals-within-hospitals”) in 29 states nationwide, specializing in intensive care for long stay patients. Mr. Baronoff is on the board of directors and is an officer of the Acute Long-Term Hospital Association (ALTHA). For more information on ALTHA, visit www.altha.org.
PROMISE HOSPITAL OF GONZALES
615 East Worthey Road
Gonzales, Louisiana 70737-4240
Phone: (225)621-1200
Fax: (225)621-1419
www.promise-gonzales.com
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