Massachusetts Non-Acute Hospital Profiles

Non-acute hospitals are defined using the Massachusetts Department of Public Health (DPH) and Department of Mental Health (DMH) license criteria. When presenting trends for utilization, costs, and financial performance, baseline data is provided for each hospital’s cohort as a point of comparison.

Non-acute hospitals fall under these categories:

• Chronic Care Hospitals
  Chronic care hospitals are hospitals with an average length of patient stay greater than 25 days. These hospitals typically provide longer-term care, such as ventilator dependent care. Medicare classifies chronic care hospitals as Long-Term Acute Care Hospitals, using the same 25-day threshold.
  
  
• Behavioral Health Hospitals
  Behavioral health hospitals are licensed by DMH for psychiatric services and by DPH for substance abuse services. Behavioral hospitals offer mental health services, substance abuse disorder treatments, and both inpatient and outpatient services.
  
  
• Rehabilitation Hospitals
  Rehabilitation hospitals provide intensive post-acute rehabilitation services, such as physical, occupational, and speech therapy services. For Medicare payment purposes, the federal government classifies hospitals as rehabilitation hospitals if they provide more than 60% of their inpatient services to patients with one or more of 13 diagnoses listed in federal regulations.
  
  
• Specialty Care Hospitals
  Non-acute specialty care hospitals provide long-term and unique patient care services.
  
  
• Massachusetts Department of Mental Health (DMH) Hospitals
  The Department of Mental Health (DMH) operates five hospitals that provide psychiatric and mental health care for those with otherwise limited access to facilities providing such care.
  
  
• Massachusetts Department of Public Health (DPH) Hospital
  The Department of Public Health (DPH) operates four multi-specialty hospitals that provide acute and chronic care to those for whom community facilities are not available or access to health care is restricted.