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| Level | Description |
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1.1
Noncomplex infant | Infant (<1 year)
Medically stable | Medically stable infant (<1 year of age) with special health care needs admitted to the hospital for medication weaning and/or feeding, growth, and development issues; infant’s function is below age-appropriate and care is more complex than what is typically required for an infant |
|
1.2
Noncomplex child | Child/youth (>1 year)
Medically stable | Medically stable child or youth from 1 to 21 years of age who requires hospitalization; child’s function is below age-appropriate and medical care is needed that is not typically required for children, such as postsurgical management, IV antibiotics, and wound care |
|
2
Active
rehabilitation | Child/youth (>1 year)
Medically stable
Active rehabilitation therapies | Medically stable child or youth 1 to 21 years of age who will receive active level of rehabilitation therapies including physical, occupational, and/or speech-language therapy; child may or may not have a preexisting condition but exhibits medical needs and impairments in self-care, safety, communication, cognition, behavior, and/or mobility due to a recent illness/injury/surgery |
|
3.11
Medically complex
infant | Infant (<1 year)
Medically complex
1-2 major systems | Infant with a chronic condition/special health care need who requires medical care and support for 1-2 major systems such as tube feeding, total parenteral nutrition, IV antibiotics, wound care, musculoskeletal traction, nasal cannula oxygen, and tracheostomy care (no ventilator) |
|
3.12
Medically complex
infant | Infant (<1 year)
Medically complex
3+ major systems | Infant with a chronic condition/special health care need who requires medical care and support for 3 or more major systems such as tube feeding, total parenteral nutrition, musculoskeletal traction, nasal cannula oxygen, and tracheostomy care (no ventilator) |
|
3.21
Medically complex
child | Child/youth (>1 year)
Medically complex
1-2 major systems | Child or youth with a chronic condition/special health care need who requires medical care and support for 1-2 major systems such as tube feeding, total parenteral nutrition, musculoskeletal traction, nasal cannula oxygen, and tracheostomy care (no ventilator) |
|
3.22
Medically complex
child | Child/youth (>1 year)
Medically complex
3+ major systems | Child or youth with a chronic condition/special health care need who requires medical care and support for 3 or more major systems such as tube feeding, total parenteral nutrition, musculoskeletal traction, nasal cannula oxygen, and tracheostomy care (no ventilator) |
|
4.1
Noninvasive ventilation infant | Infant (<1 year)
Noninvasive
ventilation | Infant (<1 year of age) who requires noninvasive (no tracheostomy) respiratory support (e.g., continuous positive airway support) for survival for any amount of time during a 24-hour period |
|
4.2
Noninvasive ventilation child | Child/youth (>1 year)
Noninvasive ventilation | Child or youth who requires noninvasive (no tracheostomy) respiratory support (e.g., continuous positive airway support) for survival for any amount of time during a 24-hour period |
|
5.1
Invasive ventilation infant | Infant (<1 year)
Invasive ventilation | Infant (<1 year of age) who requires invasive (tracheostomy) respiratory support (positive pressure mechanical ventilation) for survival for any amount of time during a 24-hour period |
|
5.2
Invasive ventilation child | Child/youth (>1 year)
Invasive ventilation | Child or youth who requires invasive (tracheostomy) respiratory support (positive pressure mechanical ventilation) for survival for any amount of time during a 24-hour period |
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