Big N Little, Corp.

Rehabilitation Hospital Unit

In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

Speech-Language Pathology

Big N Little, Corp. is a Speech-Language Pathology practice in New York, NY with healthcare providers who have special training and skill in preventing, assessing, diagnosing, and treating speech, language, cognitive communication, and swallowing disorders arising from illness, injury, deficiency, or congenital birth defect. Speech-Language Pathologists at Big N Little, Corp. perform testing, evaluation, and treatment of disorders relating to how patients form words, communicate, and process the speech of others. Speech-Language Pathology is a medical specialty that deals with disorders related to how patients form words, speak, and understand what others are saying to them. Significant diseases and conditions treated at Speech-Language Pathology practices include speech disorders like stuttering and dysarthia, language disorders like articulation and phonological processing disorders, social communication disorders, cognitive-communication disorders, voice disorders, and swallowing disorders that may arise from conditions like stroke, dementia, brain injury, multiple sclerosis (MS), Parkinson's disease, autism, hearing loss, or congenital birth defects. Medical tests, procedures and therapies provided by Speech-Language Pathology practices include speech and language assessment, hearing assessment, developing treatment plans based on assessment and test results, developing communications strategies for patients and caregivers, working with patients to achieve communication goals, and providing patient and parent education.

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.