NDAC 33-07-01.1-27
Basic rehabilitation services
Cite as N.D. Admin. Code § 33-07-01.1-27
1.
General acute hospitals shall provide basic rehabilitation services, including physical,
occupational, and speech pathology and audiology to meet the needs of the patients served.
a.
Basic rehabilitation services must be provided by qualified staff licensed or certified
consistent with state law either directly or through contract or referral to an appropriate
facility.
b.
Basic rehabilitation services must be provided consistent with a written plan of treatment
and based on the orders of the licensed health care practitioner who is authorized by the
medical staff to order such services. The licensed health care practitioner's orders must
be incorporated into the patient's medical record.
c.
Sufficient qualified staff must be available to ensure the following services are provided:
(1)
Evaluate the patient.
(2)
Initiate the plan of treatment.
(3)
Instruct and supervise supportive personnel when they are used to provide services.
(4)
Provide education as needed to the patient and significant others.
d.
Documentation of basic rehabilitation services provided must be placed in the patient's
medical record, including the nature, duration, frequency, and complexity of the treatment
and the results.
e.
If basic rehabilitation services are offered on an outpatient basis, the quality of the
service must be consistent with the inpatient basic rehabilitation services in accordance
with the complexity of the services provided.
f.
Specialized rehabilitation services must be provided in a distinct, clearly defined, special
unit of a general acute hospital, or in a rehabilitation hospital. Hospitals holding
themselves out to the public as providing specialized rehabilitation services are subject to
licensure as a specialized rehabilitation hospital as described in section 33-07-01-35.
2.
Primary care hospitals are subject to the basic rehabilitative services requirements for general
acute hospitals in this section.
3.
Specialized hospitals are subject to the basic rehabilitative services requirements for general
acute hospitals in this section.