NDAC 33-07-01.1-35
Specialized rehabilitation services in hospitals
Cite as N.D. Admin. Code § 33-07-01.1-35
1.
Specialized rehabilitation services in a general acute hospital must be provided in a distinct,
clearly defined, special unit and are subject to the specialized rehabilitation services in
hospitals requirements for specialized hospitals in this section. If in the course of the
inspection of a general acute hospital, the department finds from a review of the rehabilitation
services rendered and the adequacy of the consultation and referral resources that the
hospital practice and staffing warrants the establishment of a specialized rehabilitation service,
the department shall recommend the establishment of such service.
2.
Primary care hospitals may not provide specialized rehabilitation services.
3.
The specialized rehabilitation hospital shall provide preventive, diagnostic, therapeutic, and
rehabilitative services to patients in accordance with the licensure requirements in this
chapter.
a.
The rehabilitation hospital shall provide for services to inpatients and outpatients by a
core group of professionals, who are licensed or certified consistent with state laws,
which must include, dependent on the patient's needs, the following:
(1)
Occupational therapist.
(2)
Physical therapist.
(3)
Physician.
(4)
Psychologist.
(5)
Rehabilitation nurse.
(6)
Social worker.
(7)
Speech and language pathologist.
(8)
Therapeutic recreation specialist.
b.
Additional services that must be provided to inpatients and outpatients, either directly by
the rehabilitation hospital or by arrangement, dependent upon the identified needs and
program goals, include:
(1)
Audiology.
(2)
Chaplaincy.
(3)
Chemical dependency counseling.
(4)
Dental services.
(5)
Dietary services and nutritional counseling.
(6)
Driver evaluation and education.
(7)
Environmental modification.
(8)
Laboratory services.
(9)
Licensed health care practitioner services.
(10)
Orthotics and prosthetics.
(11)
Pharmaceutical services.
(12)
Physiatry.
(13)
Radiology services.
(14)
Rehabilitation engineering.
(15)
Respiratory care services.
(16)
Sexual counseling.
(17)
Vocational testing and rehabilitation.
c.
For inpatients, unless contraindicated in writing by the qualified physiatrist, the
rehabilitation hospital shall provide at a minimum three hours of services per patient per
day, which must include one or a combination of the following: physical therapy,
occupational therapy, speech-language pathology, prosthetics and orthotics services, or
therapeutic recreational therapy.
d.
Rehabilitation hospitals must be accredited by the commission on accreditation of
rehabilitation facilities in the category of comprehensive inpatient rehabilitation prior to
licensure as a rehabilitation hospital by the department.
e.
If a hospital licensed by the department provides specialized rehabilitation services in
addition to other hospital services, the hospital shall adhere to the rules of this section in
addition to the rules for other hospital services.
f.
Submission of documents and onsite review must be as follows:
(1)
The rehabilitation hospital, upon receipt, shall submit all commission on
accreditation of rehabilitation facilities survey results, recommendations, and plans
of correction to the department.
(2)
Based on the commission on accreditation of rehabilitation facilities survey results,
the department may require changes or additions to the recommendations or plans
of corrections if endangerment to the health, well-being, or safety of patients is
involved.
(3)
Onsite review must be conducted by the department to assess compliance with
licensure requirements not included in the commission on accreditation of
rehabilitation facilities standards.