Cal. Code Regs. Tit. 22, § 70597 - Rehabilitation Center General Requirements

(a) Written policies and procedures shall be developed and maintained by the person responsible for the service in consultation with other appropriate health professionals and administration. Policies shall be approved by the governing body. Procedures shall be approved by the administration and medical staff where such is appropriate. These policies and procedures shall include but not be limited to:

(1) Goals and objectives.

(2) General eligibility and admission criteria.

(3) Geographic area to be served.

(4) Scope of services to be provided.

(5) Rehabilitation staff eligibility requirements.

(6) Relationships between the hospital and other health facilities in the community.

(7) Sources and forms used for referral of patients.

(b) The responsibility and the accountability of the rehabilitation service to the medical staff and administration shall be defined.

(c) As a minimum, physical therapy, occupational therapy and speech therapy shall be provide and the requirements for these individual services, as stated elsewhere in these regulations, shall be met.

(d) There shall be preadmission patient screening done by an appropriate individual who may be the director of the service or his designee. Such screening shall include but not be limited to:

(1) Medical review.

(2) Rehabilitative potential evaluation.

(3) Review of future placement resources.

(e) An outpatient service shall be part of the rehabilitation center. This service shall provide continuity of care to patients who have completed inpatient rehabilitation care and will provide comprehensive, integrated care for patients not requiring hospitalization. This service shall have available all of the resources of the rehabilitation center.

(1) A coordinated system of patient scheduling and appointments that serves to minimize waiting time shall be established.

(2) An outpatient medical record shall be maintained for each patient receiving care in the outpatient service. The completed medical record shall include the information required for treatment of all hospital outpatients (Section 70367).

(f) There shall be a written utilization review plan that outlines the:

(1) Organization and composition of the utilization review committee, which shall include at least two physicians who shall be responsible for the utilization review functions.

(2) Requirement that the committee shall meet at least once each month.

(3) Selection of cases, both inpatient and outpatient, for review on a scientifically selected basis.

(4) Summary of the number and types of cases reviewed and the findings on each.

(5) Actions to be taken by the rehabilitation center based on the findings and recommendations of the utilization review committee.

(g) Staff conferences shall be held regularly and include representation and participation by all disciplines involved in the program to assist in the organization and coordination of services offered.

(h) Patient case conferences shall be held regularly to determine need for modification of treatment plans.

(1) There shall be a case conference plan and written minutes of each case conference held.

(2) One member of the rehabilitation service team shall be designated as the patient service coordinator.

(i) Periodically, an appropriate committee of the medical staff shall evaluate the services provided and make appropriate recommendations to the executive committee of the medical staff and administration.

Notes

Cal. Code Regs. Tit. 22, § 70597