7 AAC 12.225. Rehabilitation hospitals

(a) A rehabilitation hospital or unit of a hospital which is operated primarily for the purpose of assisting in the restoration of persons with physical handicaps, communication, language, or self-image disorders, through an integrated program of medical, psychological, social, and vocational evaluation and services, and in which the major portion of the evaluation and services is furnished within the facility, is a rehabilitation hospital and must comply with the provisions of this section.

(b) A rehabilitation hospital must provide, in addition to services required in 7 AAC 12.205, physical therapy and occupational therapy services.

(c) A physician who is certified by the American Board of Physical Medicine and Rehabilitation must have responsibility for the general direction and supervision of the medical services provided and the coordination of all services provided.

(d) An inpatient must be under the care of a member of the medical staff.

(e) A patient at a rehabilitation hospital must receive a written evaluation, testing, and an individualized treatment plan, which includes short- and long-term goals, the estimated duration of treatment, and a discharge plan. When practicable, the individualized treatment plan must be developed with the participation of the patient.

(f) Staff members who are involved in the care of a patient shall hold a patient care review conference as often as needed to coordinate rehabilitation and medical services provided to the patient. The treatment plan and goals must be reevaluated periodically, based on a reassessment of the patient's status within 7 to 14 calendar days of the initial assessment, and within 7 to 14 calendar days of each subsequent reassessment unless, in the treating physician's discretion, a subsequent reassessment is deferred beyond 14 calendar days. If the treating physician determines that a subsequent reassessment is to be deferred beyond 14 calendar days, the basis for that determination must be included in the patient's medical record.

(g) Patient participation in a treatment plan, and any involvement by the patient's family in that plan, must be recorded in the patient's medical record.

History: Eff. 11/19/83, Register 88

Authority: AS 18.20.010

AS 18.20.060

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