Section He-P 802.37 - Rehabilitation Hospital(a) A rehabilitation hospital, as defined in He-P 802.03(bz) , shall meet the criteria set forth in He-P 802 and: (1) Each rehabilitation hospital shall have a full time administrator who meets the qualifications for an administrator as specified in He-P 802.16(b) (1) -(2) and is responsible to the governing body for the daily management and operation of the hospital including those responsibilities specified in He-P 802.16(b) ; and(2) Personnel requirements shall include: a. A director of nursing services who shall be exempt from He-P 802.16(e) and (f) and instead: 1. Be a registered nurse currently licensed in New Hampshire; and2. Possess at least a bachelor's degree with 3 years' experience in the provision of comprehensive physical rehabilitation services; andb. A medical director of rehabilitation services who shall: 1. Be a medical doctor or doctor of osteopathic medicine licensed in the state of New Hampshire;2. Provide services to the facility or unit and its inpatients for at least 20 hours per week; and3. Meet one of the following requirements: (i) Be board-certified by either the American Board of Physical Medicine and Rehabilitation or the American Society of Neurorehabilitation; or(ii) Have at least 2 years of training or experience in the medical management of inpatients requiring rehabilitative services.(b) In addition to the requirements in He-P 802.17, rehabilitation hospitals shall have available the services of: (1) An occupational therapist licensed by the state of New Hampshire; (2) A physical therapist licensed by the state of New Hampshire; (3) A speech-language pathologist licensed by the state of New Hampshire; (4) A respiratory therapist licensed by the state of New Hampshire; (5) A psychologist licensed by the state of New Hampshire; (6) An orthotist/prosthetist; (7) A rehabilitation nurse with education, training, and experience in rehabilitation nursing and licensed by the state of New Hampshire; and(8) Other nursing personnel and aides educated and trained to provide services as instructed by the physician.(c) Rehabilitation hospitals that accommodate inpatients shall comply with the following construction requirements: (1) The Health Care Occupancy chapter of NFPA 101, as adopted pursuant to RSA 153:1, VI-a and as amended in Saf-Fmo 300 by the fire marshal with the board of fire control, pursuant to RSA 153:5; (2) The state building code as defined in RSA 155-A:1, IV, as amended by the building code review board pursuant to RSA 155-A:10, V; and(3) The FGI's "Guidelines for Design and Construction of Hospitals" (2018 edition) and FGI's "Guidelines for Design and Construction of Outpatient Facilities" (2018 edition), available as noted in Appendix A.(d) Minimum room areas exclusive of toilet rooms, closets, lockers, wardrobes, alcoves, or vestibules shall be 140 square feet in single-bed rooms and 125 square feet per bed in multiple-bed rooms.(e) Maximum occupancy shall be 2 beds per room.(f) A training unit shall be provided for teaching daily living activities, which includes: (2) A full bathroom in addition to other toilet and bathing requirements; (4) Space for training stairs.(g) Space requirements for the exercise area shall be designed to permit access to all equipment and be sized to accommodate equipment for physical therapy.(h) In addition to He-P 802.23, quality assurance, a rehabilitation hospital shall establish and maintain a comprehensive, ongoing, facility-wide quality assurance program which involves assessment of all quality assurance activities conducted in the provision of its health care and rehabilitation program and services at all levels which includes no less than: (1) Assessment of rehabilitation outcomes using measures currently adopted by CMS for rehabilitation hospitals; and(2) A mechanism to assure the utilization of systematic data collection based on valid samples of the total patient population to measure performance and patient results, and to make recommendations to physicians and centers of needed changes. (i) Rehabilitation hospitals shall be exempt from He-P 802.34.N.H. Admin. Code § He-P 802.37
Derived From Volume XLI Number 6, Filed February 11, 2021, Proposed by #13166, Effective 1/28/2021, Expires 1/28/2031.