Section 33-07-01.1-35 - Specialized rehabilitation services in hospitals1. 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. (5) Rehabilitation nurse. (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: (3) Chemical dependency counseling. (5) Dietary services and nutritional counseling. (6) Driver evaluation and education. (7) Environmental modification. (9) Licensed health care practitioner services. (10) Orthotics and prosthetics. (11) Pharmaceutical services. (14) Rehabilitation engineering. (15) Respiratory care services. (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. N.D. Admin Code 33-07-01.1-35
General Authority: NDCC 23-01-03(3), 28-32-02
Law Implemented: NDCC 23-16-06