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Utah Administrative Code (Current through November 1, 2019) |
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R432. Health, Family Health and Preparedness, Licensing |
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R432-103. Specialty Hospital - Rehabilitation |
| R432-103-1. Legal Authority |
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This rule is adopted pursuant to Title 26, Chapter 21. |
| R432-103-2. Purpose |
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The purpose of this rule is to promote the public health and welfare through the establishment and enforcement of program standards for the operation of rehabilitation hospitals. |
| R432-103-3. Compliance |
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All facilities governed by this rule shall be in full compliance at the time of licensure. |
| R432-103-4. Definitions |
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(1) Refer to Common Definitions in R432-1-3. (2) Refer to definition of "specialty hospital", R432-101-4(2). |
| R432-103-5. Licensure |
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License required. Refer to R432-2. |
| R432-103-6. General Construction Rules |
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Refer to R432-9, Rehabilitation Construction Rule. |
| R432-103-7. Organization and Staff |
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(1) The hospital shall be staffed, organized and operated to coordinate all offered services of the hospital. (a) The responsibility for administrative direction shall be vested in a trained rehabilitation counselor or other licensed health care professional with experience or training acceptable to the governing board. (b) A trained rehabilitation counselor or other professionally licensed staff member, as permitted by law and hospital policy, shall serve as the primary therapist. (c) There shall be a multi-disciplinary team that includes a physician, registered nurse, and rehabilitation counselor that is responsible for program and treatment services. (2) There shall be written policies and procedures approved by the board and reviewed annually that address at least the following: (a) staff and their responsibilities; (b) program services; (c) patient assessment; (d) treatment and discharge. |
| R432-103-8. Professional Staff |
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(1) The rehabilitation services of the hospital shall be organized, staffed and supported according to the nature, scope and extent of the services provided. (2) All staff must be licensed, registered or certified by the Utah Department of Commerce for their respective disciplines. |
| R432-103-9. Medical Staff |
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The medical direction of the rehabilitation care and services of the hospital shall be the responsibility of a licensed physician who is a member of the medical staff and appointed by the governing body. |
| R432-103-10. Other Policies and Procedures |
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For the following policies and procedures, R432-100 shall apply: (1) The Governing Body, R432-100-5. (2) Administrator, R432-100-6. (3) Nursing Care Services, R432-100-12. (4) For the following policies and procedures, R432-101 shall apply: (a) Volunteers, R432-101-10(5). (b) Quality Assurance, R432-101-11. (c) Patient Rights, R432-101-15. (d) Emergency and Disaster, R432-101-16. (e) Admission and Discharge, R432-101-17. (f) Transfer Agreements, R432-101-18. (g) Pets In Hospitals, R432-101-19. |
| R432-103-11. Rehabilitation Services |
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(1) Medical staff participation in the delivery of physical rehabilitation services shall be provided by a qualified physician member of the medical staff who is knowledgeable about rehabilitation medicine by reason of training and experience. Qualified, competent professional and support personnel shall be available to meet the objectives of the service and the needs of the patients. (2) A qualified professional for physical rehabilitation services shall complete a functional assessment and evaluation. (a) A treatment plan shall be developed based on an evaluation that includes an assessment of functional ability appropriate to the patient. (b) Measurable goals, which are described in functional or behavioral terms, shall be established for the patient and include time frames for achievement. (c) The patient's progress and the results of treatment shall be assessed at least monthly for outpatients and at least every two weeks for inpatients. (d) The patient's progress and response to treatment shall be documented in the medical record. |
| R432-103-12. Occupational Therapy |
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Occupational therapy services shall include the following: (1) the assessment and treatment of occupational performance, including: (a) independent living skills, (b) prevocational or work skills, (c) educational skills, (d) leisure abilities, and (e) social skills; (2) the assessment and treatment of performance components, including: (a) neuromuscular, (b) sensori-integrative, (c) cognitive, and (d) psychosocial skills; (3) therapeutic interventions, adaptations, and prevention; and (4) individualized evaluations of past and current performance, based on observations of individual or group tasks, standardized tests, record review, interviews, and/or activity histories. (5) Occupational therapy services staff shall document and monitor the extent to which goals are met relative to assessing and increasing the patient's functional abilities in daily living and relative to preventing further disability. |
| R432-103-13. Physical Therapy |
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Refer to R432-100-20. |
| R432-103-14. Clinical Services |
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Where the following services are used, R432-100 shall apply: (1) Critical Care Unit, R432-100-13. (2) Surgery Services, R432-100-14. (3) Outpatient Services, R432-100-28. (4) Pediatric Services, R432-100-18. (5) Inpatient Hospice, R432-750. |
| R432-103-15. Ancillary Services |
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The following services, if provided, shall comply with R432-100 as follows: (1) Central supply, R432-100-34. (2) Dietary, R432-100-31. (3) Laundry, R432-100-35. (4) Maintenance Services, R432-100-37. (5) Housekeeping Services, R432-100-36. |
| R432-103-16. Emergency Services |
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(1) Each specialty hospital shall have the ability to provide emergency first aid treatment to patients, staff, visitors, and to persons who may be unaware of or unable to immediately reach services in other facilities (an equivalent of the Joint Commission's Level IV emergency service). (2) Provisions shall include a treatment room, storage for supplies and equipment, provisions for reception and control of patients, convenient patient toilet room, and communication hookup and access to a poison control center. (3) Any additional or expanded emergency services offered must comply with the provisions of the appropriate sections of R432-100-16. (4) Provision for protocols for contacting local emergency medical services. |
| R432-103-17. Penalties |
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Any person who violates any provision of this rule may be subject to the penalties enumerated in 26-21-11 and R432-3-6 and be punished for violation of a class A misdemeanor as provided in 26-21-16. |