North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5400 - COMPREHENSIVE INPATIENT REHABILITATION › Section 13B .5402 - PHYSICIAN REQUIREMENTS FOR INPATIENT REHABILITATION FACILITIES OR UNITS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In a rehabilitation facility or unit, a
				  physician shall participate in the provision and management of rehabilitation
				  services and in the provision of medical services.
(b) In a rehabilitation facility or unit, a
				  rehabilitation physician shall be responsible for a patient's interdisciplinary
				  treatment plan. Each patient's interdisciplinary treatment plan shall be
				  developed and implemented under the supervision of a rehabilitation
				  physician.
(c) The rehabilitation
				  physician shall participate in the preliminary assessment within 48 hours of
				  admission, prepare a plan of care and direct the necessary frequency of contact
				  based on the medical and rehabilitation needs of the patient. The frequency
				  shall be appropriate to justify the need for comprehensive inpatient
				  rehabilitation care.
(d) An
				  inpatient rehabilitation facility or unit's contract or agreements with a
				  rehabilitation physician shall require that the rehabilitation physician shall
				  participate in individual case conferences or care planning sessions and shall
				  review and sign discharge summaries and records. When patients are to be
				  discharged to another health care facility, the discharging facility shall
				  ensure that the patient has been provided with a discharge plan which
				  incorporates post discharge continuity of care and services. When patients are
				  to be discharged to a residential setting, the facility shall ensure that the
				  patient has been provided with a discharge plan that incorporates the
				  utilization of community resources when available and when included in the
				  patient's plan of care.
(e) The
				  intensity of physician medical services and the frequency of regular contacts
				  for medical care for the patient shall be determined by the patient's
				  pathophysiologic needs.
(f) Where
				  the attending physician of a patient in an inpatient rehabilitation facility or
				  unit orders medical consultations for the patient, such consultations shall be
				  provided by qualified physicians within 48 hours of the physician's order. In
				  order to achieve this result, the contracts or agreements between inpatient
				  rehabilitation facilities or units and medical consultants shall require that
				  such consultants render the requested medical consultation within 48
				  hours.
(g) An inpatient
				  rehabilitation facility or unit shall have a written procedure for setting the
				  qualifications of the physicians, rendering physical rehabilitation services in
				  the facility or unit.
Authority
					 G.S.
					 131E-79;
RRC Objection due to
					 lack of statutory authority Eff. January 18, 1996;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.