Current through Register No. 40, October 3, 2024
(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; and
2. Possess at
least a bachelor's degree with 3 years' experience in the provision of
comprehensive physical rehabilitation services; and
b. 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;
and
3. 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:
(1) A bedroom;
(2) A full bathroom in addition to other
toilet and bathing requirements;
(3) A kitchen; and
(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.
