WAC 246-976-850   Designation standards for level III trauma rehabilitation service.  (1) Level III trauma rehabilitation services shall:

     (a) Provide a community based program of coordinated and integrated outpatient trauma rehabilitation services, evaluation, and treatment to those persons with trauma-related functional limitations, who do not need or no longer require comprehensive inpatient rehabilitation. Services may be provided in, but not limited to, the following settings:

     (i) Freestanding outpatient rehabilitation centers;

     (ii) Organized outpatient rehabilitation programs in acute hospital settings;

     (iii) Day hospital programs; and

     (iv) Other community settings;

     (b) Treat patients according to admission criteria based on diagnosis and severity;

     (c) Be directed by a physician with training and/or experience necessary to provide rehabilitative physician services, acquired through one of the following:

     (i) Formal residency in physical medicine and rehabilitation;

     (ii) A fellowship in rehabilitation for a minimum of one year; or

     (iii) A minimum of two years' experience in providing rehabilitation services for patients typically seen in CARF-accredited comprehensive inpatient categories one, two, and three;

     (d) Provide the following trauma rehabilitation services by staff who are licensed, registered, or certified:

     (i) Occupational therapy;

     (ii) Physical therapy;

     (iii) Social services;

     (iv) Speech/language pathology;

     (e) Provide or assist the patient to obtain the following as defined in the rehabilitation plan:

     (i) Audiology;

     (ii) Chaplaincy;

     (iii) Dentistry;

     (iv) Dietetics;

     (v) Driver evaluation and training;

     (vi) Education;

     (vii) Nursing;

     (viii) Orthotics;

     (ix) Prosthetics;

     (x) Psychology;

     (xi) Rehabilitation engineering for device development and adaptations;

     (xii) Respiratory therapy;

     (xiii) Substance abuse counseling;

     (xiv) Therapeutic recreation;

     (xv) Vocational rehabilitation;

     (2) A level III trauma rehabilitation service shall:

     (a) Have a quality assurance/improvement program in accordance with WAC 246-976-881;

     (b) Participate in trauma registry activities as required in WAC 246-976-430;

     (c) Participate in the regional trauma quality assurance program established pursuant to WAC 246-976-910.



[Statutory Authority: Chapter 70.168 RCW. 98-04-038, § 246-976-850, filed 1/29/98, effective 3/1/98; 93-20-063, § 246-976-850, filed 10/1/93, effective 11/1/93.]