Medical rehabilitation program list

Descriptions of the programs/services available for accreditation in the Medical Rehabilitation Standards Manual.

A Comprehensive Integrated Inpatient Rehabilitation Program is a program of coordinated and integrated medical and rehabilitation services that is provided 24 hours a day and endorses the active participation and preferences of the person served throughout the entire program. The preadmission assessment of the person served determines the program and setting that will best meet the needs of the person served. The person served, in collaboration with the interdisciplinary team members, identifies and addresses medical and rehabilitation needs. The individual resource needs and predicted outcomes of the person served drive the appropriate use of the rehabilitation continuum of services, the provision of care, the composition of the interdisciplinary team, and discharge to the community of choice.

The scope and intensity of care provided are based on a medical and rehabilitation preadmission assessment of the person served. An integrated interdisciplinary team approach is reflected throughout all activities. To ensure the transparency of information, the program provides a disclosure statement to each person served that addresses the scope and intensity of care that will be provided.

A Comprehensive Integrated Inpatient Rehabilitation Program clearly identifies the scope and value of the medical and rehabilitation services provided. Dependent on the medical stability and acuity of the person served, a Comprehensive Integrated Inpatient Rehabilitation Program may be provided in a hospital, skilled nursing facility, long-term care hospital, acute hospital (Canada), or hospital with transitional rehabilitation beds (Canada). Through a written scope of services, each program defines the services provided, intensity of services, frequency of services, variety of services, availability of services, and personnel skills and competencies. Information about the scope of services and outcomes achieved is shared by the program with stakeholders.

An Outpatient Medical Rehabilitation Program is an individualized, coordinated, outcomes- focused program that promotes early intervention and optimizes the activities and participation of the persons served. The program, through its scope statement, defines the characteristics of the persons it serves. An assessment process initiates the individualized treatment approach for each person served, which includes making medical support available based on need. The program includes direct service provision, education, and consultations to achieve the predicted outcomes of the persons served. Information about the scope and value of services is shared with the persons served, the general public, and other relevant stakeholders.

The strategies utilized to achieve the predicted outcomes of each person served determine whether the individual program is single discipline or an interdisciplinary service. A Single Discipline Outpatient Medical Rehabilitation Program focuses on meeting the needs of persons served who require services by a professional with a health-related degree who can address the assessed needs of the person served. An Interdisciplinary Outpatient Medical Rehabilitation Program focuses on meeting the needs of persons served that are most effectively addressed through a coordinated service approach by more than one professional with a health-related degree who can address the assessed needs of the person served.

The settings for Outpatient Medical Rehabilitation Programs include, but are not limited to, health systems, hospitals, freestanding outpatient rehabilitation centers, day hospitals, private practices, and other community settings.

Residential Rehabilitation Programs are provided for persons who need services designed to achieve predicted outcomes focused on home and community integration and engagement in productive activities. Consistent with the needs of the persons served, services foster improvement or stability in functional and social performance and health. These programs occur in residential settings and may be transitional or long term in nature. The residences in which the services are provided may be owned or leased directly by the persons served or the organization.

Home and Community Services (HCS) are person centered and foster a culture that supports autonomy, diversity, and individual choice. Individualized services are referred, funded, and/or directed by a variety of sources. In accordance with the choice of the person served, the services provided promote and optimize the activities, function, performance, productivity, participation, and/or quality of life of the person served.

The Home and Community Services may serve persons of any ages, from birth through end of life. Services may be accessed in a variety of settings including, but not limited to, private homes, residential settings, schools, workplaces, community settings, and health settings. Services are provided by a variety of personnel, which may include health professionals, direct support personnel, educators, drivers, coaches, and volunteers and are delivered using a variety of approaches, supports, and technology.

Services are dynamic and focus, after a planning process, on the expectations and outcomes identified by both the person served and the service providers. The service providers are knowledgeable of care options and linkages to assist the person served; use resources, including technology, effectively and efficiently; and are aware of regulatory, legislative, and financial implications that may impact service delivery for the person served. The service providers are knowledgeable of their roles in and contribution to the broader health, community, and social services systems.

Home and Community Services must include at least one of the following service delivery areas:

  • Services for persons who are in need of specialized services and assistance due to illness, injury, impairment, disability, or a specific age or developmental need.
  • Services for persons who need assistance to access and connect with family, friends, or coworkers within their homes and communities.
  • Services for persons who need or want help with activities in their homes or other community settings.
  • Services for caregivers that may include support, counseling, education, respite, or hospice.

Note: A service provider seeking accreditation for Home and Community Services is not required to provide all four of the service delivery areas identified in the service description. However, it must include in the site survey all of the service delivery areas it provides that meet the service description.

A Concussion Rehabilitation Program is individualized, coordinated, and focused on the return of persons served to participation in life roles, including, but not limited to, return to school, return to work, and return to sport. The services provided are interdisciplinary in nature, with the capability of addressing the health and rehabilitation needs of the persons served in support of their desired outcomes. Such a program provides integrated, evidence-based, person-centered care that promotes self-management, self-advocacy, and prevention of future concussion.

The Concussion Rehabilitation Program is a resource to healthcare providers and community stakeholders regarding concussion prevention, identification, management, and rehabilitation. It utilizes current research and evidence-based practices to provide effective rehabilitation and supports future improvements by advocating for or participating in concussion research. The program demonstrates the commitment, capabilities, and resources to comprehensively address the diverse and potentially complex needs of persons who have experienced a concussion.

A person-centered interdisciplinary pain rehabilitation program utilizes a collaborative, interdisciplinary team to address the needs of persons with persistent pain. Using a biopsychosocial approach, treatment is individualized and focuses on the ability of the person served to self-manage symptoms, improve function, engage in life roles, and experience an improved quality of life. The program as needed addresses chronic opioid use for pain management. The program demonstrates the commitment, capabilities, and resources to maintain itself as a specialized rehabilitation program for persons with persistent pain.

The program encourages appropriate use of healthcare systems and services by the persons served and their families/support systems and supports their efforts to promote personal health and wellness and improve quality of life throughout their life span. The program provides information, services, and resources to enhance the lives of the persons served within their families/support systems, communities, and life roles.

The program utilizes current research and evidence to provide effective rehabilitation and supports future improvements in care by advocating and participating in pain research. The interdisciplinary pain rehabilitation program advocates on behalf of persons who have persistent pain to stakeholders such as regulators, legislators, educational institutions, research funding organizations, payers, and the community at large.

Note: A program seeking accreditation as an interdisciplinary pain rehabilitation program must include in the survey application and the site survey all portions of the program that the organization provides and that meet the program description.

An Occupational Rehabilitation Program is individualized, focused on return to work, and designed to minimize risk to and optimize the work capability of the persons served. The services provided are integrative in nature, with the capability of addressing the work, health, and rehabilitation needs of those served. Such a program provides for service coordination and management of those persons served with injuries or illnesses. In view of the multiple stakeholders involved in Occupational Rehabilitation Programs, informed consent to obtain or share information about the persons served is provided by the persons served as required.

The program may be provided as a hospital-based program, an outpatient program, or a private or group practice, and/or it may be provided in a work environment (at the job site).

Note: For Canadian providers of Occupational Rehabilitation Programs, the concept of occupation is broader than a person’s employment and might include functional roles such as homemaker, student, or volunteer.

Persons admitted to an Occupational Rehabilitation Program—Comprehensive Services tend to have more complex needs due the nature of their injury, illness, or impairment; length of time they have been off work; home or work circumstances; or other reasons. Through the comprehensive assessment and treatment provided by occupational rehabilitation specialists, Occupational Rehabilitation Program—Comprehensive Services directly provide and coordinate services to address the behavioral, functional, medical, physical, psychological, and vocational components of employability and return to work.

An Outpatient Medical Rehabilitation Program is an individualized, coordinated, outcomes- focused program that promotes early intervention and optimizes the activities and participation of the persons served. The program, through its scope statement, defines the characteristics of the persons it serves. An assessment process initiates the individualized treatment approach for each person served, which includes making medical support available based on need. The program includes direct service provision, education, and consultations to achieve the predicted outcomes of the persons served. Information about the scope and value of services is shared with the persons served, the general public, and other relevant stakeholders.

The strategies utilized to achieve the predicted outcomes of each person served determine whether the individual program is single discipline or an interdisciplinary service. A Single Discipline Outpatient Medical Rehabilitation Program focuses on meeting the needs of persons served who require services by a professional with a health-related degree who can address the assessed needs of the person served. An Interdisciplinary Outpatient Medical Rehabilitation Program focuses on meeting the needs of persons served that are most effectively addressed through a coordinated service approach by more than one professional with a health-related degree who can address the assessed needs of the person served.

The settings for Outpatient Medical Rehabilitation Programs include, but are not limited to, health systems, hospitals, freestanding outpatient rehabilitation centers, day hospitals, private practices, and other community settings.

Vocational Services provide individualized services to persons to achieve their identified
vocational outcomes. The services may include:

  • Identification of employment opportunities and resources in the local job market.
  • Development of realistic employment goals.
  • Establishment of service plans to achieve employment outcomes.
  • Identification of resources to achieve and maintain employment.

Vocational Services consider:

  • The behavioral, cognitive, and medical, physical, and functional issues of the persons served.
  • The vocational goals of the persons served.
  • The personnel needs of the employers in the local job market.
  • The accessibility and accommodations provided by employers.
  • The community resources available.
  • The trends and economic considerations in the employment sector.

Independent Evaluation Services coordinate and facilitate objective, unbiased evaluations based on the following:

  • Individualized referral questions.
  • Effective and efficient use of resources.
  • Regulatory, legislative, and financial implications.
  • Relevant communication with stakeholders.

In view of the multiple stakeholders involved, the Independent Evaluation Services support transparency and exchange of information.

Independent evaluations may be completed by a variety of professionals who are not involved in the care of the person served for the purpose of clarifying clinical and case issues. The delivery of Independent Evaluation Services may occur in a variety of settings including, but not limited to, a healthcare environment, a private practice, a community-based setting, or a private or group residence.

Case Management proactively coordinates, facilitates, and advocates for seamless service delivery for persons with impairments, activity limitations, and participation restrictions based on the following:

  • Initial and ongoing assessments.
  • Knowledge and awareness of care options and linkages.
  • Effective and efficient use of resources.
  • Individualized plans based on the needs of the persons served.
  • Predicted outcomes.
  • Regulatory, legislative, and financial implications.

The delivery of case management may occur in a variety of settings that include, but are not limited to, a healthcare environment, a private practice, in the workplace or in the payer community.