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Inpatient Rehabilitation Facility (IRF) & CARF Readiness Audit

Esta lista de verificación está en inglés.

Readiness audit for inpatient rehabilitation facilities covering the intensity-of-therapy standard, interdisciplinary team, IRF-PAI documentation, and CARF program requirements.

42 CFR 412.62242 CFR 412.29CARF Medical Rehabilitation StandardsCMS IRF-PAI

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IRF Classification & 60% Rule

  • Does at least 60% of the facility's inpatient population require intensive rehabilitation for one of the qualifying CMS conditions? *
  • Is compliance with the 60% threshold monitored and documented across the applicable review period? *

Preadmission Screening & Admission

  • Is a comprehensive preadmission screening completed within 48 hours prior to admission and used to determine appropriateness? *
  • Is a post-admission physician evaluation completed within 24 hours of admission? *
  • Is an individualized overall plan of care completed by a rehabilitation physician within 4 days of admission? *

Intensity of Therapy

  • Does the patient require and receive intensive therapy, generally interpreted as at least 3 hours per day, 5 days per week (or 15 hours over 7 days)? *
  • Does the patient require at least two therapy disciplines, one of which is physical or occupational therapy? *
  • Is close physician supervision documented, with rehabilitation physician face-to-face visits at least 3 days per week? *

Interdisciplinary Team & Conferences

  • Does the interdisciplinary team include a rehabilitation physician, rehabilitation nurse, and relevant therapists? *
  • Are interdisciplinary team conferences held at least once per week to assess progress toward goals? *

IRF-PAI & CARF Program Standards

  • Is the IRF Patient Assessment Instrument (IRF-PAI) completed and transmitted for each Medicare patient within required timeframes? *
  • Are measurable, person-centered rehabilitation goals established with the person served and documented per CARF standards? *
  • Does the program collect and analyze outcomes data (effectiveness, efficiency, satisfaction) for performance improvement? *

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