The Australasian Faculty of Rehabilitation Medicine is committed to the provision of comprehensive, high quality care in the services in which its Fellows practise. This document on Standards for Inpatient Adult Rehabilitation Medicine Services in Public and Private Hospitals (PDF 1MB) refers only to specialist Rehabilitation Medicine units. In particular, it is stressed that the Standards do not refer to medical rehabilitation programs conducted by other physicians who are not specialists in Rehabilitation Medicine. Nor do the Standards apply to other restorative health or healthcare programs containing rehabilitation if they do not fulfil the criteria established by the AFRM for a Specialist Rehabilitation Medicine Service (refer Rehabilitation Service Categories document, AFRM, 2006).
A specialist rehabilitation medicine service under the direction of a rehabilitation physician (Fellow of the AFRM or equivalent) provides comprehensive, patient-centred multidisciplinary care. This care is evidenced by the establishment of achievable treatment goals, the periodic assessment and documentation of the functional status of patients, the occurrence of regular case discussion amongst treating practitioners, and attention to the optimal management of concurrent medical problems and psychosocial issues. The primary objective of care is to help patients achieve their optimal level of functioning and participation in society.
There is a full range of team members (medical, nursing, allied health and support staff) with an appropriate skill base and training to provide comprehensive, contemporary programs of care to address the impairments, activity limitations and participation restrictions present in the patients admitted to the rehabilitation service. There are sufficient team member hours available to allow each patient to receive an individualised nursing and allied health program of adequate intensity to meet their needs, delivered in a way that optimises the effectiveness and efficiency of the rehabilitation program.
3. Facilities and equipment
The facilities and equipment are both adequate and appropriate for the rehabilitation needs of patients and are also able to provide a safe learning environment for retraining in lost skills.
4. Policies and procedures
There is documentation of policies and procedures to ensure safe, appropriate, accountable, effective and measurable improvement in the patients involved in rehabilitation programs following illness or injury.
5. Quality improvement and risk management activities
The service has a quality improvement and risk management framework with appropriate single discipline and multidisciplinary activities and projects addressing consumer involvement, access, appropriateness, effectiveness, safety and efficiency. The service submits data to the Australasian Rehabilitation Outcomes Centre (AROC) and regularly reviews its performance against benchmarks established by AROC.
6. Education and Research
The service is actively engaged in continuing education and teaching and actively promotes the importance of research.