Comprehensive outpatient rehabilitation facility

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The Comprehensive Combat and Complex Casualty Care (C5) facility at the Naval Medical Center San Diego offers both inpatient and outpatient rehabilitation services.

A comprehensive outpatient rehabilitation facility (CORF) is a non-residential facility established and operated solely to provide diagnostic, therapeutic, and restorative services to outpatients at a single, fixed location under the order and supervision of a physician.

Loosely described as "follow-up medical rehabilitation" by the World Health Organization (WHO), the services offered by a "CORF" — a primarily U.S.-based descriptor — may also be found in "specialized rehabilitation wards or hospitals; rehabilitation centres; institutions such as residential mental and nursing homes, respite care centres, hospices, prisons, residential educational institutions, and military residential settings; or single or multiprofessional practices (office or clinic)" in the global health community.[1]

CORFs in the United States

The U.S. Centers for Medicare and Medicaid Services (CMS) defines a CORF as "a nonresidential facility that is established and operated exclusively for the purpose of providing diagnostic, therapeutic, and restorative services to outpatients for the rehabilitation of injured, disabled, or sick persons, at a single fixed location, by or under the supervision of a physician."[2] The Omnibus Budget Reconciliation Act (OBRA) of 1980 brought Medicare CORF benefits as a way to stimulate expansion of services on an outpatient basis.[3]

CMS goes on to state that core services at a CORF should include[4]:

  • consultation with and medical supervision of non-physician staff.
  • establishment and review of the plan of treatment and other medical and facility administration activities.
  • physician services (per the definition).
  • physical therapy services.
  • social or psychological services.

Additional optional services may include (but are not limited to)[5]:

  • occupational therapy
  • speech-language pathology
  • respiratory therapy
  • prosthetic and orthotic devices
  • nursing
  • drugs and biologicals

References

  1. World Health Organization (2011). "Chapter 4: Rehabilitation" (PDF). World Report on Disability. World Health Organization. pp. 93–123. http://whqlibdoc.who.int/publications/2011/9789240685215_eng.pdf?ua=1. Retrieved 29 March 2014. 
  2. "42 CFR 485.51 - Definition" (PDF). Code of Federal Regulations. U.S. Government Printing Office. 1 October 2013. http://www.gpo.gov/fdsys/pkg/CFR-2013-title42-vol5/pdf/CFR-2013-title42-vol5-sec485-51.pdf. Retrieved 29 March 2014. 
  3. Verville, Richard (2009). War, Politics, and Philanthropy: The History of Rehabilitation Medicine. University Press of America. p. 217. ISBN 9780761845942. http://books.google.de/books?id=7k5gpga5LkIC&pg=PA217&lpg=PA217. Retrieved 29 March 2014. 
  4. "Comprehensive Outpatient Rehabilitation Facilities". Centers for Medicare and Medicaid Services. 11 April 2013. http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/CORFs.html. Retrieved 29 March 2014. 
  5. "Appendix K - Guidance to Surveyors: Comprehensive Outpatient Rehabilitation Facilities" (PDF). State Operations Manual. Centers for Medicare and Medicaid Services. 11 April 2013. http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/som107ap_k_corf.pdf. Retrieved 29 March 2014.