Comprehensive outpatient rehabilitation facility - Revision history

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	[[Category:Healthcare ~~setting~~]]		[[Category:Healthcare settings]]

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	==References==		==References==
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			[[Category:Healthcare setting]]

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			[[File:US Navy 091001-N-6326B-090 Lyn A. Boulanger, a Naval Medical Center San Diego occupational therapist, assists Marine Corps Staff Sgt. Jesse A. Cottle, a bilateral amputee, while he practices swimming during endurance training.jpg\|\|thumb\|300px\|right\|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.		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.

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	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.		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.<ref name="WHOWorldDisRep">{{cite book \|url=http://whqlibdoc.who.int/publications/2011/9789240685215_eng.pdf?ua=1 \|format=PDF \|chapter=Chapter 4: Rehabilitation \|title=World Report on Disability \|author=World Health Organization \|publisher=World Health Organization \|year=2011 \|isnb=9789240685215 \|pages=93–123 \|accessdate=29 March 2014}}</ref>

	==CORFs in the United States==		==CORFs in the United States==

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	The U.S. [[Centers for Medicare and Medicaid Services]] defines a ~~'''comprehensive outpatient rehabilitation facility'''~~ 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."<ref name="CORF485.51">{{cite web \|url=http://www.gpo.gov/fdsys/pkg/CFR-2013-title42-vol5/pdf/CFR-2013-title42-vol5-sec485-51.pdf \|format=PDF \|title=42 CFR 485.51 - Definition \|work=Code of Federal Regulations \|publisher=U.S. Government Printing Office \|date=1 October 2013 \|accessdate=29 March 2014}}</ref>		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.

			==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."<ref name="CORF485.51">{{cite web \|url=http://www.gpo.gov/fdsys/pkg/CFR-2013-title42-vol5/pdf/CFR-2013-title42-vol5-sec485-51.pdf \|format=PDF \|title=42 CFR 485.51 - Definition \|work=Code of Federal Regulations \|publisher=U.S. Government Printing Office \|date=1 October 2013 \|accessdate=29 March 2014}}</ref> The Omnibus Budget Reconciliation Act (OBRA) of 1980 brought Medicare CORF benefits as a way to stimulate expansion of services on an outpatient basis.<ref name="WarVerville">{{cite book \|url=http://books.google.de/books?id=7k5gpga5LkIC&pg=PA217&lpg=PA217 \|title=War, Politics, and Philanthropy: The History of Rehabilitation Medicine \|author=Verville, Richard \|publisher=University Press of America \|year=2009 \|page=217 \|isbn=9780761845942 \|accessdate=29 March 2014}}</ref>

			CMS goes on to state that core services at a CORF should include<ref name="CORFCMS">{{cite web \|url=http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/CORFs.html \|title=Comprehensive Outpatient Rehabilitation Facilities \|publisher=Centers for Medicare and Medicaid Services \|date=11 April 2013 \|accessdate=29 March 2014}}</ref>:

			* 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)<ref name="CMS-K">{{cite web \|url=http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/som107ap_k_corf.pdf \|format=PDF \|title= Appendix K - Guidance to Surveyors: Comprehensive Outpatient Rehabilitation Facilities \|work=State Operations Manual \|publisher=Centers for Medicare and Medicaid Services \|date=11 April 2013 \|accessdate=29 March 2014}}</ref>:

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

	==References==		==References==
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The U.S. [[Centers for Medicare and Medicaid Services]] defines a '''comprehensive outpatient rehabilitation facility''' 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."<ref name="CORF485.51">{{cite web |url=http://www.gpo.gov/fdsys/pkg/CFR-2013-title42-vol5/pdf/CFR-2013-title42-vol5-sec485-51.pdf |format=PDF |title=42 CFR 485.51 - Definition |work=Code of Federal Regulations |publisher=U.S. Government Printing Office |date=1 October 2013 |accessdate=29 March 2014}}</ref>

==References==
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