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Providing wealth of information, creative solutions and leadership on issues related to brain injury since 1985

Copyright © 1998 Head Injury Hotline
Specific Questions:  Rehab Finder Checklist
From The Ashes:
A Brain Injury Survivor's Guide

  Instructions: This checklist designed to collect and analyze information on programs and treatments for brain injury rehabilitation. A high number of "yes" responses in each section means a higher probability that the program
Brain Injury Rehabilitation
will be of good quality, provide cost effective services, and meet the needs of the patient and family.  Rehab Facilities

Rehab Checklist Menu 
The Problem
The Premise
The Process
Guiding Principles
About Programs
Rehab Team
Insurance & Costs
Rehab Setting
Family & Friends
Overall Impression

Our Services:

Additional Resources
Therapies & Therapists
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TBI Glossary
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Program & Procedures
 1.  Is the program accredited by the Com-
mission of Accreditation of Rehab Facilities (CARF) and/or the Joint commission on Accreditation of Healthcare Organizations 
(JCAHO)? Check it out.
Yes   No
 2. What sources of funding does the program accept?  Yes   No
 3. When was the program founded, and what is 
its guiding philosophy
Yes   No
 4. Has the facility been operational for at least 
5 years?
Yes   No
 5. Is the program viewed favorably by the 
medical and rehabilitation professional 
community outside the program, i.e.,
awards, citations, etc? 
Yes   No
 6. Are programs custom-tailored to meet in- dividual client needs? Yes   No
 7. Does the program provide a daily schedule?
What role do patients have in directing the schedule and selecting the program 
Yes   No
 8. Can client's family members live with the 
client during his/her program when desired 
or appropriate? 
Yes   No
 9. Does the program have provisions to 
address behavioral concerns?
Yes   No
10.  May I expect to receive timely progress 
reports that accurately account for 
services rendered? 
Yes   No
11. How do you make decisions about who to admit into the program? Yes   No
12. Are admission decisions made by clinical 
versus marketing staff?
Yes   No
13. Will pre-admission evaluations include a thorough review of past  medical
/rehabilitative care and treatment? 
Yes   No
14. Will evaluators spend time with me and 
my and family to truly understand our 
needs, and rehab goals? 
Yes   No
15. May I have a copy of your policy con-
cerning the rights and responsibilities of 
participants in this program? 
Will you discuss it with me and my family? 
Yes   No
16. If I choose this program, what do you need to do prior to admission? 
  • How long will that take? 
  • What do you need me to do? 
  • Yes   No
    17. Will I be allowed to spend a day or so observing the program? Yes   No
    18. Will you arrange for me and my family to speak with former patients? Yes   No
    19. What forms or contracts am I expected to sign prior to admission? 
  • Will you give me a copy of each to read thoroughly before I sign? 
  • Yes   No
    20. May I count on frequent communication after admission.  Yes   No
    21. If I choose this program, will you get previous medical and other important 
    (i.e., school) records and other information you may need in order to decide? 
    Yes   No
    22. Will the evaluation include a detailed projection of  program cost and outcome goals? Yes   No
    23. Will the evaluation include objective, quantifiable goals for the
    program to be evaluated against? 
    Yes   No
    24. Will progress reports be individualized, with objective quantifiable goals in all disciplines? Yes   No
    25. Is the program responsive to the requests of the case manager?
  • Does it solicit programing input from patient, and family
  • Yes   No
    26. Will the evaluation specify the length of time the program would take to accomplish the 
    goals stated in the evaluation? 
    Yes   No
    27. Will the evaluation include an assessment of special needs upon discharge i.e., such as 
    housing, job coach, vocational rehab, recreational, attendant care, social services, nursing 
    home, parent's home? 
    Yes   No
    28. Are the progress reports, charts, medical records and therapy documentation accessible upon request?  Yes   No
    29. What is the average length of stay? 
    30. Will you provide me with a proposed service or treatment plan before I decide.  Yes   No
    31. Will you coordinate with the program or service I am in now to facilitate 
    a smooth admission and transition?
    Yes   No
    32. What is your understanding of the role my of funding source in the decision-making 
    process about the program I select?
    33. What is your understanding of my role in the decision-making process about 
    the program I select?
    34. What is your program's greatest strength?
    35. What distinguishes your program from its nearest competitor?
    36. What is your program's worst failing?
    37. In an ideal world what would you change about the program?
    38. What is your program's greatest success story?
    39. How many of your patients realize their rehab goals?
    40. What is your program's worst failing?
    41. What is the average outcome? 
    42. What is the average length of treatment?
    43. What type of follow up programs and services do you offer?
    44. What is your staff to patient ratio?

    The Rehab Team
      1 What are the qualifications of the members of the rehab team that would be 
    assigned to my case? Does it employ:
  • Neuropsychology staff?
  • Yes   No
  • Clinical Psychology staff?
  • Yes   No
  • Vocational Rehabilitation Counseling staff?
  • Yes   No
  • Registered or Licensed Vocational staff 
  • Yes   No
  • Practical Nursing staff?
  • Yes   No
  • Recreational Therapy staff?
  • Yes   No
  • Physical Therapy staff?
  • Yes   No
  • Occupational Therapy staff? 
  • Yes   No
  • Speech/Language Pathology staff?
  • Yes   No
  • Educational Therapy staff?
  • Yes   No
  • Social Services staff, case management staff?
  • Yes   No
    13. Do the licensed professional provide more than half the treatments for 
    his/her discipline?
    Yes   No
    14. Does the program have a core of senior therapeutic and clinical management 
    staff with more than 5 years treatment experience? 
    Yes   No
    15. Does the above mentioned staff hold professional licensure? 
    If so, are these licenses available for review? 
    Yes   No
    16. Is the majority of therapy conducted on a one-to-one basis? Yes   No
    17. Is senior management and treating staff readily available for
    consultation or to answer your questions?
    Yes   No
    18. Does the program employ rather than use contract therapy and medical staff?  Yes   No
    19. Does the program regularly obtain medical consultation for client health issues?  Yes   No
    20. Does the program have a medical director? Yes   No
    21. Will my personal physician be included in providing medical services while 
    I am in the program?
    Yes   No
    22. How does the program handle medical emergencies?  Yes   No
    23. Will your doctors monitors medications and medication interactions? 
    Yes   No
    Insurance Matters & Program Costs
     1. What agreement does the program have with my funding source?
     2. What is the daily cost of the program?
     3. What does this include (room & board, medications, physician services, therapy, 
    transportation, etc.)?
     4. What is billed extra (i.e., special diet, telephone, internet laundry, bed hold fees)?
     5. How are charges calculated (i.e., per diem, per unit)? 
     6. Who is billed for services my funding source will not pay for?
    The Rehab Setting
     1. Does the facility have an out-patient program? Yes   No
     2. Do you provide follow up services in the home, the school and the job? Yes   No
     3. Is therapy performed in a residential or clinical setting? What are the differences between t
    he two models and why do you believe one is more effective over the other.
    Yes   No
     4. Is therapy conducted in community settings, i.e., field trips, work and or school settings, 
    shopping malls, etc?
    Yes   No
     5. Is the program designed to prepare the client for the intended discharge setting, i.e. return to home, school, and/or work?  Yes   No
     6. How is person's ability to get around and to use community services and resources evaluated and addressed ? Yes   No
     7. What local resources are used by the program to address the needs of the individual? Yes   No
     8. What do people generally do during unscheduled times?
     9. How is the need for specialized adaptive equipment identified? How is the equipment provided 
    and paid for?
    Yes   No
    Family & Friends
    1. How does your program involve family members and friends? Yes   No
    2. Are family members and friends involved in team meetings? Yes   No
    3. What kind of family training, support groups and therapy is offered? Is there a charge 
    for participation? 
    Yes   No
    4. What is your policy about visitors?  Yes   No
    5. How does your program address changes in sexual functioning and intimacy? Yes   No
    Will I receive a written plan upon discharge that addresses issues, such as housing, job 
    coach, vocational rehab and counseling, recreational, social services, nursing home, 
    parent's home?
    Yes   No
    Once we return home, work, and/or school what type of personal and/or attendant services
    will necessary?
    Yes   No
    How are the services provided and paid for? Yes   No
    What type of adaptive equipment will necessary? Yes   No
    How is the equipment provided and paid for? Yes   No
    What type of home modifications will necessary? Yes   No
    How are the home modifications provided and paid for? Yes   No
    Once we return home, work, and/or school what type of special accommodations 
    will necessary?
    Yes   No
    Does your program provide for respite services? Yes   No
    10. Does your program provide resources and services for caregivers. Yes   No
    11. Will your doctors continue to monitor my medications following discharge?  Yes   No
    12. Will your team work with my schools, employers, and/or social service agencies? Yes   No
    13. Will your program provide periodic postprogram follow-up sessions to reinforce the
    sage of compensatory mechanisms?
    Yes   No
    14. Will your team assist us with the transition to the home environment including behavioral 
    and mood problems?
    Yes   No
    Overall Impressions
    Did the evaluation provide you with more information than you had before the evaluation?  Yes   No
    2. How did the program rate in areas of your primary concerns?
    3. What are your greatest reservations concerning this program and how will 
    you resolve them?
    4. Total Yes's
    5. Total No's
    6. Overall impressions? 
    Admission Process?
    Program - relative to rehab goals?
    Rehab Team - expertise, philosophy & compatibility?
    Administration and client assistance features?
    Rehab Setting - appearance, accommodations, & Location?
    Involvement of patient, friends & family?

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    Copyright © 1998 Head Injury Hotline