2017 MR Into AS - BH - ECS - CYS Guidelines

GUIDELINES FOR BLENDED SURVEYS
Standards for Blending Medical Rehabilitation Programs

into Surveys using another CARF Standards Manual as the Primary Manual
The following guidelines are provided for an organization seeking accreditation using CARFs 2017
Aging Services, Behavioral Health, Child and Youth Services, or Employment and Community Services Standards Manual
as its primary standards manual and that also wants to include Medical Rehabilitation programs in the same
survey for accreditation.
This is possible using what CARF terms a blended survey, which allows an organization to seek accreditation
through one survey for programs or services not contained in its primary manual. Standards relevant to
specific programs or services being added will be incorporated into a survey being conducted using the
primary standards manual in which those programs or services are not contained.
Note: Any organization that is unclear about which standards manual to use should contact CARF toll-free for assistance
at (888) 281-6531. It is important to contact CARF for clarification before starting the preparation process.
There are certain factors that CARF considers when blending programs and services, including:
The integrity of the programs and services.
Whether to incorporate standards from a related program or service section.
The primary standards manual that an organization uses. The primary standards manual (i.e., the one
into which other standards are blended) is determined to be the predominant focus and best match
overall for the services, programs, and settings for which your organization is seeking accreditation.
After reviewing these guidelines, be certain to check that:
You have the correct standards from the primary and additional standards manual(s); and
You have access to and/or completed the survey application identifying both the primary and additional
standards manual(s) on the Information for Scheduling tab and have included programs from both the
primary and additional standards manual(s) on the Programs for Survey tab.
If you are missing any of these items, would like to request a complimentary electronic copy of the
additional standards manual, or have questions at any time while preparing for your blended survey,
please call CARF toll-free at (888) 281-6531.
2017 Medical Rehabilitation Guidelines for Blended Surveys 1

Applicable Standards from the 2017 Primary Standards Manual
(2017 Aging Services, Behavioral Health, Child and Youth Services, or Employment and Community Services
Standards Manual).
Section 1. ASPIRE to Excellence
All standards in Sections 1.A. and 1.C.1.N. would be applied. Section 1.B. Governance is optional.
Applicable Standards from the 2017 Medical Rehabilitation Standards Manual

Section 2. The Rehabilitation or Service Process for the Persons Served
Standards from Section 2.A. through 2.E in the Medical Rehabilitation Standards Manual are applied
as identified in the following grid, based on the accreditation sought and populations served.
Applicable Standards grids at the beginning of each Section (2.A.2.E.) of the Medical Rehabilitation
Standards Manual provide additional guidance related to applicability of specific standards.
Program Seeking 2.A. 2.B. 2.C. 2.D. 2.E.

Accreditation Program/ Rehabilitation/ Service Rehabilitation/ Rehabilitation
Service Service Process for Service Process Process
Structure Process Home and for Specific for Children/
Community Diagnostic Adolescents
Services Categories
Comprehensive Apply all Apply Not Apply according to Apply if any

Integrated Inpatient applicable guidelines in the children/
Rehabilitation subsection adolescents
Program
served and
not seeking
Pediatric
Specialty
Program
accreditation
Outpatient Medical Apply all Apply Not Apply according to Apply if any
Rehabilitation applicable guidelines in the children/
Program subsection adolescents
served and
not seeking
Pediatric
Specialty
Program
accreditation
Home and Apply all Not applicable Apply Apply according to Not applicable
Community guidelines in the
Services subsection

Services Categories
Residential Apply all Apply Not Apply according to Apply if any

Rehabilitation applicable guidelines in the children/
Program subsection adolescents
served and
not seeking g
Pediatric
Specialty
Program
accreditation
Vocational Apply Apply Not Not applicable Not applicable

Services Standards applicable
2.A.1.19.
Pediatric Specialty Apply all Apply Apply if Apply according to Not applicable
Program (PSP) seeking guidelines in the
Not applicable if
seeking Home Home and subsection
and Community Community
Services PSP Services PSP
or Case accreditation
Management
PSP
accreditation
Amputation Apply all Apply Apply if Apply according to Apply if any

Specialty Program seeking guidelines in the children/
(ASP) Not applicable if Home and subsection adolescents
seeking Home Community served and
and Community Services ASP not seeking
Services ASP accreditation Pediatric
or Case Specialty
Management Program
ASP accreditation
accreditation Not applicable
if seeking
Home and
Community
Services ASP
accreditation

Services Categories
Brain Injury Apply all Apply Apply if Apply according to Apply if any
(BISP) Home and subsection adolescents
Not applicable if
and Community Services not seeking
Services BISP BISP Pediatric
or Case accreditation Specialty
Management Program
BISP accreditation
if seeking
Home and
Community
Services BISP
accreditation
Cancer Apply all Apply Apply if Apply according to Apply if any

Rehabilitation seeking guidelines in the children/
Specialty Program Not applicable if Home and subsection adolescents
(CRSP)
and Community Services not seeking
Services CRSP CRSP Pediatric
accreditation accreditation Specialty
Program
accreditation
Not applicable
if seeking
Home and
Community
Services
CRSP
accreditation

Services Categories
Spinal Cord Apply all Apply Apply if Apply according to Apply if any
(SCSP) Home and subsection adolescents
Community served and
Services not seeking
SCSP Pediatric
accreditation Specialty
Program
accreditation
Stroke Specialty Apply all Apply Apply if Apply according to Apply if any
Program (SSP) seeking guidelines in the children/
Not applicable if Home and subsection adolescents
and Community Services SSP not seeking
Services SSP accreditation Pediatric
or Case Specialty
Management Program
SSP accreditation
if seeking
Home and
Community
Services SSP
accreditation
Interdisciplinary Apply all Apply Not Not applicable Apply if any

Pain Rehabilitation applicable children/
Program adolescents
served and
not seeking
Pediatric
Specialty
Program
accreditation
Occupational Apply all Apply Not Not applicable Apply if any

Rehabilitation applicable children/
Program adolescents
served

Services Categories
Independent Not Not applicable Not Not applicable Not applicable

Evaluation applicable applicable
Services
Case Management Apply all Not applicable Not Not applicable Apply if any
applicable children/
adolescents
served and
not seeking
Pediatric
Specialty
Program
accreditation

Section 3. Program Specific Standards
The following programs can be blended from the 2017 Medical Rehabilitation Standards Manual.
The program description and all applicable standards from the chosen section(s) would be applied
to the program(s) being surveyed.
Section 3.A. Comprehensive Integrated Inpatient Rehabilitation Program

The Program Description would be applied.
Standards as identified in the Applicable Standards grid at beginning of Section 3.A. would be applied.
If optional specialty program accreditation is sought, the following would be applied based on the
specialty accreditation:
Pediatric Specialty Program: Section 3.F. Pediatric Specialty Program: program description and
standards.
Amputation Specialty Program: Section 3.G. Amputation Specialty Program: program description
and standards.
Brain Injury Specialty Program: Section 3.H. Brain Injury Specialty Program: program description
and standards.
Cancer Rehabilitation Specialty Program: Section 3.I. Cancer Rehabilitation Specialty Program:
program description and standards.
Spinal Cord Specialty Program: Section 3.J. Spinal Cord Specialty Program: program description
and standards.
Stroke Specialty Program: Section 3.K Stroke Specialty Program: program description and standards.
Section 3.B. Outpatient Medical Rehabilitation Program

Standards as identified in the Applicable Standards grid at beginning of Section 3.B. would be applied.
standards.
and standards.
and standards.
and standards.

Section 3.C. Home and Community Services
Standards as identified in the Applicable Standards grid at beginning of Section 3.C. would be applied.
standards.
and standards.
and standards.
and standards.
Section 3.D. Residential Rehabilitation Program

Standards as identified in the Applicable Standards grid at beginning of Section 3.D. would be applied.
standards.
and standards.
and standards.
and standards.

Section 3.E. Vocational Services
Standards as identified in the Applicable Standards grid at beginning of Section 3.E. would be applied.
and standards.
and standards.
and standards.
Section 3.F. Pediatric Specialty Program

Standards as identified in the Applicable Standards grid at beginning of Section 3.F. would be applied.
Pediatric Specialty Program accreditation must be sought in conjunction with at least one other program
in Sections 3.A.3.D., 3.L., or 3.O., with or without additional specialty program accreditation. The
program description and standards in the programs/services and any additional specialty programs to
which the Pediatric Specialty Program is linked would also be applied.
Section 3.G. Amputation Specialty Program

Standards as identified in the Applicable Standards grid at beginning of Section 3.G. would be applied.
Amputation Specialty Program accreditation must be sought in conjunction with at least one other
program in Sections 3.A.3.E. or 3.O. The program description and standards in the programs/services
to which the Amputation Specialty Program is linked would also be applied.
Section 3.H. Brain Injury Specialty Program

Standards as identified in the Applicable Standards grid at beginning of Section 3.H. would be applied.
Brain Injury Specialty Program accreditation must be sought in conjunction with at least one other
to which the Brain Injury Specialty Program is linked would also be applied.

Section 3.I. Cancer Rehabilitation Specialty Program
Standards as identified in the Applicable Standards grid at beginning of Section 3.I. would be applied
Cancer Rehabilitation Specialty Program accreditation must be sought in conjunction with at least one
other program in Sections 3.A.3.C. The Program description and standards in the programs/services
to which the Cancer Rehabilitation Specialty Program is linked would also be applied.
Section 3.J. Spinal Cord Specialty Program

Standards as identified in the Applicable Standards grid at the beginning of Section 3.J. would be
applied.
Spinal Cord Specialty Program accreditation must be sought in conjunction with at least one other
to which the Spinal Cord Specialty Program is linked would also be applied.
Section 3.K. Stroke Specialty Program

Standards as identified in the Applicable Standards grid at beginning of Section 3.K. would be applied.
Stroke Specialty Program accreditation must be sought in conjunction with at least one other program
in Sections 3.A.3.E. or 3.O. The program description and standards in the programs/services to which
the Stroke Specialty Program is linked would also be applied.
Section 3.L. Interdisciplinary Pain Rehabilitation Program

Standards as identified in the Applicable Standards grid at the beginning of Section 3.L. would be
applied.
If optional accreditation as a Pediatric Specialty Program is sought, program description and
standards from Section 3.F. Pediatric Specialty Program would also be applied.
Section 3.M. Occupational Rehabilitation Program

Standards as identified in the Applicable Standards grid at the beginning of Section 3.M. would be
applied.
Section 3.N. Independent Evaluation Services

Standards as identified in the Applicable Standards grid at the beginning of Section 3.N. would be
applied.

Section 3.O. Case Management
Standards as identified in the Applicable Standards grid at the beginning of Section 3.O. would be
applied.
Pediatric Specialty Program: Section 3.F. Pediatric Specialty Program: program description
and standards.
and standards.
and standards.
and standards.

2017 MR Into AS - BH - ECS - CYS Guidelines

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GUIDELINES FOR BLENDED SURVEYS

Standards for Blending Medical Rehabilitation Programs

2017 Medical Rehabilitation Guidelines for Blended Surveys 1

Applicable Standards from the 2017 Medical Rehabilitation Standards Manual

Program Seeking 2.A. 2.B. 2.C. 2.D. 2.E.

Comprehensive Apply all Apply Not Apply according to Apply if any

2017 Medical Rehabilitation Guidelines for Blended Surveys 2

Residential Apply all Apply Not Apply according to Apply if any

Vocational Apply Apply Not Not applicable Not applicable

Services PSP Services PSP

Amputation Apply all Apply Apply if Apply according to Apply if any

2017 Medical Rehabilitation Guidelines for Blended Surveys 3

Cancer Apply all Apply Apply if Apply according to Apply if any

2017 Medical Rehabilitation Guidelines for Blended Surveys 4

Interdisciplinary Apply all Apply Not Not applicable Apply if any

Occupational Apply all Apply Not Not applicable Apply if any

2017 Medical Rehabilitation Guidelines for Blended Surveys 5

Independent Not Not applicable Not Not applicable Not applicable

2017 Medical Rehabilitation Guidelines for Blended Surveys 6

Section 3.A. Comprehensive Integrated Inpatient Rehabilitation Program

Section 3.B. Outpatient Medical Rehabilitation Program

2017 Medical Rehabilitation Guidelines for Blended Surveys 7

Section 3.D. Residential Rehabilitation Program

2017 Medical Rehabilitation Guidelines for Blended Surveys 8

Section 3.F. Pediatric Specialty Program

Section 3.G. Amputation Specialty Program

Section 3.H. Brain Injury Specialty Program

2017 Medical Rehabilitation Guidelines for Blended Surveys 9

Section 3.J. Spinal Cord Specialty Program

Section 3.K. Stroke Specialty Program

Section 3.L. Interdisciplinary Pain Rehabilitation Program

Section 3.M. Occupational Rehabilitation Program

Section 3.N. Independent Evaluation Services

2017 Medical Rehabilitation Guidelines for Blended Surveys 10

2017 Medical Rehabilitation Guidelines for Blended Surveys 11

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