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Overview of Regulations for Post-Acute Rehabilitation Settings

presented by Michelle Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN

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Disclosure Statement:

Financial: Michelle Camicia is funded by the Gordon and Betty Moore Foundation and the Rehabilitation Nursing Foundation


 Non-Financial: Michelle Camicia has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 52 Minutes


This course gives students an overview of post-acute care (inpatient rehabilitation, skilled nursing, home health agency) regulations in the U.S. and how they impact care delivery. Specific federal regulations and payment policy are presented. Participants will learn to identify how their practice is influenced by regulations. A brief review of the Improving Medicare Post-Acute Care (IMPACT) Act of 2014 will be presented. Emerging regulations that may impact rehabilitation are also discussed. This course is appropriate for rehabilitation professionals working in any setting but particularly targets those in inpatient rehabilitation, skilled nursing, and home health care.

Meet Your Instructor

Michelle Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN

Michelle Camicia, PhD, MSN, CRRN, CCM, NEA-BC, FAHA, FARN, FAAN, is the director of operations for Kaiser Foundation Rehabilitation Center at the Vallejo Medical Center. She is responsible for day-to-day operations of the Center as well as outreach, quality, and regulatory oversight. Michelle is a past president of the Association of Rehabilitation Nurses. She has…

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1. Regulations Guiding Post-Acute Care Delivery in the U.S.

Rehabilitation professionals who understand the regulations that guide practice in post-acute care in the U.S. are better able to influence health policy and local or agency processes. The historical context for the current regulations will be discussed. This chapter covers current regulations and payment policy that govern post-acute care.

2. The IMPACT Act of 2014 and Emerging Policy

Rehabilitation professionals need to recognize how current policy, such as the IMPACT Act and emerging policies, affect their practice. This chapter briefly reviews the IMPACT Act and how this post-acute care reform may impact the patient’s rehabilitation process.

3. The Impact of the IMPACT Act

The IMPACT Act of 2014 will result in significant reform to post-acute care delivery. Issues such as access to care, interpretation of data, and the future influence of current practice on care delivery are reviewed for their impact on post-acute rehabilitation.

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